The Legal Aid Society, Willkie Farr & Gallagher LLP, and Freshfields Bruckhaus Deringer LLP announced a historic settlement in Ciaramella v. Zucker – a federal class action lawsuit brought against the New York State Department of Health (DOH) on behalf of Medicaid recipients in New York who were denied coverage for medically necessary dental care by New York State.

The settlement will affect roughly five million individuals statewide, as reported by The New York Times. Most significantly, it ends the strict limit denying coverage for crowns and root canals to individuals with more than four pairs of teeth, an archaic policy not aligned with modern US dental practice. Coverage for those procedures will now be approved for Medicaid recipients when deemed medically necessary. Changes to the benefit program focus on added coverage for routine dental care and procedures, to help Medicaid patients preventatively maintain better oral and overall health.