Kids Smile Kosciusko

Oral Health Education and Assistance for Children

Kids Smile Kosciusko provides oral health education and assistance for young children through the following two components:

  1. Early childhood education for pregnant women through preschool-aged children, and
  2. Dental examinations with needed follow-up treatment for children 3rd grade and younger

Kids Smile Kosciusko primarily focuses on educating parents and children on healthy dental hygiene, encouraging routine dental examinations to care for primary (baby) teeth, and helping pay for treatment necessary to promote a healthy mouth.

Client Information Checklist Kids Smile VS Dental Assistance

I am forever grateful to Kids Smile Kosciusko for their help.
Kari, Claypool

Eligibility Information

To be eligible, your child must:

  • Be a Kosciusko County resident or attend an elementary school in Kosciusko County
  • Be eligible for Free or Reduced Price lunch or parents be income-eligible
  • Be 3rd grade or younger

To qualify your child for dental evaluation/treatment, you must bring:

  • Parent’s Picture ID & Proof of living address
  • Letter from school for Free or Reduced Price Lunch, or Proof of parent’s income

Income documentation includes, but is not limited to:

  • Letter from school stating child receives Free or Reduced Price Lunch, or
  • Proof of parent’s income
    • Most recent tax return
    • Most recent paycheck stub
    • Child support docket
    • Unemployment statement
    • Social Security award letter or benefit statement

Frequently Asked Questions

Kids Smile Kosciusko

Who qualifies for Kids Smile dental evaluations and treatment?

Any child who is in 3rd grade or younger, eligible for free or reduced-price lunch or has family income at or below 250% Federal Poverty Level would qualify for a free dental examination and necessary treatment. Medication & Dental Assistance will make every attempt to serve a child, regardless of age or grade, to meet his/her emergency dental need.

What does the Kids Smile voucher cover?

The voucher will cover the cost of the examination which may include an oral evaluation, x-rays, and treatment planning. Treatment planning is up to the discretion of the dentist. Vouchers will cover the cost of extraction(s), filling(s), root canal(s), and stainless steel crown(s), as specified by the dentist. The dentist can complete a full preventative exam with the voucher, which includes a professional cleaning and fluoride varnish.

What if there are additional needs that the voucher does not cover?

The dentist will complete a treatment plan to meet the immediate needs of the patient. Anything thereafter could be the financial responsibility of the patient.

How is Kids Smile different from the Dental Assistance program?

The Dental Assistance program is restricted to emergency situations, collects a $10 cash application fee, and serves adults and children 4th grade and older. Kids Smile is not limited to emergency situations, provides vouchers to include preventative dental care (i.e. cleanings, fluoride), collects no application fee, and only serves children in 3rd grade or younger.

General Questions

Can I request assistance over the phone?

Medication Assistance (Medication vouchers, medical supply vouchers, long term prescription assistance):

  • Yes, if you are already qualified for the program, we can provide assistance over the phone, including faxing vouchers to the pharmacy

Dental Assistance

  • No, you must be in-person to receive a dental voucher
Who is Eligible?

To have accurate information for each specific program, please visit the program tab and look at the Eligibility Information. Generally, individuals who are Kosciusko County residents and have family income at or below 250% Federal Poverty Guidelines may be eligible for Medication & Dental Assistance programs. For any questions, call or visit our office to speak with a staff member to help determine if you may be eligible for one or more of our programs.

What proves residency?

A picture ID with current living address will provide the proof we require. If your picture ID does not have your current living address, please bring a piece of mail, bill, or other professional document with such information.

What is family income?

Family size is determined by the number of individuals the client would claim if filing a federal tax return. Documentation of income is needed for any family member over the age of 18.

What is used for proof of income?

Income documentation includes, but is not limited to:

  • Most recent tax return
  • Most recent paycheck stub
  • Child support docket
  • Unemployment statement
  • Social security award letter
What if I have no income?

For verification of no income, a form is completed with our staff to document how you are financially supported.

What is 250% of the Federal Poverty Level?

All of our programs use the income guidelines established by the government to determine eligibility for assistance. Guidelines are based on gross annual income, which means deductions, wage garnishments, and monthly expenses are not taken into account. At 250% of the poverty line for 2023, monthly and yearly income looks like this:

  • Family of 1: $3,038 monthly or $36,450 yearly
  • Family of 2: $4,108 monthly or $49,300 yearly
  • Family of 3: $5,179 monthly or $62,150 yearly
  • Family of 4: $6,250 monthly or $75,000 yearly
  • Family of 5: $7,321 monthly or $87,850 yearly
I have insurance, can you help?

Yes. Our program can help with medication, medical supplies, or emergency dental assistance even if you have insurance coverage. As long as you qualify based on income (250% of the Federal Poverty Level) and live in Kosciusko County, we should be able to help.

How are you funded?

Medication & Dental Assistance is fully funded through donations and private organizations. The K21 Health Foundation is the primary funder of the agency’s programs and operations. Medication & Dental Assistance is not a program of the government and does not receive any governmental funding.