MedicaidCoverageMedium impact
Annual Dental Benefit Maximum pdf
Connecticut Medicaid (HUSKY Health)·CT · Dentistry·Provider Bulletin
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY A, C & D) has a $1,000 annual benefit maximum for non-emergency dental services for adults 21+. Services above this limit require prior authorization for medical necessity, and providers must check benefit balances before each appointment to avoid billing violations.
Action Required
For Connecticut Medicaid patients: Before each dental appointment, check patient's remaining benefit balance at www.ctdssmap.com under 'claim history for specific services' and select 'Dental Benefit Limit'. For services that will exceed the $1,000 annual limit, submit prior authorization requests to BeneCare Dental Plans via www.ctdhp.com before providing treatment. Obtain written consent from patients before providing non-covered services they will pay out-of-pocket.