CSHCN 2009 > Dental > Benefits and Limitations

14.2.3.1 Prior Authorization Requirements

Prior authorization is required for all orthodontic services except for the initial orthodontic visit. Prior authorization is only approved for a complete orthodontic treatment plan. Prior authorization is not transferable to another dentist. The new provider must request prior authorization to complete the orthodontic treatment initiated by the previous provider.

Refer to: Section 4.3, "Prior Authorizations" for detailed information about prior authorization requirements.

Appendix B, "CSHCN Services Program Prior Authorization Request for Dental or Orthodontia Services" for an example of this form.