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 506.5 - Utilization review

(a) Part 511 of this Title authorizes the department to establish a system for utilization review for specific provider types, including dental services and supplies. Part 511 also describes the services and procedures excluded from the utilization review for all provider service types.

(b) General rule. The department will pay for up to three dental service encounters in a benefit year. For purposes of this section, each discrete visit to a dentist or to a dental clinic is one encounter, regardless of the number of services provided or procedures performed during the visit.