The Health and Human Services Commission has just put online proposed changes to the THSteps Diagnostic Dental Services Policy and is requesting stakeholder feedback on the changes.
The updated policy will require the use of a professionally developed and approved caries risk assessment (CRA) tool. Per the document, “one of the CRA codes must be appended to dental oral examination codes for the dental oral examination to be considered for reimbursement. The client’s dental condition(s) that justifies the CRA classification submitted with the claim must be clearly documented and maintained by the provider in the client’s medical record.”
A copy of the discussion document can be downloaded here. Proposed changes to the existing policy ARE IN RED.
If you would like to send your comments to HHSC on the proposed changes to the policy, send an email with your comments to this email address – MCDMedicalBenefitsPolicyComment@hhsc.state.tx.us.