IB 22-18: Dental Care for Adults with Developmental or Intellectual Disabilities
Date: 06/23/22
Louisiana Healthcare Connections would like to make providers aware of Act 450 of the 2021 Regular Session which was signed into law by Governor John Bel Edwards on June 23, 2021. The Louisiana Department of Health has released Informational Bulletin 22-18: Dental Care for Adults with Development or Intellectual Disabilities outlines the act's provisions around dental coverage for adults 21 years of age and older with developmental or intellectual disabilities who are enrolled in the New Opportunities Waiver, Residential Options Waiver or the Supports Waiver.
Coverage will begin on July 1, 2022.
The following services will be provided through the contracted Dental Benefit Plan Managers:
- Diagnostic services
- Preventive services
- Restorative services
- Endodontics
- Periodontics
- Prosthodontics
- Oral and maxillofacial surgery
- Orthodontics
- Emergency care
In order to provide additional support to these individuals, LDH has added the following allowable CDT code to its fee schedule.
D9997 dental case management – patients with special health care needs
Special treatment considerations for patients/individuals with physical, medical, developmental or cognitive conditions resulting in substantial functional limitations or incapacitation, which require that modifications be made to delivery of treatment to provide customized or comprehensive oral health care services.
DBPM Provider Manuals and the Medicaid DBPM Manual are being updated to include benefit information. Questions regarding claims should be directed to the appropriate DBPM:
DentaQuest Provider Relations: 1-800-508-6785
MCNA Dental Provider Relations: 1-855-701-6262
Questions regarding this Informational Bulletin should be sent to Kevin Guillory at kevin.guillory@la.gov