|
19.7 Periodicity for THSteps Dental Services
A client is eligible for routine periodic oral evaluations and preventive dental services beginning at 12 months of age and at six-month (181-day) intervals thereafter based on the date of the last dental check up service. The Texas Medicaid Program has adopted the American Academy of Pediatric Dentistry's (AAPD) "Guideline on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance, and Oral Treatment for Children" to serve as a guide and reference for dentists when scheduling and providing services to THSteps clients. These guidelines can be found in Appendix N, pages N-2 through N-4.
In November 2004, the American Dental Association (ADA) in conjunction with the U.S. Food and Drug Administration established "Guidelines for Prescribing Dental Radiographs." The guidelines include type of encounter relevant to the client's age and dental developmental stage. The Texas Medicaid Program has adopted the ADA "Guidelines" to serve as a guide and reference for dentists who treat THSteps clients. These guidelines can be found in Appendix N, pages N-5 through N-8.
The THSteps dental provider may provide any other medically necessary dental service such as emergency, therapeutic, and orthodontic services that is within the Texas Medicaid Program's guidelines and limitations specified for each area as long as the client's Medicaid eligibility is current for the month that dental services are being provided.
|
