Dental Care Assistance for Single Mothers in West Virginia
Dental Care Assistance for Single Mothers in West Virginia
Last updated: September 2025
This guide gives you fast, real, and specific help to get affordable dental care in West Virginia. Every paragraph includes direct links to apply, call, or book an appointment without hunting around. Keep this page open while you make calls.
- According to state rules, adult Medicaid dental now covers up to 2,000inserviceseverytwofiscalyearswithpriorauthorizationwhererequiredandemergencieshandledseparately.Readthestatepolicybeforeyouschedule.Seethestate’sdentalmanual,theadultpolicyappendices,andthepublicnoticeconfirmingthe2,000 in services every two fiscal years with prior authorization where required and emergencies handled separately. Read the state policy before you schedule. See the state’s dental manual, the adult policy appendices, and the public notice confirming the 2,000/2‑year limit through the West Virginia Bureau for Medical Services. (dhhr.wv.gov)
If You Only Do 3 Things — Emergency Actions to Take
- Call or go in early to same‑day urgent dentistry at the WVU School of Dentistry Urgent Care in Morgantown, then arrange a follow‑up plan with a social worker at the clinic. Use WVU dental’s urgent care page, the Morgantown urgent care hours, and the student clinic line to get seen. WVU Dental Urgent Care, WVU Dental locations, Student Clinic phone 304‑293‑6208. (wvudentalcare.org)
- Apply for coverage or confirm active benefits right now in the WV PATH portal, then pick or switch to a managed care plan that can help you find a dentist. Use the application tutorial, the PATH portal, and Mountain Health Trust’s plan list. Apply in WV PATH, PATH application tutorial, Mountain Health Trust health plans. (dhhr.wv.gov)
- If you have Medicaid or WVCHIP and no ride, schedule non‑emergency medical transportation to the dentist through Modivcare. Call the broker, use the member page, and see ride tips. Modivcare West Virginia (members), NEMT info for members, Modivcare phone 1‑844‑549‑8353. (dhhr.wv.gov)
Quick Help Box — Numbers and Links to Keep Handy
- DHHS Client Services: for benefits status, addresses, fair hearings info, and help with PATH. DoHS Client Services 1‑800‑642‑8589, Bureau for Medical Services, WV PATH portal. (dhhr.wv.gov)
- WVCHIP Help: for children’s dental coverage and income rules. WVCHIP 1‑877‑982‑2447, WVCHIP dental benefits, InsureKidsNow dentist finder. (chip.wv.gov)
- Transportation: book rides to dental visits if you have Medicaid/CHIP. Modivcare West Virginia 1‑844‑549‑8353, Modivcare facility page, Aetna ride tips. (dhhr.wv.gov)
- Consumer Utility Help (stop shutoff while you sort care): file an informal complaint for a hold while it’s reviewed. PSC Consumer Affairs 1‑800‑642‑8544, PSC complaint steps, Online informal complaint. (psc.state.wv.us)
- Serious Dental Need, No Money: apply to Donated Dental Services if you’re 65+, disabled, or medically fragile. Dental Lifeline Network – WV, DDS coordinator 304‑919‑1579, WV Oral Health Program. (dentallifeline.org)
What Dental Coverage You Can Get in West Virginia
Most important first: Adult Medicaid covers diagnostic, preventive, and restorative dental up to $2,000 every two fiscal years, with prior authorization for many services; emergency extractions and infection control are handled as emergent care. Confirm what counts toward your limit before treatment. Use the state’s main dental chapter, the adult coverage appendix, and the fee schedule page to review codes and limits. WV Medicaid dental policy (Chapter 505), Appendix 505C (Adults 21+), Dental fee schedules. (dhhr.wv.gov)
Children and teens under 21 get full, medically necessary dental through EPSDT, including orthodontics when medically needed. Service limits exist but EPSDT supports what’s necessary to correct or improve conditions. Review the under‑21 appendix and ask your dentist to request prior authorization when needed. Appendix 505A (Under 21), WV Medicaid dental chapter, WV CHIP dental overview. (dhhr.wv.gov)
Managed care plans help you find in‑network dentists. Most West Virginia Medicaid members enroll in Mountain Health Trust plans like Aetna Better Health, Wellpoint, The Health Plan, or Highmark Health Options. Dental administration vendors vary by plan (for example, Wellpoint lists SKYGEN Dental; Aetna shows LIBERTY Dental). Check your plan’s dental search tool before booking. Mountain Health Trust plans, Wellpoint dental search, Aetna dental benefits. (mountainhealthtrust.com)
