Each year, 4.2 million 20-year-old U.S. residents (including about 235,000 people with disabilities) reach their 21-year transitional age.2 At that point, they lose their eligibility (depending on family income and related factors) for Medicaid dental care under the Early and Periodic Screening, Diagnostics and Treatment federal-state program-a program that mandates comprehensive and preventive care for qualified people younger than 21 years but designates adult dental benefits as "optional."
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