Section 3999.365 - Dental Authorization Review Committee(a) Each institution shall maintain a Dental Authorization Review (DAR) Committee. The DAR Committee shall approve or disapprove requests for: (1) Dental services otherwise excluded pursuant to section 3999.200(b).(2) Deviations from treatment policy.(3) Medically necessary treatment that requires a contracted specialist to provide treatment at the local institution.(4) Medically necessary treatments, diagnostic studies, or consultations that cannot be accomplished at the local institution.(5) Treatment recommendations for special dental care needs.(b) DAR Committee requests at the institution level shall be reviewed and either approved or disapproved within 15 business days of receipt by the DAR Committee and shall be based on criteria established in section 3999.200(c). DAR Committee decisions shall be documented in the patient's health record. Cases that receive DAR Committee approval and that require Dental Program Health Care Review Committee (DPHCRC) approval pursuant to section 3999.366(a), shall be forwarded, along with all supporting documentation, to the DPHCRC. The treating dentist shall notify the patient of the DAR Committee's decision.(c) The DAR Committee and DPHCRC approval process may be bypassed if the Supervising Dentist determines that the specialty services or consultation are required because of an Emergency dental condition, as defined in section 3999.367(f)(1), or an Urgent dental condition requiring that treatment be initiated within one calendar day, as defined in section 3999.367(f)(2).Cal. Code Regs. Tit. 15, § 3999.365
1. Change without regulatory effect renumbering former section 3352.2, subsections (b)-(d) to new section 3999.365, including amendment of section and NOTE, filed 4-15-2019 pursuant to section 100, title 1, California Code of Regulations (Register 2019, No. 16).
2. Amendment filed 10-28-2021; operative 1-1-2022 (Register 2021, No. 44). Filing deadline specified in Government Code section 11349.3(a) extended 60 calendar days pursuant to Executive Order N-40-20 and an additional 60 calendar days pursuant to Executive Order N-71-20. Note: Authority cited: Section 5058, Penal Code. Reference: Section 5054, Penal Code; and Perez, et al. v. Cate, et al., (No. C05-05241 JSW), U.S. District Court, Northern District of California.
1. Change without regulatory effect renumbering former section 3352.2, subsections (b)-(d) to new section 3999.365, including amendment of section and Note, filed 4-15-2019 pursuant to section 100, title 1, California Code of Regulations (Register 2019, No. 16).
2. Amendment filed 10-28-2021; operative 1/1/2022 (Register 2021, No. 44). Filing deadline specified in Government Code section 11349.3(a) extended 60 calendar days pursuant to Executive Order N-40-20 and an additional 60 calendar days pursuant to Executive Order N-71-20.