Arizona Medicaid Dental Coverage

Arizona's history with adult dental Medicaid coverage has been turbulent. Before 2009, adults received a reasonably comprehensive dental benefit. Budget cuts that year eliminated most adult dental services — leaving only emergency extractions. Arizona has incrementally restored benefits since then, though the adult benefit remains narrower than the children's EPSDT package.

Per the official AHCCCS covered services page, adult members 21 and older have emergency dental coverage capped at up to $1,000 per contract year. Restorative work, dentures, orthodontics, and cosmetic procedures remain excluded for adults in most circumstances.

Adult dental coverage details vary by Contractor Health Plan. Call the member services number on your AHCCCS member ID card or contact AHCCCS directly at 1-855-HEA-PLUS (1-855-432-7587) to confirm what dental services are covered for your specific plan and eligibility category.

AHCCCS Contractor Health Plans each maintain their own dental provider networks. To find a participating dentist, use your plan's provider directory on the member portal at healthearizonaplus.gov or call your plan's member services line.

Arizona's FQHCs and community health centers provide AHCCCS dental services and often have shorter waiting times than private dental offices. Many also offer sliding-scale dental care for uninsured patients.

For children specifically, AHCCCS maintains the Arizona Dental Health Contractors program. If your child's primary care plan does not have an adequate dental network, contact AHCCCS for referral assistance.