23 MAC Pt. 204, R. 1.16
Documentation Requirements
Cite as 23 Miss. Admin. Code Pt. 204, R. 1.16
Documentation Requirements
Dental providers must maintain auditable records containing documentation that substantiate the
services provided in accordance with requirements set forth in Miss. Admin. Code Part 200,
Chapter 1, Rule 1.3. including, but not limited to:
A. Date of service,
B. History taken on initial visit,
C. Chief complaint on each visit,
D. Test, radiographs and results must have the beneficiary’s name, the date, must be legible, and
must be maintained on file with the beneficiary’s dental records.
E. Diagnosis,
F. Treatment, including prescriptions,
G. Signature or initials of dentist after each visit, and
H. Copies of hospital and/or emergency room records if available.