Explainers

Dental Coverage for Seniors

March 9, 2026    |   Chris Ray

ORAL HEALTH IMPACTS OVERALL WELL-BEING

Poor oral health is associated with:

  • More frequent emergency department visits2
  • Higher risk of chronic disease6,7

Poor mental health outcomes8

Access to and uptake of dental care are among the areas where gaps in Arkansas’s healthcare system are most evident. The state’s dental visit rate was the fourth lowest in the nation 2024.1

Arkansas’s rural communities are disproportionately affected by this gap in dental care. Only 37% of rural Arkansas county residents had a dental visit in 2019, compared to 40% in urban counties. In the same year, 11 rural Arkansas counties had more than 5,000 residents for each dentist, the threshold set by the Health Resources and Services Administration for a dental health provider shortage area.2 Two of those 11 counties had no dental providers at all.

LIMITED ACCESS TO DENTAL PROVIDERS IN ARKANSAS

Arkansas had the third-lowest ratio of dental providers to patients in 2025 with 45.7 providers per 100,000 residents.1

This may soon see improvement with the opening of Arkansas’s first dental school, the Lyon College School of Dental Medicine, in June 2025.5

Arkansas also has a dental coverage gap which disproportionately affects people over 65. Seniors make up a larger share of the population of rural counties than urban counties, and most rely on Medicare, which does not cover routine dental care.3 The lack of consistent dental coverage among seniors contributes to poor oral health outcomes, particularly in rural communities where provider access is limited.4

This explainer explores what dental coverage is available for seniors, the extent to which coverage gaps affect older Arkansans, and what policy options could potentially address these challenges.

    The Dental Coverage Gap

    Medicare is the federal government’s public health insurance program for Americans who are 65 or older or have certain qualifying disabilities or diseases. Unlike Medicaid, which is jointly run by states and the federal government to cover Americans with low incomes, Medicare is fully administered by the federal government, and its structure is the same nationwide. Medicare has four parts, as outlined in the following table.

    TABLE 1: DENTAL COVERAGE UNDER MEDICARE

    Part A: Hospital InsuranceCovers inpatient medical care. Only covers dental procedures necessitated by a covered medical service.
    Part B: Medical Insurance
    (“Traditional Medicare”)
    Covers outpatient medical care. Only covers dental procedures necessitated by a covered medical service.
    Part C: Medicare AdvantageAn alternative to Part B administered by private health insurers. Dental benefits vary by plan. Nearly all plans offer some degree of dental coverage, either integrated into the medical plan or as an optional supplemental plan.
    Part D: Prescription Drug CoverageCoverage for prescription medication administered by private insurers. Some plans cover medications necessitated by uncovered dental services.

    Note: Medicare Supplemental Insurance, also called Medigap, only covers Medicare cost-sharing requirements (copays, coinsurance). It does not provide supplemental benefits, such as dental or vision coverage.9

      MEDICARE ENROLLMENT IN ARKANSAS, SEPTEMBER 202510

      22.1%

      (687,101 beneficiaries) of Arkansans were enrolled in Medicare

      53.4%

      (367,114 beneficiaries) of Arkansans enrolled in Medicare were enrolled in Medicare Part B, compared to 48.8% of Medicare enrollees nationwide

      46.6%

      (319,987 beneficiaries) of Arkansans enrolled in Medicare were enrolled in Medicare Advantage, compared to 51.2% of Medicare enrollees nationwide

      Note: Medicare enrollment counts vary month-to-month. Figures given here are averages of monthly enrollment counts reported between September 2024 and September 2025.

      Notably, none of the current Medicare parts necessarily offer a dental benefit, leaving many Medicare beneficiaries without access to routine, non-emergency dental care. This coverage gap has narrowed in recent years, but it remains substantial: A KFF analysis of public enrollment data found that 47% of Medicare beneficiaries had no dental coverage in 2019.11 More recently, a 2024 survey by the CareQuest Institute for Oral Health found that 31% of Medicare beneficiaries lacked dental insurance.12

      DENTAL COVERAGE BY TRADITIONAL MEDICARE

      Traditional Medicare only covers dental services when they are considered “medically necessary” for the success of a covered medical treatment, such as dental exams typically administered before initiating dialysis or performing organ transplants.13 Some beneficiaries may acquire coverage through private, supplemental dental plans or employer- or union-sponsored plans. Between 2017 and 2021, about 34% of traditional Medicare beneficiaries nationwide had some form of private, supplemental dental coverage.14