What to do if this doesn’t work: Ask the plan to assign a care coordinator and escalate to a supervisor for help with a dentist who is accepting new Medicaid patients. Use the Bureau for Medical Services contact if network access is a problem. BMS contact, Mountain Health Trust help, DoHS Client Services 1‑800‑642‑8589. (bms.wv.gov)
Quick program snapshot (save this)
| Program | Who qualifies | Key dental help | Cost to you | Where to apply/contact |
|---|---|---|---|---|
| WV Medicaid (adults) | Adults 19–64 with income at or below MAGI thresholds; also SSI and other categories | Up to $2,000 every two fiscal years for preventive/restorative when authorized; emergencies separate | Usually no copay for dental; confirm with plan | WV PATH, BMS info, Choose a plan (dhhr.wv.gov) |
| EPSDT (under 21) | Children/teens under 21 on Medicaid | Full necessary dental, orthodontics if medically necessary | $0 | Find dentist (InsureKidsNow), Appendix 505A, WV PATH (dhhr.wv.gov) |
| WVCHIP | Kids not eligible for Medicaid within income bands (Gold/Blue/Premium) | Full range of dental; preventive every six months | Copays vary by tier; some have none | Apply, CHIP dental page, CHIP help 1‑877‑982‑2447 (chip.wv.gov) |
| Donated Dental Services (DDS) | Adults who are 65+, permanently disabled, or medically fragile | Free comprehensive care by volunteers (no cosmetic, no emergencies) | $0 | Apply for DDS, DDS coordinator 304‑919‑1579, Annual report (dentallifeline.org) |
| NEMT rides to the dentist | Medicaid/WVCHIP members | Free rides, mileage reimbursement, bus passes to covered dental visits | $0 | Modivcare 1‑844‑549‑8353, Member guide, Aetna ride tips (dhhr.wv.gov) |
WVCHIP income examples (so you know which tier you might be in)
Use these 2025 amounts from WVCHIP’s eligibility page to estimate your tier; always apply to get an official decision. WVCHIP Eligibility, CHIP member info, WV PATH apply.
| Family size | WVCHIP Gold (annual) | WVCHIP Blue (annual) | WVCHIP Premium (annual) |
|---|---|---|---|
| 2 | $31,725 | $44,627 | $63,450 |
| 3 | $39,975 | $56,232 | $79,950 |
| 4 | $48,225 | $67,837 | $96,450 |
| 5 | $56,475 | $79,442 | $112,950 |
| 6 | $64,725 | $91,047 | $129,450 |
| 7 | $72,975 | $102,652 | $145,950 |
What to do if this doesn’t work: If your income is just above thresholds, call WV Navigator for Marketplace options and ask about temporary dental programs at local free clinics. WV Navigator, WV Association of Free & Charitable Clinics map, WVPCA health center finder. (wvafc.org)
How to Apply Fast (and Right) for Coverage
Start online: Submit your application in WV PATH, then set up texts or email alerts so you don’t miss requests for documents. Use the PATH tutorial, the portal, and BMS’ “apply for healthcare” overview as you go. WV PATH apply now, PATH application tutorial, BMS apply for healthcare. (learning-public.wvpath.wv.gov)
- Documents to gather: ID, Social Security numbers, income proof, pregnancy proof if you’re expecting, and current insurance cards. Use the CHIP eligibility page for examples and the DoHS contacts if you have questions. CHIP eligibility page, DoHS Contacts, BMS.
- Pick your health plan: After PATH approval, choose a plan in Mountain Health Trust so you can use provider tools and care managers. Use the plan list, Aetna choice page, and The Health Plan provider search. Mountain Health Trust, Choose Aetna, The Health Plan provider finder. (mountainhealthtrust.com)
- If you’re pregnant: enroll right away; you’ll also qualify for WIC which offers nutrition support and referrals to dentists who see moms. Use the WIC application page, the WIC program overview, and DoHS contacts. Apply for WIC, USDA FNS WV WIC contact, DoHS Contacts. (dhhr.wv.gov)
Realistic timeline: many online applications move faster if you respond within 48 hours to document requests; plans typically activate the first of the month after enrollment. Federal processing standards allow up to 45 days for MAGI Medicaid decisions; call if you don’t see movement after two weeks. Use BMS and DoHS numbers to check status. BMS, DoHS Client Services 1‑800‑642‑8589, Mountain Health Trust.
