R414-49-2. Definitions

Terms used in this rule are defined in Rule R414-1. Additionally: (1) "Acute" means referring to a disease or illness of sudden onset and brief course, not chronic. (2) "Anterior tooth" means tooth numbers: (a) 6 through 11; (b) 22 through 27; (c) C through H; and (d) M through R. (3) "Chronic" means a persistent condition in relation to a disease or illness. (4)(a) "Dental service" means a covered service performed within the scope of a Medicaid-enrolled dental provider's license as defined in Title 58, Occupations and Professions. (b) A dental service may occur whether furnished in a hospital, an office, a skilled nursing facility, or elsewhere. (5) "Diagnosis" means the identification of a disease or condition. (6) "Posterior tooth" means tooth numbers: (a) 1 through 5; (b) 12 through 21; (c) 28 through 32; (d) A through B; (e) I through L; and (f) S through T. (7) "PRISM" means Provider Reimbursement Information System for Medicaid.