NY Health Access About Us   |   Contact Us Empire Justice Center Legal Aid Society NYLAG WNYLC

Expanded Medicaid Dental Benefit in Effect as of 1/31/24

18 Dec, 2023

New York’s Medicaid program expanded coverage of dental benefits as of January 31, 2024 as the result of the settlement of the Ciaramella v. McDonald case (originally Ciaramella v. Zucker). This article provides detailed information about the expanded benefits. This article provides information about the rules that were in effect through 1/30/24, which still apply to services requested before 1/31/24. 


In August, 2018, The Legal Aid Society and Willkie Farr & Gallagher filed Ciaramella v. Zucker (18-cv-06945) to challenge the New York State Department of Health’s rules preventing Medicaid coverage for replacement dentures within 8 years from initial placement and the ban on Medicaid coverage for dental implants.  In response, DOH implemented changes to the dental manual to cover dental implants when medically necessary and to change the rules for replacement dentures. These changes, described here went into effect on November 12, 2018.

The case was amended to include a challenge the revised rules for Medicaid coverage for dental implants, replacement dentures and to add a challenge to Medicaid coverage rules for root canal and crowns.

On May 1, 2023, a motion for preliminary approval for a settlement agreement was filed. This Know Your Rights document provides basic information about the settlement. 

print  Print   Share

This site provides general information only. This is not legal advice. You can only obtain legal advice from a lawyer. In addition, your use of this site does not create an attorney-client relationship. To contact a lawyer, visit http://lawhelpny.org. We make every effort to keep these materials and links up-to-date and in accordance with New York City, New York state and federal law. However, we do not guarantee the accuracy of this information. To report a dead link or other website-related problem, please e-mail us.