LAC 50:IX.15105
LAC 50:IX.15105. Fluoride Varnish Application Services
Cite as La. Admin. Code tit. 50, pt. IX, ยง 15105
A. Effective for dates of service on or after December 1, 2011, the Medicaid Program shall provide reimbursement for fluoride varnish application services rendered by qualified health care professionals in a physician office setting.
B. Reimbursement for fluoride varnish application services shall be a flat fee based on the appropriate HCPCS code.