Sec. 17b-282a. Coverage for in-patient dental services in certain instances involving children and developmentally disabled persons.
Sec. 17b-282a. Coverage for in-patient dental services in certain instances involving children and developmentally disabled persons. The Commissioner of Social
Services, to the extent permitted by federal law, shall amend the Medicaid state plan to
provide coverage for general anesthesia, nursing and related hospital services provided
in conjunction with dental services, provided such anesthesia, nursing and related hospital services are provided in conjunction with in-patient dental services if the following
conditions are met:
(1) The anesthesia, nursing and related hospital services are deemed medically necessary by the treating dentist or oral surgeon and the patient's primary care physician
in accordance with the department's requirements for prior authorization of services, if
required; and
(2) The patient is either (A) a child under the age of four who is determined by a
licensed dentist, in conjunction with a licensed physician who specializes in primary
care, to have a dental condition of significant dental complexity that it requires certain
dental procedures to be performed in a hospital, or (B) a person who has a developmental
disability, as determined by a licensed physician who specializes in primary care, that
places the person at serious risk. The expense of such anesthesia, nursing and related
hospital services shall be deemed a medical expense under such health insurance policy
and shall not be subject to any limits on dental benefits under such policy.
(P.A. 99-284, S. 42, 60.)
History: P.A. 99-284 effective January 1, 2000.