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REV. MAY 1 2004 MANUAL LETTER 12-2004 NEBRASKA HHS FINANCE AND SUPPORT MANUAL NMAP SERVICES 471-000-406 Page 1 of 7 Orthodontic Diagnostic Score Sheet Handicapping Labiolingual Deviation HLD Index - NE Mod The submitting dentist shall complete and submit the HLD-Index score sheet when submitting an orthodontic pre-treatment request. The pretreatment request can be submitted on the Nebraska Interceptive Orthodontic Pre-Treatment Request form the C...
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What is nebraska medicaid interceptive orthodontic?
Nebraska Medicaid interceptive orthodontic refers to a dental service covered by Nebraska Medicaid that addresses early orthodontic treatment for children to correct dental problems and prevent future complications.
Who is required to file nebraska medicaid interceptive orthodontic?
Orthodontic providers who are enrolled as Nebraska Medicaid providers and qualify to offer interceptive orthodontic services are required to file nebraska medicaid interceptive orthodontic.
How to fill out nebraska medicaid interceptive orthodontic?
To fill out nebraska medicaid interceptive orthodontic, orthodontic providers must use the designated forms provided by Nebraska Medicaid, accurately document the patient's information, treatment details, and any necessary supporting documentation, and submit the completed form to the relevant Medicaid authorities.
What is the purpose of nebraska medicaid interceptive orthodontic?
The purpose of nebraska medicaid interceptive orthodontic is to ensure that children with dental issues receive timely and necessary orthodontic treatment to prevent the progression of oral health problems and minimize the need for extensive treatment in the future.
What information must be reported on nebraska medicaid interceptive orthodontic?
Nebraska medicaid interceptive orthodontic requires reporting of the patient's identification details, dental diagnosis, treatment plan, anticipated outcomes, provider information, and any relevant supporting documentation to justify the necessity of the treatment.
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