New York Codes, Rules and Regulations
Title 18 - DEPARTMENT OF SOCIAL SERVICES
Chapter II - Regulations of the Department of Social Services
Subchapter E - Medical Care
Article 3 - Policies and Standards Governing Provision of Medical and Dental Care
Part 506 - Dental Care
Section 506.4 - Orthodontic care
Universal Citation: 18 NY Comp Codes Rules and Regs ยง 506.4
Current through Register Vol. 46, No. 39, September 25, 2024
(a) Orthodontic care shall be provided, in accordance with criteria and procedures set forth in the Medicaid Dental Provider Manual at https:// www.emedny.org/ProviderManuals/Dental/index.aspx, only:
(1) for a person under 21 years of age with a
severe physically handicapping malocclusion, up to a maximum of three years of
active orthodontic care, plus one year of retention care, provided that
treatment was approved and active therapy begun prior to the person's 21st
birthday; or
(2) for a person 21
years of age or older, in connection with necessary surgical treatment (e.g.,
approved orthognathic surgery, reconstructive surgery or cleft palate
treatment).
(b) Orthodontic care shall be provided only by qualified practitioners as determined by the department.
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