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ERD — Integrated Medical Claims Processing and Enrollment Analytics

Introduction

The Medicaid Adult Dental Coverage Checker is an interactive tool for policymakers, administrators, and advocates to better understand where a given state’s Medicaid adult dental benefits package falls on a continuum from no dental benefits to extensive benefits, helping identify areas for improvement. It looks at coverage of specific procedures and services, including allowed frequency, in eight service categories. The Coverage Checker displays results that were self-reported by state Medicaid dental programs in a survey conducted in the spring of 2025. The data represent a snapshot in time and are reflective of the benefit package in place as of December 31, 2024. It’s important to note that several states implemented new and expanded benefits for all adults in early 2025, which are not captured in the Checker. Please continue reading below for more information. The survey mentioned above was developed in partnership with the American Dental Association Health Policy Institute (ADA HPI), Center for Health Care Strategies (CHCS), CareQuest Institute for Oral Health, and an advisory committee of experts in oral health care and state policy.


ERD Diagram of semantic layer

Entity Relationship Diagrams

Simplified ERD (Keys Only)

Simplified ERD - Keys Only
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Click to zoom and explore the simplified ERD showing key relationships