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after the Official I Do My Best And God Does The Rest Christian T-Shirt Additionally,I will love this Republican-led legislature rejected his proposal. “We are focused on removing roadblocks that prevent people from getting back into the workforce, and this program does just that,” he said. Virginia expanded its Medicaid program in 2021, budgeting $282 million for the 2022 and 2023 fiscal years to cover dental procedures for more than a million recipients. Last year, Kansas gave dental access to nearly 137,000 Medicaid recipients at a cost of $3.5 million in 2022 and $1.2 million in 2023. While advocates are welcoming these changes, Texas, Alabama, Mississippi, Utah and Louisiana still only offer limited benefits. Even as states add dental coverage, millions of beneficiaries are being culled from the Medicaid program nationwide as part of a review of eligibility, something states were prohibited from doing during the pandemic. Recommended CORONAVIRUS As Covid cases rise, what to know about Paxlovid U.S. NEWS Girl from Netflix’s ‘Taking Care of Maya’ was ‘imprisoned and battered’ before mother’s suicide, lawyer says There are also plenty of hiccups in states that have expanded care, including Tennessee. Among the biggest is that too few dentists, especially in rural areas, are taking Medicaid patients, resulting in long waiting times and hours-long drives in search of care. Only about 15% of dentist take Medicaid in New Hampshire, 24% in Tennessee and 27% in Virginia. Many dentists and groups advocating for expanded care blame Medicaid reimbursement rates. New Jersey only covers 13.3% of what a dentists normally charge, Michigan covers 17% and Rhode Island 22.4%, according to 2022 data analyzed by the American Dental Association. Illinois, New York, Ohio and Oregon each cover a little more than 28%. Most states, though, cover between 30% and 50% with Alaska and North Dakota covering at least 55% and Delaware, 76.9%. Dr. Heather Taylor, an assistant professor at the Richard M. Fairbanks School of Public Health at Indiana University, said some of Indiana’s Medicaid reimbursement rates for dental have not increased since 1998. “It’s almost like we’re incentivizing our dentists not to treat the ones that are in need, because we don’t pay them even half of what

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they could get from private insurers,” she said. Tennessee Family Dental, which has four clinics in the Official I Do My Best And God Does The Rest Christian T-Shirt Additionally,I will love this state, has experienced overwhelming demand from Medicaid patients. Dr. Ryan O’Neill, a dentist who owns the business, said he got some 300 calls on the first day and that some of his patients have traveled from 30 minutes away or more. He wants to hire more dentists but said it can take upward of four months to get one certified under Medicaid. He also is struggling with a Medicaid billing system that routinely rejects some claims and he said there is “a lot of inconsistency over what is approved and what is denied.” “Offices are hesitant to go in network because there’s a lot of unknowns,” O’Neill said. “We’re still learning what the rules are and, you know, trial and error in terms of how we’re supposed to deal with a particular situation.” Danielle Wilkes, a 26-year-old mother of five from Ashland, Tennessee, drove 90 minutes to see O’Neill after calling dozens of dentists in her area and finding none who takes Medicaid. Her cousin, June Renee Pentecost, also came with her for treatment. For the past five years, Wilkes had been waiting to see a dentist after getting several teeth knocked out in a car wreck. She was told it would cost her thousands of dollars for multiple crowns, which she could not afford. “I was mad at first but I was like there nothing she could do. I’m just going to have to wait until my kids are grown up,” she said, adding that the pain often brought her to tears. But here she was in a dental chair, her pink hair standing out against O’Neill and dental assistant Jasmine Webb in black scrubs. Afterward, the soft-spoken Wilkes said she was “just happy” to finally get the work done, even if she had to pay $400 that Medicaid did not cover. In a different room, Pentecost was getting examined for a root canal. It had been more than a decade since she last saw a dentist because she was deterred by the cost despite years of pain. A mother of five, she figured dental care would take away from spending on her children. “I couldn’t play with my kids because my head was hurting,” she said. The 30-year-old was relieved to get the work done but wondered why the state had not offered the benefit sooner. “I’m hoping my pain would ease up and quit once I get my teeth fixed and then I won’t have so many headaches and feel so bad,” she said.

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