23 Miss. Code. R. 204-1.17 - Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
The Division of Medicaid pays for all medically necessary services for Early and Periodic Screening, Diagnosis and Treatment (EPSDT)-eligible beneficiaries in accordance with Miss. Admin. Code Part 223, without regard to service limitations and with prior authorization.
A. Orthodontic services are covered and prior
authorized by the Division of Medicaid or designated entity for EPSDT eligible
beneficiaries.
B.
Orthodontia-related services are limited to $4,620 per beneficiary per
lifetime.
C. Orthodontic services
in excess of the $4,620 lifetime limit may be provided with prior authorization
from the Division of Medicaid's UM/QIO or a contracted CCO's UM/QIO.
Notes
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