Denti-cal manual of criteria

other adults, are eligible to receive all dental procedures listed in the Denti-Cal Manual of Criteria (MOC) that are covered by the Medi-Cal program (as long as procedure requirements and criteria are met).5 These beneficiaries are also eligible to receive these . Dear Denti-Cal Provider: Enclosed is the most recent update of the Medi-Cal Dental Program Provider Handbook (Handbook). The pages reflect changes made to the Denti-Cal program during the month of May These “Section 5 - Manual of Criteria and Schedule of Maximum Allow-.  · The department also issued an update to the Manual of Criteria, which contains the complete listing of procedures and their policy and payment guidelines. Dentists should note that adult Denti-Cal beneficiaries will have received a written notification of their new benefits by the end of and may reach out to dental offices with questions.

CRITERIA MANUAL CHAPTER ACUTE INPATIENT INTENSIVE REHABILITATION I. Inpatient intensive rehabilitation hospital services are covered for eligible Medi-Cal patients by the Medi-Cal Program in accordance with Section of the Welfare and Institutions (WI) Code. The Department and. IMPORTANT: As announced in Provider Bulletin Volume 37, Number 19, the draft Current Dental Terminology (CDT) Manual of Criteria (MOC) and draft CDT Medi-Cal Dental Schedule of Maximum Allowances (SMA) have been posted to the Medi-Cal Dental website under the What’s New section. The draft CDT MOC and SMA are effective for dates of services on or after October 1, (Denti-Cal Manual of Criteria- Prosthodontics (Removable) General Policies, Section 5 effective March 1, ) E ADDED 6/08 PROCEDURE D52MAXILLARY AND MANDIBULAR PARTIAL DENTURE – RESIN BASE (INCLUDING ANY CONVENTIONAL CLASPS, RESTS AND TEETH) Prior authorization is required. A benefit once in a five-year period.

in , most of the medi-Cal adult dental benefits were eliminated due to the state's budget deficit. the Denti-Cal Manual of Criteria. RCOC will specifically follow the Funding guidelines of Denti- cal, as described in the Denti-Cal Manual, Section 5 – “Manual of Criteria and Schedule. for both Medicare and Medi-Cal processes, as required by Cal MediConnect. that all Providers meet the following criteria to participate in its CMC.