Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 204 - Dental Services
Chapter 1 - General
Rule 23-204-1.17 - Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
Current through September 24, 2024
The Division of Medicaid pays for all medically necessary services for Early and Periodic Screening, Diagnosis and Treatment (EPSDT)-eligible beneficiaries in accordance with Miss. Admin. Code Part 223, without regard to service limitations and with prior authorization.
A. Orthodontic services are covered and prior authorized by the Division of Medicaid or designated entity for EPSDT eligible beneficiaries.
B. Orthodontia-related services are limited to $4,620 per beneficiary per lifetime.
C. Orthodontic services in excess of the $4,620 lifetime limit may be provided with prior authorization from the Division of Medicaid's UM/QIO or a contracted CCO's UM/QIO.
Miss. Code Ann. § 43-13-121.