What to do if this doesn’t work: call the DoHS Client Services line to ask for application status, check for missing docs, or request a fair hearing if you believe a denial is wrong. DoHS Client Services 1‑800‑642‑8589, BMS, WV PATH. (dhhr.wv.gov)
Find a Dentist Who Will See You (Medicaid/WVCHIP and Sliding‑Fee Clinics)
Start with your plan’s search tool: search by “accepting new patients” and filter by distance and language. Use Wellpoint’s tool, Aetna’s plan pages, and The Health Plan’s dental vendor links (SKYGEN/LIBERTY appear on plan pages). Wellpoint provider search, Aetna plan and dental info, The Health Plan directory with dental links. (wellpoint.com)
- Children and teens: Use the national dentist locator for Medicaid/CHIP, and the state oral health program if you hit a dead end. InsureKidsNow dentist finder, WV Oral Health Program, WVCHIP dental page. (insurekidsnow.gov)
- Dental schools and teaching clinics (lower costs): WVU Dental offers urgent care and a student clinic with reduced fees; expect longer visits but much lower prices. Marshall Dentistry & Oral Surgery in Huntington offers emergency walk‑in hours Monday–Thursday 8:00 a.m.–12:00 p.m. WVU Dental urgent care, WVU student clinic fee info, Marshall Dentistry walk‑in. (wvudentalcare.org)
- Free and low‑cost adult clinics: WV Health Right (Charleston) runs on‑site and mobile dental, Wheeling Health Right has a growing dental suite, and Shenandoah Community Health serves the Eastern Panhandle with dental and sliding fees. WV Health Right Dental, Wheeling Health Right services, Shenandoah Community Health contact. (wvhealthright.org)
What to do if this doesn’t work: call the West Virginia Primary Care Association to locate FQHC dental sites statewide, and use the WV Association of Free & Charitable Clinics map for regional options. WVPCA health center finder, WVPCA home, WVAFC locations. (wvpca.org)
NEMT transportation: rides, gas reimbursement, and timing
| Topic | What to know | How to do it |
|---|---|---|
| Schedule a ride | Book at least 2 business days before your dental visit; urgent discharges handled 24/7 | Call Modivcare 1‑844‑549‑8353 or use the member site/app; have your Medicaid number and appointment details ready (aetnabetterhealth.com) |
| Mileage reimbursement | Paid for trips to the nearest qualified provider; distance caps may apply | Ask Modivcare for the trip log and return it on time; keep receipts and provider signatures (dhhr.wv.gov) |
| Same‑day issues | For urgent needs, call Modivcare; they take requests 24/7 | If you’re stranded after a visit, use the ride‑assist line listed on your plan’s site or Modivcare page (dhhr.wv.gov) |
What to do if this doesn’t work: call your plan’s member services and ask care management to arrange the ride, then escalate to BMS transportation contacts if needed. Mountain Health Trust, Aetna rides info, BMS transportation page. (aetnabetterhealth.com)
How Much Will It Cost Where You Go?
