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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
Summary
Connecticut Medicaid (HUSKY A, C, D) is implementing a $1,000 annual dental benefit maximum for adult members ages 21 and older, effective January 1, 2018. Providers must track member benefit accruals and obtain prior authorization for medically necessary services that exceed the annual maximum.
Action Required
Immediately for Connecticut providers: 1) Verify each adult member's remaining dental benefit balance before every appointment using the secure provider portal at www.ctdssmap.com or calling 1-800-842-8440. 2) Submit prior authorization requests to BeneCare Dental Plans when services may exceed the $1,000 annual maximum, including all supporting documentation for medical necessity. 3) Obtain written consent from members before providing services that exceed their benefit maximum when not medically necessary. 4) Submit claims promptly on a first-submitted, first-paid basis to avoid non-payment. Failure to verify benefits may result in claim denials or patient responsibility for costs.