Section 460IAC14-16-8. Dental restoration services

   (a) An evaluation by a licensed dentist, oral surgeon, or other dental service provider is required prior to the provision of any dental restoration service.

  (b) The VR program shall only pay for a dental examination when required:

(1) to complete an assessment to establish eligibility or ineligibility and priority for services; or

(2) to complete an assessment of vocational rehabilitation needs.

  (c) The VR program may not pay for:

(1) general, routine dental examinations on a recurring basis;

(2) dental services that are not restorative, such as preventive treatments;

(3) general, routine maintenance, repair, or replacement of existing braces, retainers, dentures, or similar devices;

(4) cosmetic procedures, including, but not limited to, polishing and whitening treatments; or

(5) over-the-counter items, such as toothpastes, toothbrushes, polishing and whitening preparations, picks, floss, mouthwash, or similar items and preparations.

  (d) Conditions that are correctable by ordinary dental treatment do not constitute a physical or mental impairment for purposes of vocational rehabilitation services eligibility. (Division of Disability and Rehabilitative Services; 460 IAC 14-16-8; filed Jul 13, 2015, 4:09 p.m.: 20150812-IR-460140507FRA)