- Medicaid adults: count on an annualized limit of $2,000 per two fiscal years for many services, plus prior authorization (“fiscal authorization”) on lots of restorative and prosthodontic work. Ask your dentist to submit estimates before treatment. Read the adult appendix and main policy. Appendix 505C (Adults 21+), WV Medicaid Chapter 505, Public Notice adjusting cap. (dhhr.wv.gov)
- WVU Dental teaching clinics: expect an initial 75–75–150 deposit/assessment and longer visits; you’ll get lower fees overall. Check current deposit and exam fees on the clinic pages. WVU Student Clinic fees, WVU Urgent Care deposit, WVU Dental locations. (wvudentalcare.org)
- WV Health Right and free clinics: services focus on infection relief and basic restoration; dentures and specialty care are limited and may be waitlisted. Confirm eligibility and county coverage. WV Health Right dental, Wheeling Health Right dental, WVAFC statewide list. (wvhealthright.org)
What to do if this doesn’t work: ask for a printed pretreatment estimate and a “prior auth” submission, and ask the clinic to stage treatment across fiscal years to stretch your limit. Appendix 505C details, WV Board of Dentistry rules (teledentistry, anesthesia, etc.), BMS fee schedule home. (wvbodv7prod.glsuite.us)
Local Organizations, Charities, Churches, and Support Clinics
Charleston & Kanawha County: WV Health Right offers on‑site dentistry and a mobile dental clinic; Covenant House clinic and West Side clinic provide primary care with referrals. Use the clinic location pages, mobile dental info, and DoHS contacts for referrals. WV Health Right dental, WV Health Right locations, DoHS Contacts. (wvhealthright.org)
Huntington & Cabell/Wayne: Marshall Dentistry & Oral Surgery runs emergency walk‑ins in the mornings; Ebenezer Medical Outreach is a free clinic that can connect you to community resources. Use Marshall’s clinic page, the news announcement, and WVAFC locations. Marshall Dentistry walk‑in, Marshall walk‑in news, WVAFC map. (marshallhealth.org)
Morgantown & Monongalia: WVU Dental urgent care and student clinic offer lower‑cost care; Milan Puskar Health Right can help uninsured adults. Use WVU pages and the DHHR free clinic list. WVU Dental urgent care, WVU Student Clinic, DHHR free clinics list. (wvudentalcare.org)
Northern Panhandle (Wheeling/Ohio/Marshall): Wheeling Health Right operates a dental clinic; call to enroll as a patient. Use the clinic services page, the contact page, and the DHHR facility details. Wheeling Health Right services, Wheeling contact 304‑233‑9323, DHHR facility details. (wheelinghealthright.com)
Eastern Panhandle (Berkeley/Jefferson/Morgan): Shenandoah Community Health offers adult and pediatric dental; ask for Healthy Smiles Dental in Martinsburg if available. Use SCH contact and site pages. SCH contact 304‑263‑4999, SCH dental overview, Map to SCH Healthy Smiles (phone reference). (shencommhealth.com)
Beckley/Raleigh & Southern WV: Look for Beckley Health Right and mobile units; if none are open, use the WVPCA map to find FQHCs with dental and sliding fees. Use the WVAFC locations, the WVPCA finder, and DoHS client services for referrals. WVAFC map, WVPCA finder, DoHS Client Services 1‑800‑642‑8589. (wvafc.org)
Bluefield/Mercer & Coalfields: WV Health Right’s mobile dental serves McDowell/Logan/Clay/Roane and nearby counties; call for the schedule, and check Community Care of West Virginia for Green Bank dental if you’re in that area. WV Health Right mobile dental, Community Care Dental (Green Bank), Community Care locations. (wvhealthright.org)
What to do if this doesn’t work: contact the WV Oral Health Program for help finding a provider, and the WV Dental Association to search by city if you’re uninsured. WV Oral Health Program, WV Dental Association, InsureKidsNow (kids). (dhhr.wv.gov)
How to Stop Utility Shutoff in West Virginia Today
If you’re choosing between a dental visit and keeping the lights on, take these steps the same day:
- Call your utility now: set a payment plan and note the name of the person you spoke with. If the company won’t work with you, file an informal complaint. Use the PSC Consumer Assistance page, the informal complaint form, and the Consumer Affairs number. PSC Consumer Assistance, File informal complaint online, Call 1‑800‑642‑8544. (psc.state.wv.us)
- Apply for LIHEAP (energy bill help): apply in WV PATH and call for crisis grants if the shutoff is pending. Use the LIHEAP Clearinghouse for WV details and the federal LIHEAP page. WV LIHEAP info, Apply in WV PATH, Federal LIHEAP site. (liheapch.acf.hhs.gov)