      DENTAL COVERAGE BY MEDICARE ADVANTAGE

      Medicare Advantage plans may offer dental coverage, either integrated in their medical plans or offered as independent supplemental plans. In 2024, 98% of Medicare Advantage enrollees nationwide were enrolled in plans that either had an integrated dental benefit or offered optional supplemental dental plans.15

      SOURCES OF DENTAL COVERAGE AMONG MEDICARE ADVANTAGE ENROLLEES IN ARKANSAS, 2024a

      48.7%

      Medicare Advantage medical plan with an integrated dental benefit

      14.1%

      Medicare Advantage supplemental dental plan

      27.8%

      Non-Medicare Advantage supplemental dental plan

      23.5%

      No evidence of dental coverage

      Among Medicare Advantage enrollees whose plans do not have an integrated dental benefit, nearly all are offered supplemental dental coverage options. Some choose not to enroll in those options because they have another source of coverage, such as a group dental plan through an employer, or because the supplemental coverage often comes with additional premiums. Of the 353,365 Arkansas residents who were enrolled in a Medicare Advantage plan at some point in 2024, 48.7% (172,052 enrollees) enrolled in a plan that included an integrated dental benefit, 14.1% (49,948 enrollees) enrolled in a supplemental dental plan designed to be paired with a Medicare Advantage plan, 27.8% (98,321 enrollees) enrolled in a dental plan not associated with their Medicare Advantage plan, and 23.5% (82,961 enrollees) did not have a dental benefit at any point in 2024.a

        DENTAL COVERAGE FOR DUALLY ELIGIBLE MEDICARE BENEFICIARIES

        Individuals eligible for Medicare can concurrently enroll in Medicaid if they meet certain state-specific income requirements. This is known as dual eligibility.16 Arkansas Medicaid currently covers up to $500 of dental services annually for adult enrollees, with no deductible.17 Arkansas Act 1025 of 2025 calls for this cap to be raised to $1,000 in late 2026 for beneficiaries with special needs, subject to federal approval.18 Because Arkansas includes a routine, non-emergency dental benefit in its Medicaid fee-for-service program, dual eligibility offers another pathway to dental coverage for some Medicare beneficiaries.

        Not all dually eligible individuals have access to this benefit, however. Dually eligible Medicare beneficiaries are determined to have either full-benefit or partial-benefit eligibility, depending on their income, assets, and certain health factors.19 Full-benefit dually eligible individuals receive all Medicaid benefits, just as regular Medicaid beneficiaries do, including Arkansas’s dental benefit. Partial-benefit dually eligible individuals receive assistance with Medicare premiums and cost-sharing requirements, but they do not receive Medicaid-covered dental benefits or any other coverage for services not covered by Medicare. In Arkansas, most dually eligible beneficiaries, regardless of full- or partial-benefit eligibility status, are eligible to enroll in a dual special needs plan (D-SNP), a type of Medicare Advantage plan specifically for dually eligible beneficiaries that coordinates an enrollee’s Medicare and Medicaid benefits. Ninety-five percent of D-SNPs offer a dental benefit.20 D-SNP options are available in all Arkansas counties.21

        In June 2025, there were 128,796 Medicare beneficiaries in Arkansas who were dually eligible, of whom 66,198 (51.4%) were full-benefit eligible and 62,598 (48.6%) were partial-benefit eligible.22 There were 74,885 (58.1%) dually eligible individuals enrolled in D-SNPs, of whom 34,996 (46.7% of D-SNP enrollees) were full-benefit eligible and 39,889 (53.3% of D-SNP enrollees) were partial-benefit eligible. There were 12,341 partial-benefit eligible individuals (9.6% of all dually eligible individuals) who had no Medicare or Medicaid dental benefit.

          DUAL ELIGIBILITY IN ARKANSAS, JUNE 202522

          128,796

          dually eligible individuals

          74,885

          D-SNP enrollees

          12,341

          dually eligible individuals with no Medicare or Medicaid dental benefit

          OTHER SOURCES OF MEDICARE DENTAL COVERAGE

          In addition to D-SNPs, Medicare offers other special needs plans (SNPs), with different benefits and eligibility criteria. Most SNPs, regardless of type, offer a dental benefit.

