AR HB1241

Arkansas Medicaid must reimburse accredited dental schools and academic medical centers up to $3,750 per episode of care for dental and anesthesia costs for adults 18 and older with high complexity oral health needs requiring sedation dentistry

Annual reimbursement cap set at $5,000 per individual, with costs exceeding this amount requiring approval through a Department of Human Services extension of benefits request

"High complexity oral health care" defined as care complicated by craniofacial conditions diagnosed by specialists on American Cleft Palate-Craniofacial Association teams, or by intellectual or developmental disabilities

Eligible healthcare providers include oral maxillofacial surgeons, dentists, dental specialists (endodontists, orthodontists, periodontists, prosthodontists), anesthesiologists, pediatric dentists, and their support staff

Department of Human Services required to apply for any federal waivers or Medicaid state plan amendments necessary to implement the program