Section R414-49-8 - Emergency DentalThis section defines the scope of dental services available to members who are otherwise eligible under the Medicaid program.
(1) Dental services are available only through an enrolled dental provider that complies with relevant laws and policy.(2) The following coverage and limitations apply. (a) Emergency dental services are the treatment of a sudden and acute onset of a dental condition that requires immediate treatment, when delay in treatment would jeopardize or cause permanent damage to a person's dental or medical health.(b) Emergency dental service limitations and exclusions are maintained in the Coverage and Reimbursement Code Look-up Tool and the Dental, Oral Maxillofacial, and Orthodontia Services Utah Medicaid Provider Manual. These limitations and exclusions are updated in the Medicaid Information Bulletin.Utah Admin. Code R414-49-8
Adopted by Utah State Bulletin Number 2020-06, effective 3/1/2020Amended by Utah State Bulletin Number 2022-18, effective 9/8/2022Amended by Utah State Bulletin Number 2024-21, effective 10/28/2024