MedicaidAdministrativeLow impact
Periodic Oral Evaluation- Dental Services for Children under age 21 in accordance with COMAR 10.09.05- Dental regulations and COMAR 10.09.23.06.D- Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Regulations
Maryland Medicaid·MD · Dentistry, Pediatrics, Family Medicine·Dental
Effective date
May 25, 2007
We identified it
Jun 20, 2026
Summary
Maryland Medicaid clarifies dental coverage for children under 21, confirming periodic oral evaluations are covered every 6 months without prior authorization. This is informational guidance for existing benefits rather than a new policy change.
Action Required
No immediate action required - this is a clarification of existing Maryland Medicaid dental benefits for children under 21. Billing teams serving Maryland Medicaid pediatric patients should verify they are billing periodic oral evaluations appropriately every 6 months.