23 Miss. Code. R. 204-1.11 - Dental Services Provided in the Hospital or Ambulatory Surgical Center (ASC) Setting

A. The Division of Medicaid covers medically necessary dental treatment in the outpatient hospital or Ambulatory Surgical Center (ASC) setting when all the following are met:

1. Quality, safe, and effective treatment cannot be provided in an office setting,

2. Inpatient hospitalization is not medically necessary, [Refer to Miss. Admin. Code Part 204, Rule 1.11.B.] and

3. Certain dental procedures have been prior authorized by the Division of Medicaid or designee.

B. The Division of Medicaid covers medically necessary dental treatment in the inpatient hospital setting when:

1. The beneficiary's age, medical or psychological needs, and the extent of treatment necessitate hospitalization, and

2. Prior authorized by the Division of Medicaid or designee.

Notes

23 Miss. Code. R. 204-1.11

Miss. Code Ann. § 43-13-121.

Amended 9/1/2015 Amended 10/1/2019