Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XV - Services for Special Populations
Subpart 5 - Early and Periodic Screenings, Diagnosis, and Treatments
Chapter 69 - Direct Dental Services
Section XV-6901 - General Provisions
Current through Register Vol. 50, No. 9, September 20, 2024
A. Medicaid recipients who are under 21 years of age are eligible to receive services covered by the EPSDT Dental Program.
B. Provider participation is limited to those dentists who are duly licensed and authorized to practice dentistry in the State of Louisiana and who are enrolled in the Medicaid Program as a dental provider.
C. Prior authorization is required for certain dental services covered in the EPSDT Dental Program. Services requiring prior authorization are identified in the Dental Services Manual, EPSDT Dental Program Fee Schedule.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
