According to Oral Health America’s 2013 A State of Decay Vol. II report, Arizona received an overall “Poor” rating of 33.6 percent. The state of Arizona is ranked forty-sixth in the nation for both public health and healthcare delivery factors that improve the oral health of older adults. Approximately 60 percent rate or less of Arizona’s residents are receiving fluoridated water or are served by Community Water Fluoridation. Arizona’s Medicaid dental coverage provides a limited dental plan that partially delivers oral health benefits to its recipients. The current rate of Edentulism in Arizona is between 12.4 and 14.8 percent. Arizona’s State Oral Health Plan is older than 2008 or does not explicitly state older adult objectives, resulting in a score of 1. The state also demonstrates 30 percent or higher of Dental Health Professional Shortage Area need met.