Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XXV - Adult Dentures
Chapter 5 - Covered Services
Section XXV-503 - Denture Replacement and Denture Reline
Current through Register Vol. 50, No. 9, September 20, 2024
A. Effective for dates of service on or after January 22, 2010, only one complete or partial denture per arch is allowed in an eight-year period. The eight-year time period begins from the date that the previous complete or partial denture for the same arch was delivered. A combination of two complete or partial denture relines per arch or one complete or partial denture and one reline per arch is allowed in an eight-year period, as prior authorized by the bureau or its designee.
B. For relines, at least one year shall have elapsed since the complete or partial denture was delivered or last relined.
C. Cast partial dentures continue to be a noncovered service in the Adult Denture Program.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
