Missouri Code of State Regulations
Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE
Division 2110 - Missouri Dental Board
Chapter 2 - General Rules
Section 20 CSR 2110-2.133 - Telehealth Dental Pilot Project in Medically Underserved Populations

Universal Citation: 20 MO Code of State Regs 2110-2.133

Current through Register Vol. 49, No. 6, March 15, 2024

PURPOSE: To implement the provisions of section 332.325, RSMo.

(1) Pursuant to the provisions of section 332.325, RSMo, the board is collaborating with the Office of Dental Health (ODH) within the Missouri Department of Health and Senior Services (DHSS) to create a pilot project designed to examine new methods of extending dental care to residents in assisted living facilities, intermediate care facilities, residential care facilities, skilled nursing facilities, and homebound special needs patients.

(2) This pilot project, as set forth in section (1) above, will necessitate a waiver of the following provisions of Chapter 332, RSMo, and previously promulgated regulations pursuant to section 332.325, RSMo.

(A) Specific provisions of sections 332.093 and 332.098, RSMo, and 20 CSR 2110-2.120 in order to allow a dentist to supervise a dental assistant, certified dental assistant, or expanded functions dental assistant using telehealth technology. A supervising dentist may delegate to an expanded functions dental assistant any expanded function duties that the dental assistant has a board issued permit for.

(B) Specific provisions of 20 CSR 2110-2.130 to allow a licensed dental hygienist to administer local anesthetic under the supervision of a dentist using telehealth technology.

(C) Specific provisions of sections 332.071 and 332.093, RSMo, and 20 CSR 2110-2.120 to allow temporary restorations or caries-arresting fluoride under the supervision of a dentist using telehealth technology subsequent to an examination and diagnosis by the supervising dentist.

(D) Specific provisions of 20 CSR 2110-2.001 and 20 CSR 21102.130 to allow a licensed dental hygienist to provide scaling and polishing, root planing, and nonsurgical periodontal procedures prior to the supervising dentist performing an examination pursuant to standing orders written by the supervising dentist.

(3) The provisions of this rule shall only apply to dental healthcare workers providing services pursuant to a pilot project created through a collaboration between ODH and the board and shall expire on August 28, 2026, in accordance with section 332.325, RSMo.

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