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Florida Medicaid Healthy Behavior Incentive Form

To get your $20 Amazon gift card you must:

  • Receive one of the qualifying services below within the first 180 days of enrollment with DentaQuest.
  • Complete and submit this form.

Check the qualifying service(s) you received:

Members age 0-20 years

Member Information

Preventistry Pulse


The newsletter designed for anyone who wants to improve oral health for themselves, their families, customers or communities.