Dental - Children
Virginia's Medicaid Smiles For Children program offers comprehensive dental service to children under age 21. Smiles For Children also provides comprehensive services, except orthodontics, to pregnant individuals enrolled in Medicaid and FAMIS MOMS. Services for other adults is limited to medically necessary treatments. DentaQuest is the single Dental Benefits Administrator of Virginia's Medicaid Smiles For Children Program
Under current policy, Smiles For Children (SFC) pays for limited medically necessary oral surgery services for members 21 years of age and older when performed by a participating SFC dentist. Medically necessary services are those services that are complicating a patient's general health and are associated with excessive pain, infection or dental conditions that exacerbate a medical condition.
State Fiscal Year 2015 Utilization for Medicaid Foster Care Children is 80%.