JADA welcomes letters from readers on articles that have appeared in The Journal. The Journal reserves the right to edit all communications and requires that all letters be signed. Letters must be no more than 550 words and must cite no more than 5 references. No illustrations or tables will be accepted. A letter concerning a recent JADA article will have the best chance of acceptance if it is received within 2 months of the article’s publication. For instance, a letter about an article that appeared in April JADA usually will be considered for acceptance only until the end of June. Letters regarding articles published online ahead of print will be published after the article appears in print if the letter is selected for publication. You may submit your letter via e-mail in Word format to jadaletters@ada.org; by fax to 1-312-440-3538; or by mail to Letters to the JADA Editor, Publishing Division, American Dental Association, 211 E. Chicago Ave, Chicago, IL. 60611-2678. By sending a letter to the editor, the author acknowledges and agrees that the letter and all rights of the author in the letter sent become the property of The Journal. Letter writers are asked to disclose any personal or professional affiliations or conflicts of interest that readers may wish to take into consideration in assessing their stated opinions. The views expressed are those of the letter writer and do not necessarily reflect the opinion or official policy of the Association. Brevity is appreciated.In an article published in the April issue of JADA titled “Impact of a Medicaid Policy on Preventive Oral Health Services for Children With Intellectual Disabilities, Developmental Disabilities, or Both” (Kranz AM, Ross R, Sorbero M, Kofner A, Stein BD, Dick AW. JADA. 2020;151[4]:255-264.e3), the authors analyze the use of preventive oral health services (POHS) in medical offices for children with intellectual disabilities, developmental disabilities, or both (IDD). This study concluded that children younger than 3 years with IDD in states with Medicaid policies that allowed for administration of POHS in medical offices were more likely to receive those services than children in states without these types of policies for POHS. This study emphasizes the importance of state Medicaid policies including accommodations for the administration of POHS in medical offices for children with IDD. It is imperative that state Medicaid policies also accommodate for adults with IDD, especially in states without Medicaid dental benefits for adults.Poor oral health can be easily prevented through simple oral hygiene practices, such as brushing, flossing, and consistent dental follow-ups. Despite the ease in poor oral health prevention, there is still a high rate of poor oral health seen in adults with intellectual disabilities. Many adults with special health care needs (SHCN) are unable to afford private dental insurance and are often enrolled in Medicaid; however, in states like Alabama where dental coverage is not included for adults on Medicaid, these patients are often left without a dental home to provide these important POHS. Low Medicaid reimbursement rates also often deter dentists from seeing patients enrolled in Medicaid in states with Medicaid policies that do provide dental coverage for adults.These obstacles emphasize the need for creating alternative routes for administration of POHS in medical offices for adults with IDD during regular visits. With advances in medical care, many children with SHCN are able to live longer, contributing to a rise in adults with SHCN, so this expansion of POHS for adults is an important endeavor. This article by Kranz and colleagues calling for improvements in minimizing barriers for Medicaid-insured children with IDD in receiving POHS is timely and should be followed by a call for mimicking these same improvements for adults with IDD, especially in the wake of the COVID-19 pandemic and the decrease in discretionary spending available for most of the US population. Now, more than ever, the cost efficiency of providing preventive services is paramount.