(a) In addition to dental check-ups, which may include radiographs and other diagnostic tests, clients are eligible to receive the following dental services and treatment, as described in detail in the TMPPM: (1) diagnostic; (2) preventive; (3) therapeutic (including orthodontic); (4) emergency; and (5) medically necessary treatment. (b) Prior authorization may be required for certain services and documentation requirements must be met, as described in detail in the TMPPM. All dental services are subject to utilization review, as described in §33.72 of this title (relating to Dental Utilization Reviews). |