Section 460 IAC 14-16-8 - Dental restoration servicesAuthority: IC 12-8-8.5-4; IC 12-9-2-3; IC 12-9-5-1; IC 12-9-5-3
Affected: IC 12-9-5; IC 12-12-1
Sec. 8.
(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 7/13/2015, 4:09 p.m.: 20150812-IR-460140507FRAReadopted filed 8/18/2021, 10:01 a.m.: 20210915-IR-460210198RFA