LAC 50: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.