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Indiana Administrative Code (Last Updated: December 20, 2016) |
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Title 405. OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES |
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Article 405IAC5. MEDICAID SERVICES |
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Rule 405IAC5-14. Dental Services |
| Section 405IAC5-14-1. Policy |
| Section 405IAC5-14-2. Covered services |
| Section 405IAC5-14-3. Diagnostic services |
| Section 405IAC5-14-4. Topical fluoride |
| Section 405IAC5-14-5. Treatment of dental caries |
| Section 405IAC5-14-6. Prophylaxis |
| Section 405IAC5-14-7. Periodontal root planing and scaling |
| Section 405IAC5-14-8. Extractions |
| Section 405IAC5-14-9. Space maintenance |
| Section 405IAC5-14-10. Pulpcap (Repealed) |
| Section 405IAC5-14-11. Analgesia |
| Section 405IAC5-14-12. Infection control |
| Section 405IAC5-14-13. Emergency treatment of dental pain |
| Section 405IAC5-14-14. Office visits |
| Section 405IAC5-14-15. General anesthesia and intravenous sedation |
| Section 405IAC5-14-16. Periodontics; surgical |
| Section 405IAC5-14-17. Oral surgery |
| Section 405IAC5-14-18. Hospital admissions for covered dental services or procedures |
| Section 405IAC5-14-19. Prior authorization for early and periodic screening, diagnostic, and treatment covered services |
| Section 405IAC5-14-20. Dental services provided in a state owned ICF/IID |
| Section 405IAC5-14-21. Maxillofacial surgery |