- Know new outage‑notice rules: utilities must notify customers of planned or unplanned outages under state law; make sure your contact info is up to date. Use the code section and a recent news summary. WV Code §24‑2‑22, WV MetroNews coverage, PSC Consumer Assistance. (code.wvlegislature.gov)
What to do if this doesn’t work: call the Consumer Advocate Division at the PSC for help, and ask your dentist about moving appointments while you stabilize utilities. Consumer Advocate Division, PSC complaint steps, PSC informal complaint form. (psc.state.wv.us)
Common Mistakes to Avoid
- Not checking authorizations: large adult dental work often needs prior and fiscal authorization; ask your dentist to submit before starting. Use Appendix 505C and your plan’s care management team. Appendix 505C, Wellpoint provider support, BMS. (dhhr.wv.gov)
- Waiting to book rides: Modivcare needs two business days for routine trips; urgent rides are limited. Book early. Aetna ride tips, Modivcare member page, BMS transportation. (aetnabetterhealth.com)
- Assuming every dentist takes Medicaid: call first; use plan directories and InsureKidsNow for kids. Wellpoint directory, The Health Plan directory, InsureKidsNow dentist finder. (wellpoint.com)
- Skipping teaching clinics: student and resident clinics can save hundreds; plan for longer visits but much lower fees. WVU Dental student clinic, Marshall Dentistry & Oral Surgery. (wvudentalcare.org)
- Not asking for help: the WV Oral Health Program can help you locate dentists, and the Board of Dentistry handles complaints about providers. WV Oral Health Program, WV Board of Dentistry complaint, BMS. (wvbodv7prod.glsuite.us)
Reality Check
- Adult Medicaid dental has a hard cap: once you hit $2,000 in two fiscal years, you’ll owe the rest unless it’s emergent care. Read Appendix 505C and plan treatment in phases. Appendix 505C, Chapter 505, Public notice on cap change. (dhhr.wv.gov)
- Free clinics are lifesavers, but dentures and crowns often have waitlists or limited availability. Call to confirm before you plan time off work. WV Health Right Dental, Wheeling Health Right dental info, WVAFC map. (wvhealthright.org)
- If travel is a barrier, use NEMT rides and ask about gas reimbursement but keep mileage logs. BMS transportation page, Modivcare, Aetna ride tips. (dhhr.wv.gov)
Quick Reference Cheat Sheet
| Need | Who to contact | Link or phone |
|---|---|---|
| Apply/renew benefits | WV PATH | Online 24/7 |
| Medicaid dental rules | BMS Chapter 505 | Policy manual |
| Adult dental cap details | Appendix 505C | Coverage list |
| Children’s dental | InsureKidsNow dentist finder | Kids’ dentists |
| WVCHIP help | WVCHIP | 1‑877‑982‑2447 |
| Transportation (NEMT) | Modivcare | 1‑844‑549‑8353 |
| Free/low‑cost clinics | WVPCA finder | Statewide map |
| Free dental for disabled/elderly | Dental Lifeline Network – WV | Apply online |
| Complaints about a dentist | WV Board of Dentistry | 1‑877‑914‑8266 |
| Utility shutoff help | PSC Consumer Affairs | 1‑800‑642‑8544 |
Application Checklist (printable)
- ID and SSNs: photo ID, Social Security numbers for all who apply. WV PATH, DoHS Contacts, BMS apply.
- Proof of income: last 30 days of pay stubs, child support, or benefits letters. WV PATH, BMS apply, WVCHIP eligibility.
- Current insurance cards: if any, and proof of pregnancy if expecting. WVCHIP page, USDA WIC WV, Apply for WIC. (fns.usda.gov)
- Pick a plan: compare networks and dental vendors. Mountain Health Trust, Wellpoint providers, Aetna Better Health. (mountainhealthtrust.com)
- Transportation: book your ride 2 business days ahead. Modivcare 1‑844‑549‑8353, Aetna ride tips, Modivcare member page. (dhhr.wv.gov)
If Your Application Gets Denied
Act within the deadline: read the notice, fix missing documents, and re‑upload in PATH. Then request an appeal (fair hearing) if needed. Use the Client Services line, the PATH portal, and BMS contacts to get appeal instructions. DoHS Client Services 1‑800‑642‑8589, WV PATH, BMS. (dhhr.wv.gov)
- Ask for help: call your plan’s care management to document medical need; request the dentist submit better notes or X‑rays for prior auth. Use your plan portal and BMS policy chapter as references. Wellpoint, Aetna, Chapter 505 policy. (hi.aetnabetterhealth.com)
