048.0037.26.10

Ch. 26, § 10. Dental Services

Last amended: 2025Length: 74 wordsOfficial source

Cite as Medicaid Rules, Ch. 26, § 10

(a) Covered services for clients under the age of twenty-one (21): (i) Preventive visits; (ii) Restorative fillings, crowns, and tooth replacement; (iii) Extractions; (iv) Partial or complete dentures; (v) Root canal therapy; (vi) Periodontal treatment; (vii) Oral and maxillofacial surgery; (viii) Orthodontic treatment for severe malocclusions; and (ix) Palliative treatment. (b) Covered services for clients age twenty-one (21) and older: (i) Preventive visits; (ii) Extractions; (iii) Palliative treatment; and (iv) Oral and maxillofacial surgery.
048.0037.26.10: Ch. 26, § 10. Dental Services | Justis AI