DWP Evaluation: Annual Report 2019
In July 2018, Iowa integrated its fee-for-service adult dental Medicaid program with the Iowa Dental Wellness Plan (DWP). Originally, the DWP provided benefits to the Medicaid expansion population only. This new unified adult dental program, DWP 2.0, provides comprehensive benefits to members during their first year of enrollment. Thereafter, members are required to complete two healthy behaviors annually in order to maintain full dental benefits and avoid monthly premiums: an oral health self-assessment and a preventive dental visit. Several populations are exempt from monthly premiums, and thus exempt from the healthy behavior requirements, including 19 and 20 year-olds with EPSDT coverage, pregnant women, Native Americans, and several other categorically eligible Medicaid populations. Beginning in September 2018, a $1,000 annual benefit maximum was implemented for all adults in the DWP 2.0 program, except for the EPSDT population.