- Consider free/charity options: apply to DDS if you qualify, and contact a free clinic for urgent infection control while you appeal. DDS – WV, WVAFC locations, WVPCA finder. (dentallifeline.org)
What to do if this doesn’t work: escalate to DoHS Client Services, ask for a supervisor, and request written instructions for a state fair hearing. Keep copies of everything. DoHS Client Services, BMS contact, WV PATH. (dhhr.wv.gov)
Diverse Communities: Tailored Tips and Contacts
LGBTQ+ single mothers: Tell your plan if you need a provider with LGBTQ+ experience, and ask clinics about inclusive care policies. Use WVPCA’s map to filter by services, Wellpoint’s search to filter providers, and WV Health Right for supportive clinics. WVPCA finder, Wellpoint provider search, WV Health Right. (wellpoint.com)
Single mothers with disabilities or disabled children: EPSDT can cover medically necessary pediatric dental beyond typical limits; ask your dentist to cite EPSDT in requests. Use Appendix 505A, InsureKidsNow for pediatric dentists, and ask for NEMT door‑to‑door help from Modivcare. Appendix 505A, Find a kids’ dentist, Modivcare NEMT. (dhhr.wv.gov)
Veteran single mothers: You may qualify for VA dental based on service‑connected ratings or specific categories; for others, WV Health Right has veteran denture programs in Charleston. Use WV Health Right’s veteran contact, WVPCA clinics, and your county veterans office. WV Health Right veterans dental, WVPCA finder, DoHS Contacts. (wvhealthright.org)
Immigrant and refugee single moms: Many FQHCs offer interpreters and sliding fees regardless of status; Medicaid/CHIP eligibility depends on immigration category. Use SCH contact for language access, WVPCA’s map, and InsureKidsNow for kids’ coverage. SCH contact, WVPCA health centers, InsureKidsNow. (chip.wv.gov)
Tribal‑specific resources: If you or your child is a member of a federally recognized Tribe, WVCHIP says co‑pays don’t apply once enrolled; also check IHS or tribal dental clinics if you have ties to neighboring states. Use the WVCHIP eligibility note, InsureKidsNow, and WVPCA for local care. WVCHIP eligibility, InsureKidsNow, WVPCA finder. (chip.wv.gov)
Rural single moms with limited access: Use Modivcare to reach the nearest qualified dentist, and ask about mobile dental days at WV Health Right. Consider teledentistry for consults when allowed under WV rules. Modivcare NEMT, WV Health Right mobile dental, WV Board of Dentistry teledentistry rules. (dhhr.wv.gov)
Single fathers: The same programs apply; PATH, Medicaid/CHIP, and free clinics are based on income and family status, not gender. Use PATH, WVPCA, and your plan directory. WV PATH, WVPCA, Wellpoint search.
Language access and accessibility: Your plan must offer free interpreters, TTY 711, and materials in large print or braille. Aetna lists multi‑language help and alternate formats; ask your clinic to print large‑font applications. Aetna language help, BMS, DoHS Contacts. (aetnabetterhealth.com)
What to do if this doesn’t work: ask for a care manager through your MCO and request reasonable accommodations in writing. Mountain Health Trust, DoHS Client Services, BMS.
Resources by Region (examples and starting points)
- Kanawha/Putnam: WV Health Right East End clinic (Charleston) for adult dental; Modivcare rides from rural Putnam; PSC help if water disconnection threatens a dental appointment. WV Health Right East End, Modivcare, PSC Consumer Affairs. (wvhealthright.org)
- Cabell/Wayne: Marshall Dentistry emergency walk‑ins; Ebenezer Medical Outreach for uninsured medical and referrals. Marshall Dentistry walk‑in, WVAFC locations, WVPCA finder. (marshallhealth.org)
- Monongalia/Marion/Preston: WVU urgent care and student clinic; Milan Puskar Health Right for uninsured adults; county health department dentistry special days. WVU Dental urgent care, Milan Puskar Health Right, Monongalia County Health Dept (news). (dhhr.wv.gov)
- Eastern Panhandle (Berkeley/Jefferson/Morgan): Shenandoah Community Health dental; Modivcare for trips to Martinsburg. SCH contact, Modivcare, WVPCA finder. (shencommhealth.com)
- Northern Panhandle (Ohio/Marshall/Wetzel/Tyler): Wheeling Health Right dental; WVU dental students sometimes volunteer there; check schedules. Wheeling Health Right services, Wheeling contact, DHHR facility details. (wheelinghealthright.com)
- Greenbrier/Pocahontas: Community Care Dental in Green Bank serves the region with Medicaid and sliding fees. Community Care Dental (Green Bank), Community Care locations, WVPCA finder. (communitycarewv.org)
