N.J. Admin. Code § 8:85-2.10

Current through Register Vol. 56, No. 8, April 15, 2024

Section 8:85-2.10 - Dental services

(a) All facilities shall assist Medicaid beneficiaries to obtain dental care though a licensed dentist, who shall provide, or make provision for:

1. Appropriate consulting services;

2. In-service education to the facility;

3. Policies concerning oral hygiene; and

4. Routine and emergency services.

(b) Dental examinations carried out to comply with the Department of Health and Senior Services' minimal requirements, as defined in 8:39-15.1, as well as regular dental examinations, shall not be considered consultations and need not be brought to the attending physician's attention except as a matter of courtesy. However, treatments which involve invasive procedures such as extractions or fillings, except in an emergency, shall be brought to the attention of the attending physician who acknowledges clearance for such treatment on the order sheet.

(c) The dentist shall establish a time frame for the next periodic examination, either at the time of examination, or at the completion of treatment. The time frame entered on the clinical record may be for six months, one year, or any other time period that the attending dentist has established in accordance with his or her knowledge of the recipient.

(d) Dental care of a child residing in a NF shall be provided according to the American Dental Association Pediatric protocol available from the American Dental Association, 211 East Chicago Ave., Chicago, IL 60611.

(e) Policy and procedures regarding the provision of dental services are listed in the New Jersey Medicaid Program Manual for Dental Services. Services requiring prior authorization are listed under 202.2 (10:56-1.3 ).

N.J. Admin. Code § 8:85-2.10

Recodified from N.J.A.C. 10:63-2.10 and amended by R.2005 d.389, effective 1/17/2006.
See: 36 N.J.R. 4700(a), 37 N.J.R. 1185(a), 38 N.J.R. 674(a).
In introductory paragraph (a), substituted "beneficiaries" for "recipients"; in (b), substituted "Department of Health and Senior Services'" for "Department of Health's" and added "as defined in N.J.A.C. 8:39-15.1".