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Dental Services Updated for FQHC, RHC and IHS-MOA Clinic Providers

June 6, 2019

Effective for dates of service on or after May 1, 2019, dental services rendered by the Indian Health Services – Memorandum of Agreement (IHS-MOA), Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) must comply with the Medi-Cal Dental Manual of Criteria, and determined to be medically necessary pursuant to the California Welfare and Institutions Code (W&I Code), Section 14059.5. Additionally, a face-to-face encounter between a billable treating provider and an eligible patient should be in the scope of the provider’s practice.

Documentation for dental services should be consistent with the standards set forth in the Manual of Criteria for Medi-Cal Authorization of the Medi-Cal dental Program Provider handbook and all state laws.

Updated manual replacement pages will be published in a future Medi-Cal Update.