Table 2.

Assessment of states’ Medicaid documents for compliance with the Centers for Medicare & Medicaid Services Informational Bulletin ^a , 50 states and the District of Columbia, 2018-2019

State	Periodicity schedule		Dental provider manual		Fee schedule
	Source	Statement on flexibility	General statement on flexibility	Mechanism described for additional services	General statement on flexibility	Allowable frequency of services specified
Alabama	State	Below				✓
Alaska	AAPD	Standard	✓	✓
Arizona	State	Above	✓
Arkansas	AAPD	Standard	✓	✓
California	AAPD	Standard
Colorado	State	Below	✓
Connecticut	AAPD	Standard		✓
District of Columbia	State	Standard	✓	✓
Delaware	None	NA	✓
Florida	AAPD	Standard
Georgia	AAPD	Standard
Hawaii	State	None
Idaho	AAPD	Standard	✓	✓
Illinois	AAPD	Standard	✓
Indiana	AAPD	Standard
Iowa	AAPD	Standard
Kansas	AAPD	Standard
Kentucky	None	NA
Louisiana	State	Standard	✓			✓
Maine	State	Above			✓	✓
Maryland	State	Standard
Massachusetts	AAPD	Standard	✓
Michigan	AAPD	Standard	✓
Minnesota	AAPD	Standard	✓
Mississippi	None	NA
Missouri	None	NA	✓
Montana	None	NA	✓	✓		✓
Nebraska	AAPD	Standard	✓
Nevada	AAPD	Standard	✓
New Hampshire	AAPD	Standard	✓	✓
New Jersey	State	Below		✓
New Mexico	None	NA
New York	None	NA	✓			✓
North Carolina	State	Above	✓
North Dakota	None	NA	✓	✓
Ohio	State	Below
Oklahoma	State	Standard
Oregon	State	Above
Pennsylvania	None	NA		✓	✓	✓
Rhode Island	State	Below
South Carolina	State	Standard	✓
South Dakota	None	NA	✓
Tennessee	State	Standard			ND	ND
Texas	AAPD	Standard	✓
Utah	AAPD	Standard	✓			✓
Vermont	State	Above				✓
Virginia	AAPD	Standard			✓
Washington	None	NA	✓
West Virginia	AAPD	Standard	✓
Wisconsin	AAPD	Standard	✓	✓
Wyoming	State	Below		✓

Abbreviations: AAPD, American Academy of Pediatric Dentistry; NA, not available; ND, not determined.

^aData source: CMS Informational Bulletin. ¹⁶