Current through Register Vol. 61, No. 4, April 1, 2022
(1) This rule sets
forth the access standards for dental care for pregnant individuals who receive
Oregon Health Plan (OHP) benefits through the fee-for-service (FFS) delivery
Pregnant clients shall
be seen, treated in person or via teledentistry for an OHP-covered service
within the following time frames:
emergency dental care: within 24 hours;
(b) For urgent dental care: within one
(c) For routine dental care:
within four weeks, unless there is a documented special clinical reason that
would make access longer than four weeks appropriate;
(d) For initial dental screening or
examination: four weeks.
Additional Dental Services are available
to pregnant individuals if authorized as medically/Dentally Necessary due to
the pregnancy. Additional services include:
(a) Additional prophylaxis, fluoride and
crowns and resin-based composite crowns for anterior teeth;
(c) Prefabricated post and core;
(d) Root canals on first molars;
(e) Apexification/recalcification, pulpal
(f) Alveoplasty not
in conjunction with extractions.
(4) Nothing in this rule obligates a pregnant
individual who receives dental care through the FFS delivery system to accept
an offered appointment.
Or. Admin. R.
28-2016, f. & cert. ef.
50-2021, amend filed 12/24/2021, effective
13-2022, amend filed 02/09/2022, effective
Statutory/Other Authority: ORS
Statutes/Other Implemented: ORS