MedicaidCoverageMedium impact
Denture Coverage Reminders
Missouri Medicaid (MO HealthNet)·MO · Dentistry, Oral & Maxillofacial Surgery·Provider Notice
Effective date
Feb 16, 2015
We identified it
Jun 20, 2026
Summary
Missouri HealthNet (Medicaid) has clarified denture coverage eligibility requirements. Dentures are only covered for specific participant categories including pregnant women, blind participants, nursing home residents, and those under 21. The policy confirms dentures do not require prior authorization and the date of service should be the placement date.
Action Required
Immediately: Billing team must verify Missouri Medicaid participant eligibility for denture coverage before treatment using the specified ME codes (18, 43, 44, 45, 61 for pregnant women; 02, 03, 12, 15 for blind participants). Check emomed system for nursing home eligibility verification. Update billing workflows to use placement date as service date for denture claims. No prior authorization required for denture procedures.