To start orthodontic pre-approval process, you need to schedule a consultation at our office first. At the consultation appointment, we will obtain photos and X-rays required by Medicaid for pre-approval. One of our orthodontists will also make an evaluation along with filling out all necessary forms and reports needed for Medicaid office to review your case. We send this in to Medicaid administrators. They evaluate the case and will typically provide their determination within four to six weeks. They will notify both our office and your family about their decision, by mail. If your child gets denied, and we noted in our report that the case was extremely severe, we may choose to appeal. If the appeal is denied, your family has the further right to appeal. If approved, you would call our offices and make an appointment. As long as you have Medicaid coverage on the day of the appointment, Medicaid will then cover the cost of treatment in full.