uals described in subsection (b) are deemed to be 
medically necessary. A State or any organization 
with an agreement with the State to provide oral 
health services to such children or individuals, may 
not require a physician’s authorization (by signature 
or otherwise) before oral health services may be pro-
vided to such children or individuals or reimburse-
ment for the provision of such services to such chil-
dren or individuals may be made. 
‘‘(5) PROHIBITION ON FUNDING LIMITATION.— 
Notwithstanding any other provision of law, no Fed-
eral or State agency shall establish any policy that 
is designed to limit the federal dollars expended for 
EPSDT services that are oral health services for 
children who are eligible for medical assistance 
under the State program under this title or for aged, 
blind, or disabled individuals described in subsection 
(b). 
‘‘(b) AGED, BLIND, OR DISABLED INDIVIDUALS DE-
SCRIBED.—For purposes of subsection (a), an aged, blind, 
or disabled individual described in this subsection is an 
individual— 
‘‘(1) who is eligible for medical assistance under 
subclause (I) or (II) of section 1902(a)(10)(A)(i) 
(but only, in the case of subclause (I), with respect
to an individual who is so eligible on the basis of re-
ceiving aid or assistance under any plan of the State 
approved under title I, X, XIV, or XVI); or 
‘‘(2) who would be considered an aged, blind, or 
disabled individual under section 1614 (without re-
gard to whether the individual satisfies the income 
and resource requirements for receiving supple-
mental security income benefits under title XVI) and 
is otherwise eligible for medical assistance under the 
State plan or under a waiver of such plan. 
‘‘(c) APPLICABLE FMAP.—With respect to oral 
health services furnished in a State for calendar quarters 
in a calendar year to children eligible for medical assist-
ance under the State program under this title or to aged, 
blind, or disabled individuals described in subsection (b), 
the Federal medical assistance percentage shall be equal 
to 90 percent. 
‘‘(d) REQUIREMENTS FOR PAYMENTS.— 
‘‘(1) NO
COST-SHARING
OR
CAPS
ON
SERV-
ICES.—Notwithstanding any other provision of this 
title, no cost-sharing and no annual maximum 
amount of payment for, or level of, services shall be 
imposed with respect to the provision of— 
‘‘(A) EPSDT services that are oral health 
services provided to children who are eligible for
medical assistance under the State program 
under this title; and 
‘‘(B) oral health services to aged, blind, or 
disabled individuals described in subsection (b). 
‘‘(2) PAYMENT RATES AND COVERED PROCE-
DURES.— 
‘‘(A) MINIMUM
PERIOD
OF
APPLICA-
BILITY.—With respect to each 12-month period 
that begins on the date a State establishes or 
increases the payment rates or types of proce-
dures to which such rates apply with respect to 
oral health services for children who are eligible 
for medical assistance under the State program 
under this title or aged, blind, or disabled indi-
viduals described in subsection (b), the State 
may not decrease such rates or types of proce-
dures before the end of the succeeding 12- 
month period. 
‘‘(B) NOTICE OF REDUCTION REQUIRED.— 
Notwithstanding subparagraph (A), a State 
may not decrease the payment rates or the 
types of procedures to which such rates apply 
with respect to oral health services for children 
who are eligible for medical assistance under 
the State program under this title or aged,