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19.18.3 Completion of Treatment Plan
If a client reaches 21 years of age or loses Medicaid eligibility before the authorized orthodontic treatment is completed, reimbursement is provided to complete the orthodontic treatment that was authorized and initiated while the client was younger than 21 years of age, eligible for Medicaid and THSteps, and completed within 36 months. Any orthodontic-related service requested (e.g., extractions or surgeries) must be completed before the loss of client eligibility. Services cannot be added or approved after Medicaid/THSteps eligibility has expired.
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