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19.8 Dental Referrals
Routine Dental Referrals
Beginning at the age of 12 months, THSteps primary care providers should include in their anticipatory guidance, information on initiation of routine dental services with the recommendation to the client's parent that an appointment be scheduled with a dental provider in order to establish a dental home. If a THSteps dental check up reveals a dental health condition that requires follow-up diagnosis or treatment, the provider performing the dental check up should assist the client in planning follow-up care within their practice or in making a referral to another qualified dental provider.
If the client is enrolled in a Medicaid Managed Care health maintenance organization (HMO) for their medical care, the dental care will be provided by fee-for-service THSteps dental providers. However, other providers, such as the facility and anesthesiology care, must be HMO network providers, and facility and anesthesiology services must be pre-approved by the HMO.
Note: Clients up to 21 years of age also may self-refer for dental services.
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