§3174-F. Coverage for adult dental services








1. Coverage provided. 
The Department of Health and Human Services shall provide dental services, reimbursed
under the United States Social Security Act, Title XIX, or successors to it, to individuals
21 years of age and over, limited to:





A. Acute surgical care directly related to an accident where traumatic injury has occurred.
This coverage will only be provided for the first 3 months after the accident; [1989, c. 502, Pt. A, §72 (NEW).]










B. Oral surgical and related medical procedures not involving the dentition and gingiva; [1989, c. 502, Pt. A, §72 (NEW).]










C. Extraction of teeth that are severely decayed and pose a serious threat of infection
during a major surgical procedure of the cardiovascular system, the skeletal system
or during radiation therapy for a malignant tumor; [1997, c. 159, §1 (AMD).]










D. Treatment necessary to relieve pain, eliminate infection or prevent imminent tooth
loss; and [1997, c. 159, §1 (AMD).]










E.
[1991, c. 528, Pt. P, §14 (RP); 1991, c. 528, Pt. RRR, (AFF); 1991, c. 591, Pt. P, §14 (RP).]












F. Other dental services, including full and partial dentures, medically necessary
to correct or ameliorate an underlying medical condition, if the department determines
that provision of those services will be cost-effective in comparison to the provision
of other covered medical services for the treatment of that condition. [1997, c. 159, §2 (NEW).]







[
1997, c. 159, §§1, 2 (AMD);
2003, c. 689, Pt. B, §6 (REV)
.]








2. Demonstration projects. 
The department shall promptly take all appropriate steps to obtain necessary waivers,
if necessary, from the federal Department of Health and Human Services that enable
the State to provide within the limits of available funds, on a demonstration basis,
comprehensive dental services to Medicaid-eligible individuals who are 21 years of
age or older in public or private, nonprofit clinic settings. The department's goal
in pursuing these waivers or demonstration projects not requiring waivers is to determine
whether providing services in these settings promotes cost effectiveness or efficiency
or promotes other objectives of the federal Social Security Act, Title XIX.


By January 15, 1992, the department shall report to the joint standing committee of
the Legislature having jurisdiction over health matters regarding the progress of
its efforts under this subsection. The report must outline the department's progress
and recommend further action required in pursuit of any demonstration project under
this subsection.


[
1991, c. 528, Pt. P, §15 (AMD);
1991, c. 528, Pt. RRR, (AFF);
1991, c. 591, Pt. P, §15 (AMD)
.]





SECTION HISTORY

1989, c. 502, §A72 (NEW).
1989, c. 904, (AMD).
1991, c. 528, §§P13-15 (AMD).
1991, c. 528, §RRR (AFF).
1991, c. 591, §§P13-15 (AMD).
1997, c. 159, §§1,2 (AMD).
2003, c. 689, §B6 (REV).