MedicaidCoverageMedium impact
Fluoride Varnish During Well Child Check
Missouri Medicaid (MO HealthNet)·MO · Pediatrics, Family Medicine, General Practice·Provider Notice
Effective date
Apr 16, 2018
We identified it
Jun 20, 2026
Summary
MO HealthNet (Missouri Medicaid) covers fluoride varnish for children age 5 and under during EPSDT visits, limited to 2 applications per year per provider. Providers must complete required training and bill using procedure code D1206 on CMS-1500 forms.
Action Required
Immediately: Providers treating Missouri Medicaid pediatric patients must complete online fluoride varnish training through Missouri Department of Health and retain documentation. Billing team must ensure D1206 procedure code is available in system for fluoride varnish applications during well-child visits for children age 5 and under. Update encounter forms to reflect 2 applications per year limit per provider.