Transcription of MEDICAID SERVICES CHART
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MEDICAID SERVICES CHART
LOUISIANA DEPARTMENT OF HEALTH & HOSPITALS MEDICAID SERVICES CHART November 2008 2 MEDICAID SERVICES SERVICE HOW TO ACCESS SERVICES ELIGIBILITY COVERED SERVICES COMMENTS CONTACT PERSON Adult Denture SERVICES Dentist MEDICAID recipients 21 years of age and older. (Adults, 21 and over, certified as Qualified Medicare Beneficiary (QMB) only, Medically Needy Program, or other programs with limited benefits are not eligible for dental SERVICES .) Dentures, denture relines, and denture repairs. Examination and X-rays are covered if in conjunction with the construction of a MEDICAID -authorized denture. All SERVICES other than repairs require Prior Authorization. The provider will submit requests for the Prior Authorization. Only one complete or partial denture per arch is allowed in a seven-year period.
4 MEDICAID SERVICES SERVICE HOW TO ACCESS SERVICES ELIGIBILITY COVERED SERVICES COMMENTS CONTACT PERSON Durable Medical Equipment (DME) Physician All Medicaid recipients.
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