          Institutional Special Needs Plans (I-SNP) are available to Medicare beneficiaries in long-term care facilities, such as nursing homes and intermediate care facilities, and to beneficiaries in inpatient institutions, such as psychiatric facilities and rehabilitation centers.23 While all I-SNPs offered by major nationwide insurance companies offer a dental benefit, some plans from smaller regional companies do not.24 The only I-SNP available in Arkansas in 2025 was offered by a regional insurance company.25 This plan covered dental procedures at no cost to Medicaid-eligible enrollees, but it limited benefits for others to Medicare-covered services (i.e., services covered by parts A and B) with 20% coinsurance. In June 2025, the 123,950 I-SNP enrollees nationwide included 2,228 Arkansans.26 The overwhelming majority of I-SNP enrollees nationwide and in Arkansas are dually eligible, suggesting that most Arkansas I-SNP enrollees had a dental benefit in 2025.22,27

          Chronic Condition Special Needs Plans (C-SNP) are available to Medicare beneficiaries with certain qualifying conditions, such as cancer, dementia, or diabetes mellitus.23 Ninety-six percent of C-SNPs nationwide offered a comprehensive dental benefit in 2024.28 In June 2025, five C-SNPs were available in Arkansas, with 41,560b people enrolled in them.27 There were 917,709 C-SNP enrollees nationwide.

          Policy Options

          The largest gap in Medicare dental coverage is in traditional Medicare, which does not cover routine dental services. While some enrollees obtain limited benefits through Medicaid, many must buy separate coverage or pay out of pocket. Some advocates have called for adding a standard dental benefit to Medicare, either wrapped into Part B outpatient services or as an entirely new Medicare part. Legislation to add comprehensive dental benefits to Part B has been introduced in Congress multiple times in the past decade but has not advanced.29

          The positions of professional organizations on these attempts have been mixed. The American Dental Association (ADA) has consistently opposed a Part B dental benefit, arguing that it would inadequately reimburse dental providers and would apply inappropriate regulatory requirements to dental practices.30 Instead, the ADA suggests creating a separate Medicare part that would be tailored to meet the needs of dentists and Medicare patients and would be limited to beneficiaries with incomes below 300% of the federal poverty level. In contrast, the National Dental Association — whose members include the National Dental Hygienists Association, National Dental Assistants Association, and other professional organizations — has supported adding a Part B dental benefit, arguing that it would reduce financial barriers to care.31

          The addition of a Part B dental benefit would increase Medicare spending, but there is some evidence to suggest it could lead to lower out-of-pocket costs for beneficiaries and could substantially reduce per-beneficiary costs for emergency dental care. It should also be noted that current evidence does not clearly suggest that expanded coverage alone improves provider access and uptake of dental care. Literature on these potential impacts is explored below.

          Beyond federal policy on dental coverage, additional action by state and local governments and healthcare system stakeholders targeting access and uptake could be taken to improve dental health outcomes. Many such policy options are under discussion. Some of these approaches align with the Rural Health Transformation Program, a new federal initiative providing states with funding for projects to improve rural health systems.32 Arkansas will begin implementing projects funded by the program this year.33 Options include:32,34

          • Offering recruitment incentives, such as grant and/or loan forgiveness programs for dental professionals practicing in rural communities, paired with a service commitment.
          • Expanding scope of practice for dental hygienists to increase their ability to provide preventive services. Arkansas’s Rural Health Transformation Program application indicates the intention to pursue legislation to this effect in 2027.33
          • Investing in non-traditional care delivery methods, such as tele-dentistry, mobile dental care, and pop-up care provided in community settings.
          • Expanding patient transportation programs, such as the Medicaid Non-Emergency Medical Transportation program.
          • Integrating dental care into medical care (e.g., including oral health screenings in annual wellness visits).
          • Improving care coordination through shared electronic health records systems across dental, medical, behavioral, and other segments of health care.

          POTENTIAL IMPACTS OF ADDING DENTAL COVERAGE TO TRADITIONAL MEDICARE

          1. Increased Annual Medicare Spending

          Cost presents a substantial political barrier to expansion of Medicare benefits. The Urban Institute estimates that a dental benefit would increase annual Medicare spending by about $60 billion.35

          2. Long-Term Savings

          Improved access to dental care may prevent severe dental conditions and other chronic diseases, leading to long-term savings for Medicare. Several studies have found associations between preventive dental care and lower annual medical expenditures among those with certain diseases.36,37 Several studies have associated Medicaid dental benefits with reduced per-beneficiary spending on emergency dental care.38,39,40 While literature specific to Medicare is sparse, preliminary analyses show potential for long-term cost-effectiveness.41,42

