HCBS Dental Services

The Home and Community-Based Services (HCBS) Dental Services is available in the following waivers:

HCBS dental services are provided in addition to the basic dental benefits all Health First Colorado members 21 or older receive.

Covered Services

Preventative and Basic services are limited to $2,000 per service plan year and include: 

  • Exams, cleanings and x-rays 
  • Mouth guards 
  • Topical fluoride treatment 
  • Fillings and root canals 
  • Denture, crown and bridge repair 
  • Non-emergency extractions 
  • Treatment of injuries 
  • Restoration or recovery of decayed or fractured teeth 
  • Dental insurance premiums and co-pays/co-insurance 

Major services are limited to $10,000 for the 5-year renewal period of the waiver and include: 

  • Crowns and bridges 
  • Dentures 
  • Implants when necessary to support a dental bridge or when necessary to increase the stability of crowns, bridges, and dentures.

Limitations

  • Dental services must meet industry standards and are limited to the most cost effective and efficient options. 
  • Some services are not covered, including cosmetic dentistry (to improve only the appearance of the teeth and/or smile) and orthodontia. 
  • Implants are not covered for daily smokers due to the increased rate of implant failures for daily smokers.
  • Replacement implants are not covered if prior implants fail. 
  • Full mouth implants and/or full mouth crowns are not covered. 
  • Dentists must be Health First Colorado providers and affiliated with DentaQuest.

DentaQuest and Dental Providers 

Health First Colorado has partnered with DentaQuest to help our members find a dentist and use their dental benefits. All Health First Colorado and HCBS-DD or HCBS-SLS waiver members receive a welcome packet from DentaQuest with information about dental services. 

Need help finding a dentist? Have questions? 

  • Call DentaQuest at 1-855-225-1729  Monday - Friday 8:00 a.m. – 5:00 p.m. Mountain Time
    State Relay: 711 for callers with hearing or speech disabilities  
  • Visit DentaQuest.com
     

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Department of Health Care Policy & Financing