Telehealth Dental Pilot Project in Medical

ly Underserved Populations PURPOSE: To implement the provisions of section 332.325, RSMo. (1) Pursuant to the provisions of section 332.325, RSMo, the board is collaborating with the Office of Dental Health (ODH) within the Missouri Department of Health and Senior Services (DHSS) to create a pilot project designed to examine new methods of extending dental care to residents in assisted living facilities, intermediate care facilities, residential care facilities, skilled nursing facilities, and homebound special needs pa tients. (2) This pilot project, as set forth in section (1) above, will ne cessitate a waiver of the following provisions of Chapter 332, RSMo, and previously promulgated regulations pursuant to section 332.325, RSMo. (A) Specific provisions of sections 332.093 and 332.098, RSMo, and 20 CSR 2110-2.120 in order to allow a dentist to supervise a dental assistant, certified dental assistant, or expanded func tions dental assistant using telehealth technology. A supervis ing dentist may delegate to an expanded functions dental as sistant any expanded function duties that the dental assistant has a board issued permit for. (B) Specific provisions of 20 CSR 2110-2.130 to allow a licensed dental hygienist to administer local anesthetic under the su pervision of a dentist using telehealth technology. (C) Specific provisions of sections 332.071 and 332.093, RSMo, and 20 CSR 2110-2.120 to allow temporary restorations or car ies-arresting fluoride under the supervision of a dentist using telehealth technology subsequent to an examination and diag nosis by the supervising dentist. (D) Specific provisions of 20 CSR 2110-2.001 and 20 CSR 21102.130 to allow a licensed dental hygienist to provide scaling and polishing, root planing, and nonsurgical periodontal pro cedures prior to the supervising dentist performing an exam ination pursuant to standing orders written by the supervising dentist. (3) The provisions of this rule shall only apply to dental health care workers providing services pursuant to a pilot project created through a collaboration between ODH and the board and shall expire on August 28, 2026, in accordance with section 332.325, RSMo. AUTHORITY: section 332.031, RSMo 2016, and section 332.325, RSMo Supp. 2022.* Emergency rule filed Dec. 28, 2022, effective Jan. 12, 2023, expired July 10, 2023. Original rule filed Dec. 28, 2022, effective June 30, 2023. *Original authority: 332.031, RSMo 1969, amended 1981, 1993, 1995, and 332.325, RSMo 2022.