Statutes, codes, and regulations
Indiana Administrative Code
Title 405 - OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICESArticle 5 - MEDICAID SERVICES
Rule 405 IAC 5-14 - Dental Services
Section 405 IAC 5-14-4 - Topical fluoride

405 Ind. Admin. Code 5-14-4

Download
PDF
Current through October 31, 2024
Section 405 IAC 5-14-4 - Topical fluoride

Authority: IC 12-15-1-10; IC 12-15-1-15; IC 12-15-21-2; IC 12-15-21-3

Affected: IC 12-13-7-3; IC 12-15

Sec. 4.

Reimbursement is available for one (1) topical application of fluoride every six (6) months per member from the time of first tooth eruption. Topical applications of fluoride are not covered for members twenty-one (21) years of age or older. Brush-in fluoride (topical application of fluoride phosphate) is not a covered service.

405 IAC 5-14-4

Office of the Secretary of Family and Social Services; 405 IAC 5-14-4; filed Jul 25, 1997, 4:00 p. m.: 20 IR 3320; readopted filed Jun 27, 2001, 9:40 a. m.: 24 IR 3822; filed Apr 16, 2003, 10:50 a. m.: 26 IR 2863; readopted filed Sep 19, 2007, 12:16 p.m.: 20071010-IR-405070311RFA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA
Filed 8/1/2016, 3:44 p.m.: 20160831-IR-405150418FRA
Filed 9/2/2016, 12:26 p.m.: 20160928-IR-405150450FRA
Readopted filed 7/28/2022, 2:21 p.m.: 20220824-IR-405220205RFA
Readopted filed 5/30/2023, 11:54 a.m.: 20230628-IR-405230292RFA