New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 56 - MANUAL FOR DENTAL SERVICES
Subchapter 1 - DENTAL SERVICES; GENERAL PROVISIONS
Section 10:56-1.8 - Non-covered services

Universal Citation: NJ Admin Code 10:56-1.8

Current through Register Vol. 56, No. 18, September 16, 2024

(a) A non-covered service is that procedure which is primarily for cosmetic purposes, for which dental necessity cannot be demonstrated, or which is determined to be beyond the scope of the program by a Medicaid/NJ FamilyCare dental consultant as specified in this chapter.

(b) Medical/dental supplies and equipment and other devices that are essential for the beneficiary's medical/dental condition shall be allowable unless such services are otherwise available at no charge from community services (such as the American Cancer Society or other service organizations).

(c) Standard tooth brushes, dental floss, and like items are considered personal hygiene items and shall not be covered by the Medicaid/NJ FamilyCare fee-for-service program.

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