Acts and Regulations

84-115 - General

Full text
15(1)Notwithstanding section 14, no payment shall be made by the Director for entitled dental services requiring prior approval by the Dental Advisory Committee if the claim for payment is submitted beyond a period of six months after receiving approval by the Dental Advisory Committee.
15(2)If more than one account for dental services is rendered for the same patient within a six month period and the total of the accounts exceeds two hundred dollars, the Director shall not pay the accounts unless the services were approved by the Dental Advisory Committee, or are considered to be emergency services.
15(3)No payment shall be made for dental services approved by the Dental Advisory Committee until all services have been rendered including examination and radiographs.
15(3.1)A dentist providing an entitled dental service is authorized to collect from a beneficiary or dependent a participation fee, which applies only to the dentist’s own fees.
15(4)Repealed: 2023-19
84-235; 2023-19
15(1)Notwithstanding section 14, no payment shall be made by the Director for entitled dental services requiring prior approval by the Dental Advisory Committee if the claim for payment is submitted beyond a period of six months after receiving approval by the Dental Advisory Committee.
15(2)If more than one account for dental services is rendered for the same patient within a six month period and the total of the accounts exceeds two hundred dollars, the Director shall not pay the accounts unless the services were approved by the Dental Advisory Committee, or are considered to be emergency services.
15(3)No payment shall be made for dental services approved by the Dental Advisory Committee until all services have been rendered including examination and radiographs.
15(4)Except where participation fees are authorized in sections 5 and 6 of Schedule II, no payment shall be made by the Director for entitled dental services where the dentist making the claim bills the patient an amount in respect of those same services.
84-235