MedicaidCoverageMedium impact
February is National Children’s Dental Health Month
EmblemHealth·Pediatrics, Family Medicine, General Practice +1 more·Provider News
We identified it
Jun 20, 2026
Summary
New NCQA quality measures for pediatric dental care have been implemented for Medicaid members. The Annual Dental Visit measure has been retired and replaced with two new measures: Oral Evaluation, Dental Services (OED) for comprehensive oral evaluations for members under 21, and Topical Fluoride for Children (TFC) for fluoride varnish applications for ages 1-4, which can be applied at primary care offices.
Action Required
Immediately: Primary care providers should begin offering fluoride varnish applications for Medicaid patients ages 1-4 years, as this can now be performed in PCP offices and contributes to new quality measures. Billing team should track comprehensive and periodic oral evaluations for Medicaid members under 21 to support quality reporting requirements.