Ohio Admin. Code 5160-4-33 - Application of topical fluoride varnish by non-dentist providers

(A) Payment may be made not more frequently than once per one hundred eighty days to a physician, physician assistant, or advanced practice registered nurse for the topical application of fluoride varnish to the teeth of a child younger than six years of age. by any of the following practitioners:
(1) A physician;
(2) A physician assistant; or
(3) An advanced practice registered nurse.
(B) As part of the application of fluoride varnish, a practitioner must provide provides three related services:
(1) An oral assessment for the identification of obvious oral health problems and risk factors, which may be omitted if an oral assessment is conducted or has been conducted during an early and periodic screening, diagnosis, diagnostic, and treatment (EPSDT) visit;
(2) Communication with the parent or guardian about the fluoride varnish procedure and proper oral health care for the child; and
(3) If the child has obvious oral health problems and does not have a dental provider, referral to a dentist or to the county department of job and family services.
(C) The application of fluoride varnish during a well child visit or a sick child visit should not be the sole reason for the visit. Payment for the application of fluoride varnish is made separately from payment for a well child visit or a sick child visit.


Ohio Admin. Code 5160-4-33
Effective: 5/1/2021
Five Year Review (FYR) Dates: 12/14/2020 and 05/01/2026
Promulgated Under: 119.03
Statutory Authority: 5164.02
Rule Amplifies: 5164.02
Prior Effective Dates: 07/01/2006, 12/31/2012 (Emer.), 03/28/2013, 01/01/2016

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