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Medicaid Provider Reference Guide

The American Dental Association’s Council on Advocacy for Access and Prevention seeks regular guidance and technical assistance from its Medicaid Provider Advisory Committee (MPAC), which has been chaired by Dr. Sidney Whitman since 2011. In consultation with the American Academy of Pediatric Dentistry (AAPD), the MPAC offers this Medicaid Provider Reference Guide as an invitation to non-participating dentists to treat Medicaid-eligible individuals and as an encouragement for those who currently participate to continue. Organized dentistry seeks to increase the number of dental providers participating in Medicaid, thus increasing the number of oral health services delivered to Medicaid-eligible individuals.

Why I Am A Medicaid Provider - By Dr. Howard Elson

The Council acknowledges with great appreciation the assistance of Mr. Carlos Jones, Jr., Action for Dental Health Coordinator, Council on Advocacy for Access and Prevention, in preparing this resource guide. The material contained in this guide is for informational purposes only and is not intended to be viewed as a recommendation to become ADA Policy.

Medicaid Provider Reference Guide 

  • What is Medicaid?
  • The Early and Periodic Screening, Diagnostic and Treatment (EPSDT)
  • Oral Health Medicaid Benefits for Adults
  • Reducing barriers to Medicaid-eligible individuals seeking dental services
  • The Basics of Recordkeeping & Medicaid Fraud
  • Documenting Medical Necessity
  • Actions Before and After Audits
  • Compliance in the Era of Accountability
  • Cultural Competency Program for Oral Health Providers
  • Self-Direction of Home and Community Based Services
  • Making The State Dental Medicaid Program Work For You

For more information please contact:

Steven P. Geiermann, D.D.S. geiermanns@ada.org
Council on Advocacy for Access and Prevention
800.621.8099 x 2667 or 312.440.2667