What to do if this doesn’t work: call the WV Oral Health Program hotline and ask for county‑specific lists of dentists taking new Medicaid patients. WV Oral Health Program (1‑800‑642‑8522), BMS, InsureKidsNow dentist finder. (dhhr.wv.gov)
Tables You Can Screenshot
Adult Medicaid dental scope highlights (read before treatment)
| Service group | Examples | Notes |
|---|---|---|
| Exams/X‑rays/cleanings | periodic exams, bitewings, comprehensive series | Typical limits and frequencies apply; see policy and codes |
| Restorations | composites, amalgams, crowns with criteria | Many require prior and fiscal authorization |
| Endodontics/periodontics | root canals, scaling/root planing | Prior authorization common; limits apply |
| Prosthodontics | complete/partial dentures, repairs | Prior auth; 5‑year replacement rules common |
| Emergencies | pain, fracture, infection control | Emergent care handled separately from routine cap |
Use the adult appendix and Chapter 505 to plan care with your dentist. Appendix 505C, Chapter 505, BMS fee schedule home. (dhhr.wv.gov)
Teaching clinic fee checkpoints
| Clinic | Typical first cost | What to expect |
|---|---|---|
| WVU Student Clinic | 99–99–150 initial assessment | Longer visits; lower fees overall; supervised student care |
| WVU Urgent Care | $75 deposit toward services | First‑come, first‑served; arrive early |
| Marshall Dentistry & Oral Surgery | Varies by service | Emergency walk‑in Mon–Thu mornings; routine care by appointment (wvudentalcare.org) |
Key contacts you’ll likely use
| Topic | Contact | Link/Phone |
|---|---|---|
| Benefits status | DoHS Client Services | 1‑800‑642‑8589 |
| Plan enrollment | Mountain Health Trust | 1‑800‑449‑8466 |
| Kids’ dentists | InsureKidsNow | Online |
| Rides | Modivcare (NEMT) | 1‑844‑549‑8353 |
| Free clinics | WVPCA finder | Online |
| Complaints | WV Board of Dentistry | 1‑877‑914‑8266 |
County‑Specific Variations to Expect
- Free clinics restrict service areas: for example, Wheeling Health Right prioritizes Brooke, Ohio, Marshall, Wetzel, and Tyler counties; Health Access focuses on Harrison and Doddridge. Confirm eligibility by county before you go. Wheeling Health Right, Health Access (DHHR entry), WVAFC map. (wheelinghealthright.com)
- Mobile dental rotates counties: WV Health Right’s schedule changes; call for current dates for McDowell, Boone, Logan, Clay, Jackson, and Roane. WV Health Right mobile dental, WV Health Right locations, DoHS Contacts. (wvhealthright.org)
- Managed care dental vendors differ: a provider may be in one plan but not another (e.g., SKYGEN vs. LIBERTY). Verify in‑network before treatment. Wellpoint provider search, Aetna dental benefits, The Health Plan directory. (wellpoint.com)
What to do if this doesn’t work: ask your plan to authorize an out‑of‑network exception when there’s no timely access nearby. Mountain Health Trust, BMS, DoHS Client Services.
FAQs (West Virginia‑specific)
- How do I find a Medicaid dentist near me who’s actually taking new patients?
Use your plan’s directory first and then call to confirm openings; if stuck, try InsureKidsNow for children and the WV Oral Health Program for adult help. Wellpoint provider search, InsureKidsNow dentist locator, WV Oral Health Program. (insurekidsnow.gov) - What exactly is covered for adult Medicaid dental in 2025?
Preventive, diagnostic, and restorative services with a $2,000 maximum per two fiscal years, plus prior authorization on many procedures; emergent services are handled separately. Read the adult appendix and Chapter 505. Appendix 505C, Chapter 505, Public notice. (dhhr.wv.gov) - I lost my job. Can I get dental right away for my kids?
Yes—apply in PATH for Medicaid/CHIP and use InsureKidsNow to find a pediatric dentist once approved; many clinics can see kids quickly. WV PATH, WVCHIP eligibility, InsureKidsNow. - I need dentures. Will Medicaid cover them?
Often yes, with prior authorization and five‑year replacement limits; count costs toward your $2,000/2‑year cap. Ask your dentist to submit a full plan for approval. Appendix 505C prosthodontics, BMS dental chapter, BMS fee schedule. (dhhr.wv.gov) - How do I get a ride to the dentist with a car that won’t start?
Call Modivcare at least two business days ahead; urgent trips are handled 24/7, and mileage reimbursement is available to the nearest qualified provider. Modivcare 1‑844‑549‑8353, NEMT member info, Aetna ride tips. (dhhr.wv.gov) - Where can I go for free dental if I’m uninsured and over 21?
