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Annual Dental Benefit Maximum pdf

Connecticut Medicaid (HUSKY Health)·CT · Dentistry·Provider Bulletin
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Days to comply

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

Action needed
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.