National Oral Health Policy Tracker

State-by-state Medicaid dental policy, side by side

A living comparison of adult Medicaid dental coverage, reimbursement, provider participation, and active legislation across the United States. Coverage, reimbursement, and provider participation are sourced for all 51 jurisdictions; active legislation is filled in as each row is verified.

51
States tracked
34
With comprehensive adult dental
5
Active or recent bills tracked
41%
Median provider participation
Adult coverage across tracked states
  • Comprehensive34
  • Limited10
  • Emergency only6
  • No adult benefit1
Adult Medicaid dental coverage by state
Loading map…
  • Comprehensive34
  • Limited10
  • Emergency only6
  • No adult benefit1

Each state is shaded by its adult Medicaid dental coverage tier. Click a state to filter the table below; hover for its participation figure where verified.

CareQuest · ADA HPI

Coverage tiers (CareQuest Institute, 2024), reimbursement and provider participation (ADA Health Policy Institute, 2022 / 2024) are sourced and cited. Active legislation is compiled per state and grows as rows are verified — see DATA.md for the plan.

51 states shown
StateAdult coverageParticipationAdult reimb. (% of charges)Active / recent legislation
ALAlabamaNo adult benefit
59%
—No active bills tracked
AKAlaskaComprehensive
58%
55%
No active bills tracked
AZArizonaEmergency only
24%
—No active bills tracked
ARArkansasLimited
64%
34%
No active bills tracked
CACaliforniaComprehensive
since 2018
33%
45%
  • Medi-Cal Dental Provider Network Stability ActPassed one chamber · 2026

    Mandates DHCS to publish quarterly provider participation data by ZIP code.

COColoradoComprehensive
48%
46%
No active bills tracked
CTConnecticutComprehensive
43%
32%
No active bills tracked
DEDelawareLimited
76%
77%
No active bills tracked
DCDistrict of ColumbiaComprehensive
25%
43%
No active bills tracked
FLFloridaLimited
since 2022
26%
—No active bills tracked
GAGeorgiaComprehensive
since 2024
29%
—No active bills tracked
HIHawaiiComprehensive
33%
—No active bills tracked
IDIdahoComprehensive
41%
36%
No active bills tracked
ILIllinoisComprehensive
33%
28%
No active bills tracked
INIndianaLimited
47%
42%
No active bills tracked
IAIowaComprehensive
76%
33%
No active bills tracked
KSKansasLimited
29%
43%
No active bills tracked
KYKentuckyLimited
46%
34%
No active bills tracked
LALouisianaLimited
40%
47%
No active bills tracked
MEMaineComprehensive
since 2022
32%
51%
No active bills tracked
MDMarylandComprehensive
since 2023
27%
—
  • Healthy Smiles Dental Program · Reimbursement IncreaseSigned into law · 2024

    Boosted adult Medicaid dental fee schedule across preventive and restorative codes.

MAMassachusettsComprehensive
since 2018
44%
34%
No active bills tracked
MIMichiganComprehensive
48%
17%
No active bills tracked
MNMinnesotaComprehensive
since 1995
55%
36%
No active bills tracked
MSMississippiEmergency only
68%
41%
No active bills tracked
MOMissouriEmergency only
44%
32%
No active bills tracked
MTMontanaComprehensive
60%
53%
No active bills tracked
NENebraskaComprehensive
55%
39%
No active bills tracked
NVNevadaEmergency only
22%
—No active bills tracked
NHNew HampshireComprehensive
since 2023
37%
—No active bills tracked
NJNew JerseyComprehensive
36%
13%
No active bills tracked
NMNew MexicoComprehensive
59%
38%
No active bills tracked
NYNew YorkComprehensive
since 1966
33%
29%
No active bills tracked
NCNorth CarolinaComprehensive
since 2023
31%
40%
No active bills tracked
NDNorth DakotaComprehensive
53%
56%
No active bills tracked
OHOhioComprehensive
30%
29%
No active bills tracked
OKOklahomaLimited
40%
42%
No active bills tracked
OROregonComprehensive
31%
28%
No active bills tracked
PAPennsylvaniaComprehensive
51%
31%
No active bills tracked
RIRhode IslandComprehensive
27%
22%
No active bills tracked
SCSouth CarolinaLimited
42%
42%
No active bills tracked
SDSouth DakotaComprehensive
62%
53%
No active bills tracked
TNTennesseeEmergency only
26%
—
  • TennCare Adult Dental ExpansionFailed · 2025

    Would have added comprehensive adult dental to TennCare; failed in committee.

TXTexasEmergency only
53%
—
  • Medicaid Adult Dental Benefits RestorationIn committee · 2025

    Pre-filed for the 2025 session; would restore comprehensive adult dental.

UTUtahComprehensive
32%
—No active bills tracked
VTVermontComprehensive
60%
46%
No active bills tracked
VAVirginiaSen. Kannan Srinivasan + co-patronsComprehensive
since 2021
27%
49%
  • DMAS Dental Access Study BillDrafting · 2026

    Directs DMAS to formally study Medicaid dental access and report findings to the General Assembly.

WAWashingtonComprehensive
28%
43%
No active bills tracked
WVWest VirginiaComprehensive
60%
54%
No active bills tracked
WIWisconsinComprehensive
33%
32%
No active bills tracked
WYWyomingLimited
65%
33%
No active bills tracked

Methodology

Each state's row draws on three sources. Adult coverage tier comes from the CareQuest Institute's Medicaid Adult Dental Benefits classification (Dec 2024). Reimbursement is the ADA Health Policy Institute figure for Medicaid fee-for-service payment as a percentage of dentists' full charges for adult dental services (2022, published 2023) — shown as "—" where the source has no adult rate, including states that expanded coverage after 2022. Provider participation is the ADA HPI figure for the share of dentists enrolled as a Medicaid/CHIP provider, 2024 (it counts enrollment, not patient volume). Active legislation is sourced per state from each Medicaid agency and legislative tracker as rows are verified. Citations live in the corresponding entry in src/data/placeholderPolicyTracker.js until we move this into a structured CMS.