Current adult and children's summaries state that prior authorization is not required in emergency situations; the clinical facts and billing must still meet emergency rules.

Choose the right first call
- Call a dental office promptly for severe tooth pain, a broken tooth, swelling, drainage, a lost restoration with pain, or bleeding after dental treatment.
- Call 911 or go to an emergency department for trouble breathing or swallowing, rapidly spreading face or neck swelling, major facial trauma, fainting, confusion, or uncontrolled bleeding.
- For a knocked-out permanent tooth, handle it by the crown rather than the root, keep it moist, and seek immediate dental guidance. Do not force a baby tooth back into place.
- Do not place aspirin on the tooth or gum. Ask a clinician or pharmacist about medication safety for the specific patient.
How the Health First Colorado emergency benefit works
DentaQuest's current adult and children's summaries state that emergency dental care has no frequency limit and does not require prior authorization. For adults, emergency treatment is also outside the $3,000 July–June annual benefit limit that began July 1, 2026.
The plan decides whether services qualify as emergency treatment based on the clinical record and billing. A same-day appointment or severe pain does not automatically make every proposed procedure an emergency benefit.
Find an urgent Medicaid dentist in Denver
- 1
Describe the symptoms clearly
Tell the office when the problem began and mention swelling, fever, injury, drainage, bleeding, or difficulty opening the mouth.
- 2
Confirm Health First Colorado participation
Ask whether the exact location and treating dentist are enrolled and accepting urgent patients.
- 3
Ask what the first visit includes
An urgent exam and imaging may lead to stabilization, a later treatment visit, or a specialist referral.
- 4
Cross-check with DentaQuest
If you cannot find an appointment, use the official dentist finder or call the number on your member materials for help.
After an emergency-department visit
A hospital can evaluate serious infection, trauma, bleeding, dehydration, or airway risk and may provide stabilization. Many emergency departments do not provide definitive dental procedures such as fillings, root canals, or routine extractions.
Follow the discharge instructions and arrange dental follow-up. Bring the discharge paperwork, images if available, medication list, and member information to the dentist. Do not stop or change prescribed medicine without speaking with the prescribing clinician.
Primary sources
Verify the details that affect your care
We use official program materials and clearly identify Star Dental pages. Policies and personal benefit status can change.
- DentaQuest adult dental benefit summary
- DentaQuest children's dental benefit summary
- DentaQuest Health First Colorado member page