MedicaidAdministrativeMedium impact
mab2025100701
Pennsylvania Medicaid (DHS)·PA · Dentistry, Pediatrics·Provider Bulletin
Effective date
Oct 1, 2025
We identified it
Jun 20, 2026
Summary
Pennsylvania Department of Human Services is adopting the American Academy of Pediatric Dentistry's dental periodicity schedule for Medical Assistance beneficiaries under 21 years of age, replacing their previously maintained internal schedule. Dental providers must now reference the AAPD guidelines for pediatric oral health care delivery and billing justification.
Action Required
Immediately: Dental providers serving Pennsylvania Medicaid patients under 21 must update clinical protocols to follow AAPD's dental periodicity schedule available at https://www.aapd.org/research/oral-health-policies--recommendations/periodicity-of-examination-preventive-dental-services-anticipatory-guidance-counseling-and-oral-treatment-for-infants-children-and-adolescents/periodicity-chart/. Update documentation templates and billing justification procedures to align with AAPD recommendations for examination frequency, preventive services, and age-appropriate treatments.