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2012 Texas Medicaid Provider Procedures Manual

Children’s Services Handbook : 5. THSteps Medical : 5.3 Services, Benefits, Limitations, and Prior Authorization : 5.3.10 Non-Mandated Components

5.3.10
5.3.10.1
An OEFV (procedure code 99429) is aimed at improving oral health outcomes for clients who are 6 through 35 months of age by initiating a limited set of preventive dental services (not a dental checkup) in the medical home. OEFV is not a required component of a THSteps medical checkup.
The OEFV must be billed on the same date of service as a medical checkup visit and is limited to six services per lifetime by any provider. Procedure code 99429 must be billed with modifier U5 and diagnosis code V202.
An OEFV is not a required component of a THSteps medical checkup, but providers are encouraged to participate in this preventive intervention. OEFV is limited to THSteps medical checkup providers who have completed the required benefit education and are certified by the DSHS Oral Health Program to perform OEFV services.
Training for certification is available as a free continuing education course on the THSteps website at www.txhealthsteps.com.
The OEFV add-on includes the following components:
The intermediate oral evaluation components that may be performed by a trained staff member are:
If the client has no erupted teeth, additional dental anticipatory guidance is expected.
Note:

Texas Medicaid & Healthcare Partnership
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