7 AAC 43.605. Orthodontia

(a) Orthodontia is a covered medicaid benefit only for recipients under age 21.

(b) The division will provide reimbursement for orthodontia only if all the following conditions are met:

(1) the orthodontia is for severe conditions such as cleft palate or class III skeletal malformations which require the combined skills of a certified orthodontist and an oral surgeon;

(2) the request for orthodontia is accompanied by a plan of care and documentation of the recipient's condition, including cephalametric X-ray, panelipse, study models, photographs, articulate way models, periapical X-rays, and reports that confirm that the oral surgeon and the certified orthodontist agree on the necessity for orthodontia;

(3) the medical provider of orthodontia is a board-eligible or board-certified orthodontist; and

(4) the request for orthodontia has been authorized by the division of medical assistance.

History: Eff. 8/18/79, Register 71; am 7/1/86, Register 99; readopt 8/7/96, Register 139

Authority: AS 47.05.010

AS 47.07.050

Editor's note: Effective 8/7/96, Register 139, the Department of Health and Social Services readopted 7 AAC 43.605 in its entirety, without change, under AS 47.05 and AS 47.07. Executive Order No. 72 transferred certain rate-setting authority to the department.

The Alaska Administrative Code was automatically converted to HTML from a plain text format. Every effort has been made to ensure its accuracy, but neither Touch N' Go Systems nor the Law Offices of James B. Gottstein can be held responsible for any possible errors. This version of the Alaska Administrative Code is current through June, 2006.

If it is critical that the precise terms of the Alaska Administrative Code be known, it is recommended that more formal sources be consulted. Recent editions of the Alaska Administrative Journal may be obtained from the Alaska Lieutenant Governor's Office on the world wide web. If any errors are found, please e-mail Touch N' Go systems at E-mail. We hope you find this information useful. Copyright 2006. Touch N' Go Systems, Inc. All Rights Reserved.