Does NC DMA cover orthodontic services?

No, NC DMA (North Carolina Department of Medical Assistance) does not cover orthodontic services. Orthodontic treatments such as braces, retainers, and other dental appliances are not within the scope of services provided by NC DMA. The agency primarily focuses on offering dental care for preventive and basic dental services such as cleanings, X-rays, fillings, extractions, and dentures. Medicaid recipients in North Carolina can access dental services through their managed care organization (MCO) or dental provider under the NC Medicaid Direct program. However, orthodontic procedures for Medicaid recipients are generally not covered unless they are deemed medically necessary due to severe dental abnormalities impacting overall health or function. This is in line with the agency's mission to prioritize essential healthcare services and allocate resources accordingly.