WAC 388-535-1079
Dental-related services for clients
through age twenty -- General. (1) Subject to coverage
limitations, the department pays for dental-related services
and procedures provided to clients through age twenty when the
services and procedures:
(a) Are within the scope of an eligible client's medical
care program;
(b) Are medically necessary;
(c) Meet the department's prior authorization
requirements, if any;
(d) Are documented in the client's record in accordance
with chapter 388-502 WAC;
(e) Are within accepted dental or medical practice
standards;
(f) Are consistent with a diagnosis of dental disease or
condition;
(g) Are reasonable in amount and duration of care,
treatment, or service; and
(h) Are listed as covered in the department's published
rules, billing instructions and fee schedules.
(2) Under the early periodic screening and diagnostic
treatment (EPSDT) program, clients ages twenty and younger may
be eligible for dental-related services listed as noncovered.
(3) Clients who are eligible for services through the
division of developmental disabilities may receive
dental-related services according to WAC 388-535-1099.
(4) The department evaluates a request for dental-related
services:
(a) That are in excess of the dental program's
limitations or restrictions, according to WAC 388-501-0169;
and
(b) That are listed as noncovered according to WAC 388-501-0160.
[Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520. 07-06-042, § 388-535-1079, filed 3/1/07, effective 4/1/07.]