What is a must-have when applying SDF under Medicaid 1st Look?

• A. Informed consent as well as a picture
• B. A parent’s signature
• C. A clinical exam
• D. A consent form only

Answer: (A)

Consent with documentation is required when applying SDF under Medicaid 1st Look. Guardians must give informed consent, which means they understand what silver diamine fluoride does, its benefits and limits, potential side effects like staining, and any alternatives. Along with consent, a clear photograph of the tooth or lesion before treatment provides a visual record of the initial condition and supports proper documentation for Medicaid oversight and follow-up. A parent's signature alone confirms agreement but doesn’t capture the clinical baseline or provide the visual documentation that the program requires; a clinical exam alone doesn’t satisfy the consent and photo documentation needs; a consent form only omits the necessary photographic evidence.