La. Admin. Code tit. 50 § XV-6901

Current through Register Vol. 50, No. 11, November 20, 2024
Section XV-6901 - General Provisions
A. Medicaid recipients who are under 21 years of age are eligible to receive services covered by the EPSDT Dental Program.
B. Provider participation is limited to those dentists who are duly licensed and authorized to practice dentistry in the State of Louisiana and who are enrolled in the Medicaid Program as a dental provider.
C. Prior authorization is required for certain dental services covered in the EPSDT Dental Program. Services requiring prior authorization are identified in the Dental Services Manual, EPSDT Dental Program Fee Schedule.

La. Admin. Code tit. 50, § XV-6901

Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 27:1240 (August 2001), amended LR 28:2534 (December 2002), repromulgated LR 29:176 (February 2003), amended LR 33:1138 (June 2007).
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.