Title 130 CMR 420.000 - Dental Services

Section 420.401 - Introduction
Section 420.402 - Definitions
Section 420.403 - Eligible Members
Section 420.404 - Provider Eligibility: Participating Providers
Section 420.405 - Provider Eligibility: In-state and Out-of-state
Section 420.406 - Caseload Capacity
Section 420.407 - Maximum Allowable Fees
Section 420.408 - Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Services
Section 420.409 - Non-covered Circumstances
Section 420.410 - Prior Authorization
Section 420.411 - Pretreatment Review
Section 420.412 - Individual Consideration
Section 420.413 - Separate Procedures
Section 420.414 - Recordkeeping Requirements
Section 420.415 - Report Required with Certain Claims
Section 420.416 - Pharmacy Services: Prescription Requirements
Section 420.421 - Covered and Non-covered Services: Introduction
Section 420.422 - Service Descriptions and Limitations: Diagnostic Services
Section 420.423 - Service Descriptions and Limitations: Radiographs
Section 420.424 - Service Descriptions and Limitations: Preventive Services
Section 420.425 - Service Descriptions and Limitations: Restorative Services
Section 420.426 - Service Descriptions and Limitations: Endodontic Services
Section 420.427 - Service Descriptions and Limitations: Periodontal Services
Section 420.428 - Service Descriptions and Limitations: Prosthodontic Services (Removable)
Section 420.429 - Service Descriptions and Limitations: Prosthodontic Services (Fixed)
Section 420.430 - Covered Service Descriptions and Limitations: Oral and Maxillofacial Surgery Services
Section 420.431 - Service Descriptions and Limitations: Orthodontic Services
Section 420.452 - Service Descriptions and Limitations: Anesthesia
Section 420.453 - Service Descriptions and Limitations: Oral and Maxillofacial Surgery Services Performed by Specialists in Oral Surgery
Section 420.455 - Service Descriptions and Limitations: Maxillofacial Prosthetics
Section 420.456 - Service Descriptions and Limitations: Other Services