          3. Shift in Financing From Beneficiaries and Other Payers to Medicare

          The Urban Institute estimates that a dental benefit would reduce beneficiaries’ annual out-of-pocket spending by $35.6 billion, reduce annual Medicaid spending by $100 million, and reduce annual spending by private insurers by $4.9 billion.35

          4. Effect on Dental Care Utilization Unclear

          A 2025 study found no difference in utilization of dental care between traditional Medicare and Medicare Advantage beneficiaries, even though Medicare Advantage offers dental coverage to most enrollees and Medicare does not cover routine dental care.14 The study suggests that this may be partly due to low awareness of benefits among Medicare Advantage beneficiaries. However, similar studies in Medicaid found that those reporting Medicaid dental coverage had greater utilization of both basic and major dental care compared to those without coverage.43 Based on these conflicting findings, it is unclear to what extent a dental benefit in traditional Medicare would affect utilization of care, if at all.

          Conclusion

          While the Medicare dental coverage gap has narrowed over time, a substantial share of seniors still do not have dental coverage. This gap contributes to limited access to dental care, which is already a serious problem in Arkansas. Because the largest gap in Medicare dental coverage is found in traditional Medicare, there has been significant political pressure in recent years to add a dental benefit to Medicare Part B, or alternatively, to create a new Medicare part for dental coverage that operates under a similar model to Part D prescription drug plans. Concerns about cost and disagreement on the specifics of implementation have derailed previous attempts to implement additional dental benefits in Medicare. Even if an expansion of federal benefits is achieved, state policy promoting access to and uptake of dental care will be important to improve oral health outcomes among America’s seniors.

          References

          a Based on an ACHI analysis of Arkansas Healthcare Transparency Initiative data. Percentages do not add up to 100% because the enrollment counts in this section include all enrollees who fit into each category at any point in 2024, and enrollees can be counted in multiple categories if their coverage status changed mid-year.

          b Two of the plans available in Arkansas were regional Arkansas-Missouri preferred provider organizations, so this figure likely includes some Missouri enrollees. These plans together only had 2,976 enrollees, so the overcount is likely minimal.

          1 United Health Foundation, America’s Health Rankings. 2025 annual report. Accessed February 6, 2026. https://www.americashealthrankings.org/publications/reports/2025-annual-report

          2 Arkansas Center for Health Improvement. Utilization of dental care among Arkansas children and adults. June 2022. Accessed February 10, 2026. https://achi.net/wp-content/uploads/2022/05/220524_ACHI_DDAF_Dental_Utilization_Report_2022-FINAL-FOR-PRINT.pdf

          3 Dashboard: Arkansas healthcare expenditures. Arkansas Center for Health Improvement. November 19, 2024. Accessed January 29, 2026. https://achi.net/publications/arkansas-healthcare-expenditures

          4 Lowenstein A, Singh ML, Papas AS. Addressing disparities in oral health access and outcomes for aging adults in the United States. Front. Dent. Med. 2025;6:1522892. doi:10.3389/fdmed.2025.1522892

          5 Lyon College School of Dental Medicine welcomes inaugural class. Lyon College. June 25, 2025. Accessed February 18, 2026. https://www.lyon.edu/news/posts/lyon-college-school-of-dental-medicine-welcomes-inaugural-class

          6 Tonetti MS, Van Dyke TE, Working Group 1 of the Joint European Federation of Periodontology/American Academy Periodontology Workshop on Periodontitis and Systemic Diseases. Periodontitis and atherosclerotic cardiovascular disease: Consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases. J Clin Periodontol. 2013;40(Suppl. 14):S24-S29. doi:10.1111/jcpe.12089

          7 Ruokonen H, Nylund K, Furuholm J, et al. Oral health and mortality in patients with chronic kidney disease. J. Periodontol. 2017;88(1):26-33. https://doi.org/10.1902/jop.2016.160215

          8 Kisely S. No mental health without oral health. Can J Psychiatry. 2016;61(5):277-282. doi:10.1177/0706743716632523

          9 Centers for Medicare and Medicaid Services. Find a Medigap policy that works for you. Medicare.gov. Accessed January 29, 2026. https://www.medicare.gov/medigap-supplemental-insurance-plans/#/m/?year=2025&lang=en

          10 Centers for Medicare and Medicaid Services. Medicare monthly enrollment data. Data.CMS.gov. Accessed January 29, 2026. https://data.cms.gov/summary-statistics-on-beneficiary-enrollment/medicare-and-medicaid-reports/medicare-monthly-enrollment

