Medi Cal Dental

Medi-Cal Dental Coverage — Quick Answer

  • Yes. Medi-Cal provides dental benefits to eligible California members.
    • Most people who qualify for Medi-Cal are also eligible for Medi-Cal Dental benefits. You generally do not have to submit a separate application for dental coverage.
  • Depending on your eligibility, age, aid code and where you live, Medi-Cal Dental may cover services such as:
    • Dental exams and X-rays
    • Cleanings and preventive care
    • Fillings
    • Root canals
    • Crowns when coverage requirements are met
    • Tooth extractions
    • Emergency dental treatment
    • Partial and full dentures
    • Scaling and root planing for gum disease
    • Other medically necessary dental services
  • Already have Medi-Cal and need a dentist?
  • Resources:

What Does Medi-Cal Cover for Dental Care?

  • Preventive and diagnostic dental care may include:
    • Dental examinations
    • X-rays
    • Teeth cleanings
    • Fluoride treatment
    • Other preventive services when eligibility requirements are met
  • Treatment and restorative dental care may include:
    • Fillings
    • Root canals
    • Crowns when Medi-Cal’s requirements are met
    • Tooth removal and oral surgery
    • Scaling and root planing for gum disease
    • Emergency dental services
  • Replacement teeth and other services may include:
    • Partial dentures
    • Full dentures
    • Denture relines
    • Dental implants in limited circumstances when Medi-Cal’s medical-necessity and prior-authorization requirements are met
  • Children and young adults under age 21 have additional protections.
    • Medi-Cal’s EPSDT benefit can cover medically necessary dental treatment needed to correct or improve a health condition, even in some situations where the service would not ordinarily be available under the regular dental benefit.
  • Important:
    • Coverage depends on the member’s eligibility, age, aid code, medical necessity and the particular dental procedure. Your Medi-Cal dentist should verify coverage and obtain prior authorization when required before treatment is performed.
  • Resources:

How Do I Find a Dentist Who Takes Medi-Cal?

  • Start with the California Medi-Cal Dental Provider Directory.
  • The directory allows you to search by:
    • Address, city or ZIP code
    • Distance
    • County
    • Dental specialty
    • Language
    • Providers accepting new Medi-Cal patients
    • Providers offering teledentistry
  • Finding a dentist listed in the directory does not guarantee that the office is currently accepting additional patients.
    • Call the dental office before making an appointment and verify that it is accepting your Medi-Cal coverage and new patients.
  • Can’t find a dentist?
    • Call the Medi-Cal Dental Telephone Service Center at 1-800-322-6384, Monday through Friday, 8:00 a.m. to 5:00 p.m.
  • Find a Medi-Cal Dental Provider →

Does Medi-Cal Cover Dental Implants?

  • Yes, Medi-Cal can cover dental implants — but coverage is limited.
    • Dental implants are not simply covered whenever someone would prefer an implant instead of a denture or other conventional treatment.
    • Medi-Cal requires documentation of an exceptional medical condition, review for medical necessity and prior authorization.
  • According to Medi-Cal Dental’s current provider criteria, exceptional medical circumstances may include:
    • Oral cancer treatment that has destroyed bone needed to support a conventional dental prosthesis
    • Severe atrophy of the upper or lower jaw when conventional prostheses cannot function adequately
    • Certain skeletal or developmental deformities that prevent the use of conventional prostheses
    • Traumatic destruction of the jaw, face or head that leaves insufficient structure to support conventional prostheses
  • Prior authorization and documentation are important.
    • The treating dentist or specialist may need to submit X-rays, scans, photographs, medical or operative reports and other documentation showing why the implant is medically necessary.
  • Thinking about an implant?
    • Ask your Medi-Cal dentist whether your condition may meet Medi-Cal’s implant criteria before agreeing to pay privately for treatment.
  • Medi-Cal Dental Manual of Criteria — Current Coverage Requirements

Los Angeles & Sacramento Medi-Cal Dental Plans

  • Most California counties use Medi-Cal Dental Fee-for-Service.
    • Los Angeles and Sacramento counties also have Medi-Cal Dental Managed Care arrangements.
  • Sacramento County:
    • Dental Managed Care is generally mandatory for eligible Medi-Cal members.
    • Members select a dental plan and receive care from providers participating in that plan’s network.
  • Los Angeles County:
    • Dental Managed Care is voluntary.
    • Eligible members can choose a Dental Managed Care plan or remain in Medi-Cal Dental Fee-for-Service.
  • Current Dental Managed Care plans include:
    • Health Net Dental
    • Liberty Dental Plan
    • California Dental Network
  • Want to check your plan or change Dental Managed Care plans?
    • Call Medi-Cal Health Care Options at 1-800-430-4263.
  • Resources:

Important Medi-Cal Dental Change Delayed Until July 1, 2027

  • California has delayed a scheduled change to dental benefits for certain adult Medi-Cal members until July 1, 2027.
  • Beginning July 1, 2027, some adults age 19 and older who do not qualify for federally funded full-scope Medi-Cal will no longer receive regular Medi-Cal dental benefits and generally will have emergency dental coverage instead.
  • The change does not affect everyone.
    • Children under age 19 continue to receive dental benefits.
    • Pregnant members and members within one year after pregnancy continue to receive dental benefits.
    • Qualifying foster youth and former foster youth under age 26 continue to receive dental benefits.
    • People who qualify for federally funded full-scope Medi-Cal continue to receive dental coverage.
  • If you received a notice saying your dental benefits were ending July 1, 2026:
    • DHCS subsequently announced that the effective date was delayed until July 1, 2027.
  • Resources:

Medi-Cal Dental Frequently Asked Questions

  • Is “Medical Dental” the same thing as Medi-Cal Dental?
    • Usually, yes. People frequently search Google for terms such as “Medical Dental,” “Medical dental coverage” or “does Medical cover dental” when they are actually looking for California’s Medi-Cal Dental program. The correct name is Medi-Cal Dental.
  • Does Medi-Cal cover dental care for adults?
    • Yes. Eligible adults can receive Medi-Cal Dental benefits including preventive, diagnostic and many restorative dental services. The exact services available depend on eligibility, medical necessity and Medi-Cal’s coverage requirements.
  • Does Medi-Cal cover dental implants for adults?
    • Sometimes. Implant services require exceptional medical circumstances, documentation, medical-necessity review and prior authorization. They are not routinely covered simply because an implant is the patient’s preferred way to replace a missing tooth.
  • Is Denti-Cal the same as Medi-Cal Dental?
    • “Denti-Cal” is the older name many Californians still use for the state’s Medi-Cal dental benefit. The program is now generally called Medi-Cal Dental.
  • Do I need to apply separately for Medi-Cal Dental?
    • Most Medi-Cal members who are eligible for dental benefits do not need to submit a separate dental application. Your dental provider can verify your current eligibility.
  • How do I find a dentist who accepts Medi-Cal?

More Medi-Cal & Dental Help

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