West Virginia Medicaid Dental Coverage
Updated August 2026
Children enrolled in West Virginia Medicaid and WVCHIP receive full dental benefits under the federal EPSDT mandate. West Virginia HealthCheck — the state's EPSDT program — coordinates periodic screenings, vision, hearing, and dental services for enrolled children. Federal law (42 U.S.C. § 1396d(r)) requires states to cover all medically necessary dental services for enrollees under 21.
Preventive, restorative & dentures
Adult dental coverage
Full EPSDT (HealthCheck)
Children's dental coverage (under 21)
Mountain Health Trust
Managed care program
West Virginia Medicaid covers adult dental — one of the more complete adult dental benefits in the country
West Virginia Medicaid includes dental benefits for adult enrollees, administered through the Mountain Health Trust managed care program. Adult dental coverage in West Virginia is broader than many states, which offer only emergency dental or nothing at all. Children receive comprehensive EPSDT dental benefits. Verify your specific benefits with your Mountain Health Promise plan or through BMS at bms.wv.gov.
Dental coverage for children (under 21)
- Oral exams (periodic and comprehensive)
- Dental cleanings and fluoride treatments
- X-rays
- Preventive sealants
- Fillings and restorations
- Extractions
- Root canal treatment
- Space maintainers
- Orthodontics when medically necessary
- Emergency dental care
Adult dental coverage under West Virginia Medicaid
West Virginia provides adult dental benefits through Mountain Health Trust managed care. The adult dental benefit includes preventive services, basic restorative care, and extractions. This coverage is part of what makes West Virginia Medicaid relatively comprehensive compared to other states — many states eliminated or severely cut adult dental benefits during budget contractions.
- Oral exams
- Cleanings and fluoride treatments
- X-rays
- Fillings (amalgam and composite)
- Extractions
- Emergency dental treatment
- Dentures (complete and partial) with prior authorization
Cosmetic procedures are not covered. More complex restorative services such as crowns and bridges may require prior authorization and a determination of medical necessity. Call your Mountain Health Promise plan for details before scheduling procedures.
How to find a West Virginia Medicaid dental provider
West Virginia Medicaid dental services are coordinated through Mountain Health Promise. Use the Mountain Health Trust provider directory at bms.wv.gov or contact your plan directly to find participating dentists in your county. Rural access can be limited in some parts of West Virginia — if no in-network dentist is available near you, contact your plan to discuss out-of-network access or referral options.
Federally Qualified Health Centers (FQHCs) across West Virginia provide dental services to Medicaid members and frequently have capacity for new patients. Use the HRSA Health Center Finder at findahealthcenter.hrsa.gov to locate an FQHC in your area. FQHCs receive federal funding to maintain access regardless of payment method, making them a reliable option in rural areas where private dental offices may have limited Medicaid participation.
West Virginia Medicaid
- Mountain Health Trust provider directory (BMS): bms.wv.gov
- HRSA Health Center Finder (FQHC dental): findahealthcenter.hrsa.gov
Related guides
Dental Coverage
What's covered for kids versus adults, and how it varies by state.
Read more →What Medicaid Covers
The services every state must cover, plus benefits that vary by state.
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How to find a Medicaid doctor near you through your state's provider directory.
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