HCBS Dental Services
The Home and Community-Based Services (HCBS) Dental Services is available in the following waivers:
- Developmental Disabilities Waiver (DD)
- Supported Living Services Waiver (SLS)
- State Supported Living Services Program
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
Contact Us
Department of Health Care Policy & Financing
- Janelle Poullier, Benefit Specialist