C.M.R. 10, 144, ch. 104, § 144-104-6, subsec. 144-104-6.05

Current through 2024-51, December 18, 2024

Subsection 144-104-6.05 - COVERED SERVICES

6.05-1 General. The Department will reimburse IPDHs, and FQHCs who employed IPDHs providing such services, for the following services, if provided to eligible Members, and if services were provided during the period October 1, 2012 through September 30, 2013:

A. Prophylaxis performed on a Member who was 21 years of age or younger;

B. Topical application of fluoride performed on a Member who was 21 years of age or younger;

C. Provision of oral hygiene instructions;

D. The application of sealants;

E. Temporary fillings, pursuant to Guidelines below; and

F. Processing and exposing Radiographs (X-rays) as permitted under the Pilot Project for Independent Practice Dental Hygienists to Process and Expose Radiographs (X-rays) in Underserved Areas of Maine, pursuant to Guidelines below.

6.05-2 Guidelines For Temporary Fillings (protective restoration)

The IPDH must have been in compliance with the Maine Board of Dental Examiner's regulation governing hygienist placement of temporary fillings (02-313 CMR 2, Appendix 1, Appendix 1, Figures 1 & 2, available at www.mainedental.org ).

Nothing in these rules shall be construed as placing liability for the temporary filling on the dentist performing the follow-up visit.

6.05-3 Guidelines For Radiographs (x-rays)

The IPDH must have been in compliance with the Maine Board of Dental Examiners' regulation, (02-313 CMR 16, Rules to Implement a 2-Year Pilot Project for Independent Practice Dental Hygienists to Process Dental Radiographs in Underserved Areas of the State, available at www.mainedental.org ), which govern the Pilot Project authorized by the Maine State Legislature in Resolve 2011, Ch. 67 (LD 230)(Resolve, To Establish a Pilot Project for Independent Practice Dental Hygienists to Process Radiographs in Underserved Areas of the State), as amended by Resolve 2012, Ch. 153 (LD 1891)(Resolve, to Amend the Pilot Project for Independent Practice Dental Hygienists to Process Radiographs in Underserved Areas of the State).

The Department will reimburse only IPDHs for their service of exposing and processing X-rays. The Department will not reimburse any dentist (even if the dentist was a MaineCare dentist), who had entered into a written agreement with the IPDH that provided that the dentist would be available to interpret all dental radiographs within 21 days from the date the radiograph is taken, for reading or interpreting the X-rays that were exposed and processed by the IPDH.

C.M.R. 10, 144, ch. 104, § 144-104-6, subsec. 144-104-6.05