26 Tex. Admin. Code § 256.70 - Dental Preventive and Treatment Services
(a) In addition to dental check-ups, which
may include radiographs and other diagnostic tests, clients are eligible to
receive the following dental services and treatment, as described in detail in
the TMPPM:
(1) diagnostic;
(2) preventive;
(3) therapeutic (including
orthodontic);
(4) emergency;
and
(5) medically necessary
treatment.
(b) Prior
authorization may be required for certain services and documentation
requirements must be met, as described in detail in the TMPPM. All dental
services are subject to utilization review, as described in §
33.72 of this subchapter (relating
to Dental Utilization Reviews).
(c)
THSteps dental providers are required to perform dental services as described
in detail in the TMPPM.
(d) THSteps
dental providers may conduct an oral evaluation as a teledentistry dental
service, as defined in Texas Occupations Code §
111.001, for
established clients using synchronous audiovisual technologies.
Notes
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