Try WV Health Right (Charleston), Wheeling Health Right (Northern Panhandle), or Shenandoah Community Health (Eastern Panhandle). Check WVPCA’s map for FQHC dental near you. WV Health Right dental, Wheeling Health Right, WVPCA finder. (wvhealthright.org) - How long will I wait for an appointment?
Urgent clinics at WVU see first‑come, first‑served daily; resident/student clinics may schedule in 2–6 weeks; free clinics vary and denture slots are often waitlisted. Call to confirm. WVU urgent care, WVU student clinic, Wheeling Health Right. (wvudentalcare.org) - My utility is about to shut off. Can anyone put a hold on it while I get help?
Yes—file an informal complaint with the PSC’s Consumer Affairs; most informal complaints resolve quickly and can pause termination while reviewed. PSC Consumer Affairs, Complaint procedures, Informal complaint online. (psc.state.wv.us) - Where do I complain about a dentist?
File with the WV Board of Dentistry; include records, dates, and what outcome you want. Board of Dentistry complaint, Board laws and rules, BMS policy chapter. (wvbodv7prod.glsuite.us) - Are there pop‑up free dental events near WV?
Virginia’s Mission of Mercy projects and RAM events sometimes run near the border; travel may be worth it for extractions/cleanings. Check schedules before traveling. VDAF MOM schedule, Wise MOM details, RAM clinics. (vdaf.org)
About billing, records, and your rights
- Get it in writing: ask for a treatment plan with CDT codes and estimated costs before you start. Use Appendix 505C to cross‑check limits and authorizations. Appendix 505C, BMS, Board of Dentistry rules. (dhhr.wv.gov)
- Keep copies: save EOBs, prior auth letters, and ride logs for Modivcare mileage. Use BMS and Modivcare links to confirm forms. BMS transportation, Modivcare, Aetna ride tips. (dhhr.wv.gov)
- Report issues: billing errors or unprofessional conduct can be reported to the Board of Dentistry. Board complaint form, Board rules, DoHS Client Services. (wvbodv7prod.glsuite.us)
Spanish — Resumen breve (traducido con herramientas de IA)
- Adultos con Medicaid: hasta $2,000 en servicios dentales cada dos años fiscales; se requiere autorización para muchos tratamientos. Política dental WV, Servicios adultos, BMS. (dhhr.wv.gov)
- Niños: Medicaid/WVCHIP cubren atención dental completa; busque dentistas en el buscador nacional. WVCHIP, Buscador de dentistas, Aplicar en WV PATH. (chip.wv.gov)
- Transporte: llame a Modivcare 1‑844‑549‑8353 para viajes a citas dentales (programe con 2 días hábiles). Modivcare WV, Guía para miembros, Aetna rides. (dhhr.wv.gov)
- Clínicas de bajo costo: WV Health Right (Charleston), Wheeling Health Right (Norte), Shenandoah Community Health (Este). WV Health Right, Wheeling Health Right, Shenandoah Community Health. (wvhealthright.org)
- Cortar un corte de servicios públicos: presente una queja informal ante la PSC. PSC ayuda al consumidor, Formulario de queja, Procedimientos de quejas. (psc.state.wv.us)
About This Guide
Compiled by the ASingleMother.org Editorial Team.
This guide uses official sources including:
- West Virginia Bureau for Medical Services (Medicaid Dental Chapter 505)
- Appendix 505C — Adult Coverage 21+
- WVCHIP (eligibility and dental)
- WV PATH (apply/renew)
- Modivcare (NEMT)
- WVPCA Health Center Finder
- Dental Lifeline Network – West Virginia
- WVU School of Dentistry
- Marshall Dentistry & Oral Surgery
- Public Service Commission of West Virginia (consumer assistance)
Last verified: September 2025, next review April January 2026.
This guide is produced under our Editorial Standards using only official sources, updated regularly, but it is not affiliated with any government agency and is not a substitute for official agency guidance. Eligibility outcomes vary. Please report errors to info@asinglemother.org and we will respond within 72 hours.
Disclaimer
This information is provided for general guidance in West Virginia as of September 2025. Benefit details, provider participation, ride brokers, and clinic schedules change. Always confirm availability and coverage with your plan, the clinic, or the state before you spend money or travel. Use the official pages linked throughout, call to verify wait times and income limits, and keep copies of everything you submit.
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