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. Author manuscript; available in PMC: 2015 Sep 30.
Published in final edited form as: J Am Dent Assoc. 2013 Mar;144(3):297–305. doi: 10.14219/jada.archive.2013.0117

TABLE 1.

Oral health content of state Medicaid EPSDT* dental periodicity schedules (n = 33).

STATE DATE OF
LATEST
PLAN		 CLINICAL ORAL
EXAMINATION
DOMAIN		 CARIES
RISK
ASSESSMENT
DOMAIN		 PROPHYLAXIS
AND TOPICAL
FLUORIDE DOMAIN		 FLUORIDE
SUPPLEMENTATION
DOMAIN		 ANTICIPATORY
GUIDANCE/
COUNSELING DOMAIN		 ORAL
HYGIENE
COUNSELING
DOMAIN		 REFERRAL
TO A DENTIST
DOMAIN		 TOTAL
Timing Content Timing Content Timing Content Timing Content Timing Content Timing Content Timing Content
Alabama 1/1/2011 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ † ✓ 13
Arizona 10/1/2008 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ † ✓ 13
California 2/1/2010 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 14
Delaware ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 12
District of Columbia ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ † ✓ 13
Georgia 4/1/2012 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 14
Idaho‡ 6/1/2008 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 14
Illinois 7/1/2011 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ § ✓ 13
Indiana 3/1/2010 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ § ✓ 12
Iowa 9/1/2009 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 14
Kansas 9/11/2008 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 13
Kentucky ✓ ✓ § ✓ ✓ ✓ ✓ ✓ ✓ ✓ § ✓ 10
Louisiana 10/16/2009 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 12
Maine 5/1/2010 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ † ✓ 13
Massachusetts 7/1/2011 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 14
Minnesota 10/1/2008 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ † ✓ 13
Mississippi ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ † ✓ 13
Nebraska 8/15/2008 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ † ✓ 13
Nevada 5/8/2007 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ § ✓ 13
New Jersey 1/27/2010 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ † ✓ 10
North Carolina 11/1/2011 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ † ✓ 13
North Dakota# 1/1/2011 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 13
Oklahoma ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ § ✓ § ✓ 12
Oregon 2/28/2012 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 13
Pennsylvania 6/14/2010 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 14
Rhode Island 5/1/2006 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 13
Texas 12/1/2011 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 14
Utah 10/1/2008 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 14
Vermont 7/29/2008 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 14
Virginia 1/28/2010 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ † ✓ 13
West Virginia** 3/22/2010 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 8
Wisconsin 11/1/2008 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ † ✓ 13
Wyoming 3/1/2012 ✓ ✓ ✓ ✓ ✓ ✓ † ✓ 7
TOTAL – †† 33 33 30 30 29 31 32 33 31 31 31 32 11 31 –
*

EPSDT: State Dental Medicaid Early and Periodic Screening, Diagnosis and Treatment.

†

Age 3 years.

‡

Idaho adopted the American Academy of Pediatric Dentistry (AAPD) dental periodicity recommendations,12 according to the Medicaid-CHIP Dental Association (MSDA). However, the 2008 Medicaid State Plan states that EPSDT dental services will be performed as recommended by the American Academy of Pediatrics (AAP) periodicity schedule.

§

Age 2 years.

Maine adopted the AAPD dental periodicity recommendations, according to MSDA. However, the Bright Futures/AAP Recommendations for Preventive Pediatric Health was adopted, according to the MaineCare Benefits Manual.

#

North Dakota adopted the AAPD dental periodicity recommendations, according to MSDA. However, the Bright Futures Well Child Periodicity Schedule was adopted, according to the North Dakota Medicaid Manual.

**

West Virginia's HealthCheck Provider Manual states that the HealthCheck periodicity schedule corresponds to the latest edition of Bright Futures. There is no statement of adoption of the AAPD dental periodicity schedule. However, the oral health section of the HealthCheck Provider Manual provides the link to the Web site of the AAPD periodicity article, which also is reproduced in the appendix.

††

Dash indicates not applicable.