Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 204 - Dental Services
Chapter 1 - General
Rule 23-204-1.4 - Non-covered Services

Universal Citation: MS Code of Rules 23-204-1.4

Current through September 24, 2024

A. Non-covered dental services include, but not limited to, the following:

1. Comprehensive oral evaluation,

2. Preventive services,

3. Amalgams, composites, and crowns,

4. Endodontics,

5. Dentures, and

6. Orthodontia.

B. The Division of Medicaid does not cover for scheduling/rescheduling for any dental or oral surgical procedure in any treatment setting.

Miss. Code Ann. § 43-13-121.

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