          11 Freed M, Ochieng N, Sroczynski N, Damico A, Amin K. Medicare and dental coverage: A closer look. KFF. July 28, 2021. Accessed January 29, 2026. https://www.kff.org/medicare/medicare-and-dental-coverage-a-closer-look

          12 CareQuest Institute for Oral Health. Out of pocket: A snapshot of adults’ dental and medical care coverage. May 2025. Accessed January 29, 2026. https://carequest.org/wp-content/uploads/2025/12/CareQuest_Institute_Out-of-Pocket_11.13.25.pdf

          13 Centers for Medicare and Medicaid Services. Dental services. Medicare.gov. Accessed January 29, 2026. https://www.medicare.gov/coverage/dental-services

          14 Cai CL, Iyengar S, Woolhandler S, Himmelstein DU, Kannan K, Simon L. Use and costs of supplemental benefits in Medicare Advantage, 2017-2021. JAMA Netw Open. 2025;8(1):e2454699. doi:10.1001/jamanetworkopen.2024.54699

          15 Ochieng N, Freed M, Biniek JF, Damico A, Neuman T. Medicare Advantage in 2025: Premiums, out-of-pocket-limits, supplemental benefits, and prior authorization. KFF. July 28, 2025. Accessed February 2, 2026. https://www.kff.org/medicare/medicare-advantage-premiums-out-of-pocket-limits-supplemental-benefits-and-prior-authorization

          16 Centers for Medicare and Medicaid Services. Seniors & Medicare and Medicaid enrollees. Medicaid.gov. Accessed January 29, 2026. https://www.medicaid.gov/medicaid/eligibility/seniors-medicare-and-medicaid-enrollees

          17 Information for beneficiaries. Arkansas Department of Human Services. Accessed January 29, 2026. https://humanservices.arkansas.gov/divisions-shared-services/medical-services/healthcare-programs/dental/dental-beneficiaries

          18 Ansell, N. Federal agency rejects plans to boost Arkansas Medicaid’s dental benefits, chronic pain coverage. Arkansas Democrat-Gazette. January 15, 2026. Accessed January 20, 2026. https://www.arkansasonline.com/news/2026/jan/15/federal-agency-rejects-plans-to-boost-arkansas

          19 Full vs. partial dual eligibility — What’s the difference? UnitedHealthcare. Accessed January 29, 2026. https://www.uhc.com/communityplan/dual-special-needs-plans/eligibility/full-and-partial-dual-eligibility

          20 Freed S, Freed M, Biniek JF, Damico A, Sroczynski N, Neuman T. 10 things to know about Medicare Advantage dual-eligible special needs plans (D-SNPs). KFF. February 9, 2024. Accessed January 29, 2026. https://www.kff.org/medicare/10-things-to-know-about-medicare-advantage-dual-eligible-special-needs-plans-d-snps

          21 Medicare Advantage dual eligible special needs plans. Medicaid and CHIP Payment and Access Commission. September 8, 2023. Accessed January 16, 2026. https://www.macpac.gov/subtopic/medicare-advantage-dual-eligible-special-needs-plans-aligned-with-medicaid-managed-long-term-services-and-supports

          22 Dual eligible enrollment across Medicare Advantage, ACOs, and traditional Medicare FFS. ATI Advisory. Accessed January 16, 2026. https://atiadvisory.com/dual-eligible-enrollment-dashboard

          23 Special needs plans (SNP). Medicare.gov. Accessed January 29, 2026. https://www.medicare.gov/health-drug-plans/health-plans/your-health-plan-options/SNP

          24 Yeh M, Yen I. Institutional special needs plans: 2024 market landscape and future considerations. Milliman. February 8, 2024. Accessed January 21, 2026. https://www.milliman.com/en/insight/institutional-special-needs-plans-2024-market-landscape-future

          25 Summary of Benefits Plan Year 2025 Tribute Select (HMO-POS I-SNP). Tribute Health Plans. Accessed January 21, 2026. https://tributemedicare.com/wp-content/uploads/2024/10/H1587_003SB25_M.pdf

          26 Centers for Medicare and Medicaid Services. SNP comprehensive report 2025 06. Accessed January 21, 2026. https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-advantagepart-d-contract-and-enrollment-data/special-needs-plan-snp-data/snp-comprehensive-report-2025-06

          27 Sachar A, Biniek JF, Mohamed M, Burns A. A closer look at the growing role of special needs plans in Medicare Advantage. KFF. September 25, 2025. Accessed January 21, 2026. https://www.kff.org/medicare/a-closer-look-at-the-growing-role-of-special-needs-plans-in-medicare-advantage

