medicaid_adult_dental_rules

io.github.tresor4k/realdentalcosts-mcp · Verify this server

Use this when the user asks whether adult Medicaid covers dental care in a US state, what it covers, whether it has a yearly dollar limit or how much that limit is. Returns the state's adult Medicaid dental level with its sources. For the annual dollar cap: the amount, the benefit period and a verbatim quote with the URL it was read from (CareQuest Institute coverage checker or state Medicaid documents) and its retrieval date, so the answer can cite a dated figure for that state (cap_kind annual_dollar_cap, no_dollar_cap, emergency_only, no_adult_benefit, or not_verified when no source confirms it). Also: program summary with its check date, orthodontics and implants policy (verified, silent or not_verified, with a quote), share of dentists billing Medicaid (T-MSIS 2023-2024) and the official fee schedule (URL, effective date, age scope). Phrasings: "does Medicaid cover adult dentures in Georgia", "is there a yearly dental limit on Medicaid in Massachusetts", "¿Medicaid cubre el dentista para adultos en Texas?", "límite anual dental de Medicaid en Nueva York". Every figure carries its source URL and period; a missing cell returns status no_source_at_this_level with the next level up. Medicaid amounts are what Medicaid paid per claim line (T-MSIS), not what a patient is charged. No personal data (age, ZIP, name, insurer) is requested or stored. Do not use for: diagnosis, treatment choice, a named insurer's plan price, dentist recommendations, countries other than the US and Canada. Observed market research, not a quote, not medical, coding or insurance advice.