Nebraska Medicaid Dental Coverage

Nebraska includes dental coverage for adults as part of the Heritage Health managed care package. This is notably better than many other states, where adult Medicaid dental benefits are minimal or nonexistent. Nebraska's adult dental benefit through Heritage Health plans typically includes preventive services, basic restorative care, and extractions.

Preventive and diagnostic care — cleanings, exams, fluoride treatment, sealants, space maintainers, and X-rays — is covered for members age one and older and does not require prior authorization. Treatment services such as fillings, crowns, root canals, full or partial dentures, tooth removal, orthodontics, and oral surgery are covered but may need prior authorization from your dentist. Cosmetic procedures are not covered.

Nebraska Medicaid removed its annual dollar cap on adult dental benefits for services provided on or after January 1, 2024. Previously, adult members were limited to $750 of dental care per year; that maximum no longer applies.

The specific adult dental benefit is defined by your Heritage Health managed care plan. Coverage details — including whether a procedure requires prior authorization — vary slightly across United Healthcare Community Plan, Nebraska Total Care, and Molina. Call the member services number on your plan ID card or visit the plan's website to confirm your specific dental benefits before scheduling treatment.

Each Heritage Health plan maintains its own dental provider network. Use your plan's online provider directory to find participating dentists near you.