CSHCN 2008 > Dental > Benefits and Limitations

13.3.5 Dental Treatment in Hospitals and/or Ambulatory Surgical Centers

All inpatient hospital admissions require prior authorization. Except for those procedures that require prior authorization, admission to freestanding ASCs or outpatient hospital ambulatory surgical centers (HASCs) for the purpose of performing dentistry services must be authorized by TMHP.

Hospital and outpatient facility admissions are subject to medical necessity review.

Refer to: Chapter 18, "Hospital," on page 18-1 for more information about requirements for inpatient and outpatient services.