          28 Yeh M. Chronic condition special needs plans: 2024 market landscape and future considerations. Milliman. April 15, 2024. Accessed January 29, 2026. https://www.milliman.com/en/insight/chronic-condition-special-needs-plans-2024-market-landscape

          29 Hoffman A. Winners and losers in the debate over the expansion of Medicare. PennCareyLaw. September 25, 2023. 2023. Accessed February 19, 2026. https://scholarship.law.upenn.edu/faculty_articles/254

          30 Klemmedson DJ, O’Loughlin KT. Letter to the House Ways and Means Committee on the ADA’s Medicare dental benefit position. American Dental Association. September 9, 2021. Accessed January 20, 2026. https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/advocacy/210909_ada_lettertowmcommitteeonmedicaredentalbenefitposition.pdf?rev=f747d3484f8e415b8b1805bfc44d262b&hash=F698D6DB9C384A0DB154AB887A8BB48A

          31 National Dental Association. NDA Statement in support of adding a dental benefit to Medicare Part B. The Sentinel Newspapers. October 1, 2021. Accessed January 16, 2026. https://www.thesentinel.com/communities/nda-statement-in-support-of-adding-a-dental-benefit-to-medicare-part-b/article_25c204f8-230f-11ec-a9f9-df42f181dfb8.html

          32 Centers for Medicare and Medicaid Services. Rural Health Transformation Program: Opportunity number: CMS-RHT-26-001 [ZIP file]. Grants.gov. Accessed February 24, 2026. Available at: https://www.grants.gov/search-results-detail/360442

          33 Arkansas Rural Health Transformation Program application. Office of Arkansas Governor Sarah Huckabee Sanders. Accessed February 27, 2026. https://governor.arkansas.gov/arkansas-rural-health-transformation-program-application

          34 How we can advance oral health equity. CareQuest Institute for Oral Health. February 22, 2023. Accessed March 2, 2026. https://carequest.org/how-we-can-advance-oral-health-equity

          35 Gangopadhyaya A, Garrett B, Holahan J. Estimating the cost and effects of adding a dental benefit to Medicare Part B. Urban Institute. September 12, 2023. Accessed January 29, 2026. https://www.urban.org/research/publication/estimating-cost-and-effects-adding-dental-benefit-medicare-part-b

          36 Borah BJ, Brotman SG, Dholakia R, et al. Association between preventive dental care and healthcare cost for enrollees with diabetes or coronary artery disease: 5-year experience. Compend Contin Educ Dent. 2022;43(3):130-139. PMID:35272460

          37 Lamster IB, Malloy KP, DiMura PM, et al. Preventive dental care is associated with improved healthcare outcomes and reduced costs for Medicaid members with diabetes. Front Dent Med. 2022;3. doi:10.3389/fdmed.2022.952182

          38 Neely M, Jones JA, Rich S, Gutierrez LS, Mehra P. Effects of cuts in Medicaid on dental-related visits and costs at a safety-net hospital. Am J Public Health. 2014;104(6):e13-e16. doi:10.2105/AJPH.2014.301903

          39 Giannouchos TV, Reynolds J, Damiano P., Wright B. Association of Medicaid expansion with dental emergency department visits overall and by states’ Medicaid dental benefits provision. BMC Health Serv Res. 2023;23:625. https://doi.org/10.1186/s12913-023-09488-3

          40 Elani HW, Kawachi I, Sommers BD. Changes in emergency department dental visits after Medicaid expansion. Health Serv Res. 2020;55(3):367-374. doi:10.1111/1475-6773.13261

          41 Moeller JF, Manski RJ, Chen H, Zuvekas SH, Meyerhoefer CD. Does covering routine dental care for the Medicare population produce cost savings in Medicare? A preliminary 2-year analysis. J Public Health Dent. 2020;80(1):31-42. doi:10.1111/jphd.12342

          42 Scannapieco FA, Lamster IB. Inclusion of dental services in Medicare to improve oral and general health for older Americans. Am J Med. 2024;137(12):1184-1189. doi:10.1016/j.amjmed.2024.08.004

          43 Meyerhoefer CD, Zuvekas SH, Farkhad BF, Moeller JF, Manski RJ. The demand for preventive and restorative dental services among older adults. Health Economics. 2019;28:1151–1158. https://doi.org/10.1002/hec.3921

            Chris Ray is a health policy analyst at ACHI.

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