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MedicaidCoverageMedium impact

5160-4-33 - Application of topical fluoride treatments by non-dentist providers. (New/Final File)

Ohio Medicaid·OH · Family Medicine, Internal Medicine, Pediatrics +1 more·Enrollment
Effective date
May 1, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

Ohio Medicaid has expanded fluoride treatment coverage from just 'fluoride varnish' to broader 'fluoride treatments' that can be applied by non-dentist providers. This policy change takes effect May 1, 2026, and expands the types of fluoride services that medical practices can provide and bill for under Medicaid.

Action Required

Action needed
Before May 1, 2026: Medical practices with non-dentist providers should verify their ability to provide topical fluoride treatments (beyond just varnish) and ensure proper training and credentialing. Update billing procedures to reflect expanded fluoride treatment options available under Ohio Medicaid. Contact Ohio Department of Medicaid at 614-752-3877 for specific billing guidance and covered treatment types.