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How to Determine Eligibility for Orthodontic Treatment through Medicaid in New Hampshire

Posted by Dr. Sal on 1/27/14 10:35 AM

There are three easy steps for figuring out eligibility: meeting general requirements; financial requirements; and medical requirements.

Medicaid orthodontic treatment in New Hampshire

Just because you’re a Medicaid patient in New Hampshire – or you’re applying for Medicaid –doesn’t rule you or your children out from receiving orthodontic treatment.

While orthodontic technology has helped treatment become more cost effective, and orthodontists themselves are more and more flexible in terms of offering payment plans, treatment may often still present an economic hardship.

By following a simple application and review process, and meeting some minimum requirements, you may find that the road to straight and healthy teeth is easier than you think.

Meeting General Requirements for New Hampshire Medicaid

If you’re already on Medicaid, then you’ve already accomplished the first goal: meeting general requirements. This is the first step to determine if you’ll be eligible for paying for orthodontic treatment through Medicaid.

This initial vetting process requires applicants to prove citizenship and residency, pass any applicable age requirements and furnish a Social Security Number. If for some reason, one these steps is not required – or additional steps are requested, you will be notified.

Satisfying Financial Requirements

So you’ve satisfied the general requirements for Medicaid eligibility; that’s great news. Now it’s time to determine financial eligibility.

This review includes two phases: a review your total household income and household resources. While income is pretty self-explanatory, resources may require a bit of clarity. This bucket includes everything from cash on hand to the home you live in and vehicle you drive. Additionally, some applicants may be asked for information in other areas, such as social security benefits or VA benefits.

The Final Step for Determining Orthodontic Treatment: Medical Eligibility

Determining whether you meet the medical requirements for orthodontic treatment through Medicaid in New Hampshire involves a careful review of medical records and other critical documents.

Depending on how comprehensive your supplied records are, the length of time it can take for the review team to contact you regarding approval can vary. The volume of requests that the medical team has to review also plays a role in this responsiveness. Notification will come in writing, and if you aren’t approved, you may request a hearing to challenge this finding.

It’s important to note that different programs you’re apply for through Medicaid may require that you meeting different requirements. While you may have been approved or denied one service through New Hampshire Medicaid, it may be a different story when it comes to orthodontic treatment.

Finally, you should know that New Hampshire has developed a special program called New Hampshire Smiles, which works to connect parents of children enrolled in Medicaid with the resources they need to promote to promote jaw and teeth health.

Are you considering applying for Medicaid for help with orthodontia?

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Topics: frequently asked questions, insurance

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Dr. Sal Says

Dr. Salvatoriello brings healthy, beautiful smiles to New Hampshire and Vermont. For nearly 40 years, adults and children have relied on Dr. Sal for compassionate care using the latest techniques. This blog allows us to share Dr. Sal's expertise with everyone, not just his patients.

Find out everything you need to know about healthy smiles and how orthodontic treatment can help, then schedule your initial appointment to become one of "Dr. Sals' Pals."

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