MedicaidCoverageMedium impact
5160-4-33 - Application of topical fluoride varnish by non-dentist providers. (Rescind/Final File)
Ohio Medicaid·OH · Family Medicine, Internal Medicine, Pediatrics·Enrollment
Effective date
May 1, 2026
We identified it
Jun 20, 2026
Summary
Ohio Medicaid is rescinding the current policy for topical fluoride varnish application by non-dentist providers and replacing it with a new policy for topical fluoride treatments by non-dentist providers, effective May 1, 2026. This represents a terminology and scope change in how fluoride treatments are covered when provided by medical (non-dental) providers.
Action Required
Before May 1, 2026: Billing team must review the new Ohio Medicaid policy for topical fluoride treatments by non-dentist providers to understand updated coverage criteria and billing requirements. Update billing procedures and staff training to align with the new policy terminology and requirements for fluoride treatment services provided by medical providers.