Like all State Refor(u)m research, this chart is a collaborative effort with you, the user. State Refor(u)m captures the health reform comments, documents, and links submitted by health policy thinkers and doers all over the country. And our team periodically supplements, analyzes, and compiles this key content.
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|State||Marketplace Type||Stand-Alone Dental Policy (SADP) (Separately offered pediatric dental benefits)||Embedded (QHP includes pediatric dental benefits)||Bundled (QHP contracts with a dental issuer)||Requirement to Purchase Pediatric Dental (inside the marketplace)||2014 Annual Out-Of-Pocket Maximum for SADP||Pediatric Dental Benchmark Selection|
|Federally-Facilitated & Partnership States ||FFM or Partnership||Yes||Yes||No||$700 for one child enrollee or $1,400 for two or more child enrollees||Varies by state: 12 CHIP, 22 FEDVIP, 1 Included|
|CA||State-Based Marketplace (SBM)||Yes||No||$1,000 for one child, $2,000 for two or more children||CHIP|
|CO||SBM||Yes||Yes||S||No||$700 for one child, $1,400 for two or more children||CHIP|
|DC||SBM||S||Yes||S||No||$1,000 for one child, $2,000 for two or more children||FEDVIP|
|HI||SBM||Yes||Yes||No||$700 for one child, $1,400 for two or more children ||CHIP|
|ID||SBM||Yes||Yes||No||$1,000 per person||FEDVIP|
|KY||SBM||Yes||Yes||Yes||$1,000 for one child, $2,000 for two or more children||CHIP|
|MA||SBM||Yes||Yes||No||$1,000 for one child, $2,000 for two or more children ||CHIP|
|MD||SBM||Yes||Yes||S||No||$1,000 for one child, $2,000 for two or more children||CHIP|
|MN||SBM||Yes||Yes||S||No||$700 for one child, $1,400 for two or more children ||FEDVIP|
|NY||SBM||Yes||Yes||No||$700 for one child, $1,400 for two or more children||CHIP|
|NV||SBM||Yes||S||S||Yes||$700 for one child, $1,400 for two or more children||CHIP|
|OR||SBM||Yes||Yes||No||$1,000 per person||CHIP|
|RI||SBM||Yes||Yes (individual market only)||No||$700 for one child, $1,400 for two or more children ||FEDVIP|
|WA||SBM||Yes (individual market only)||Yes||No imposed dollar amount – OOP deemed ‘reasonable’ if EHB is covered and actuarial value is met ||CHIP|
AK, AL, AR, AZ, DE, FL, GA, IA, IL, IN, KS, LA, ME, MI, MO, MT, NC, ND, NE, NH, NJ, NM, OH, OK, PA, SC, SD, TN, TX, UT, VA, WA, WV, and WY are either federally-faciliated marketplace (FFM) or partnership marketplace states. This row includes information for these 34 states set by the federal government.
 Information obtained through correspondence with the National Association of Dental Plans
 Information obtained through correspondence with Washington marketplace officials.
The development of this chart was made possible with support from the DentaQuest Foundation.