Medicaid, handicapping labio-lingual deviation index (HLD), orthodontic treatment


The purpose of this study was to analyze how 2013 New York State Medicaid legislation that introduced HLD index affected orthodontic Medicaid treatment approval affected orthodontic Medicaid treatment approval. Eighty-six patients pre-2013 and eighty-six post-2013 were selected from a single academic center. The number of patients who auto-qualified post-2013 significantly increased (58 vs 39, p=0.006). For the patients who did not auto-qualify there was a significant increase (p=0.017) in HLD scores post-2013 (31.38) compared to pre-2013 (13.34). Fifty-one percent of the patients approved pre -2013 would not have qualified for coverage under the current policy.