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This document outlines the changes in the benefit criteria for orthodontic dental services under Texas Medicaid effective March 1, 2012, detailing provider requirements and authorization procedures.
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How to fill out thsteps orthodontic dental benefit
How to fill out THSteps Orthodontic Dental Benefit Update
01
Obtain the THSteps Orthodontic Dental Benefit Update form from your dental provider or THSteps website.
02
Fill out the patient's personal information including name, date of birth, and Medicaid ID number.
03
Provide details about the orthodontic treatment proposed, including type of appliances and estimated duration of treatment.
04
Include the provider's information, such as name, address, and NPI number.
05
Attach any necessary supporting documents, such as treatment plans or X-rays.
06
Review the form for accuracy and completeness before submission.
07
Submit the completed form to the appropriate THSteps program office according to the instructions provided.
Who needs THSteps Orthodontic Dental Benefit Update?
01
Children and adolescents who require orthodontic treatment and are enrolled in Medicaid.
02
Healthcare providers who are referring patients for orthodontic services.
03
Parents or guardians of children who need assistance with the orthodontic benefit process.
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People Also Ask about
What does lifetime orthodontic benefit mean?
Orthodontic lifetime maximum can cap how much money your dental plan will contribute to your braces or other orthodontic work over the course of your lifetime. In fact, a lifetime. maximum may apply to an individual or even to the entire family.
What is orthodontic health month?
October is National Orthodontic Health Month: Celebrate Orthodontics!
What does orthodontic benefits mean?
Orthodontic coverage typically involves a Lifetime Maximum (LTM) Benefit that pays out at 50% of the total case fee. There are a few plans that pay more or less than 50% this means that they will pay for braces 1 time and once you have used all the LTM they won't pay any more.
Will Medicaid pay for my braces?
The answer is yes! If braces are deemed medically necessary for your child, Medicaid can assist in getting them. Some orthodontists will offer a no-cost consultation to discuss your child's needs. This can be very convenient if you're looking into the cost of braces with Medicaid, CHIP, or TRICARE.
Can I get braces with Medicaid in Texas?
Comprehensive medically necessary orthodontic services are a covered benefit for Texas Medicaid Members who have a severe handicapping malocclusion or special medical conditions including cleft palate, post-head trauma injury involving the oral cavity, and/or skeletal anomalies involving the oral cavity.
What are orthodontic benefits?
Improved alignment of teeth and jaws. Lower risk of dental issues like tooth decay and gum disease. Fewer dental emergencies. Improved oral hygiene.
What is the meaning of orthodontic?
: a branch of dentistry dealing with irregularities of the teeth (such as malocclusion) and their correction (as by braces) also : the treatment provided by a specialist in orthodontics. orthodontic.
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What is THSteps Orthodontic Dental Benefit Update?
THSteps Orthodontic Dental Benefit Update is a document that outlines the orthodontic services covered under the Texas Health Steps program, ensuring that eligible patients receive necessary dental care.
Who is required to file THSteps Orthodontic Dental Benefit Update?
Health care providers who offer orthodontic services to eligible patients under the Texas Health Steps program are required to file the THSteps Orthodontic Dental Benefit Update.
How to fill out THSteps Orthodontic Dental Benefit Update?
To fill out the THSteps Orthodontic Dental Benefit Update, providers must complete the required fields with patient information, the type of orthodontic services provided, and any relevant clinical notes, ensuring all details are accurate and complete.
What is the purpose of THSteps Orthodontic Dental Benefit Update?
The purpose of the THSteps Orthodontic Dental Benefit Update is to document and ensure reimbursement for orthodontic services provided to eligible patients, as well as to track the utilization of orthodontic benefits.
What information must be reported on THSteps Orthodontic Dental Benefit Update?
The information that must be reported on the THSteps Orthodontic Dental Benefit Update includes the patient's identification details, type of orthodontic treatment performed, treatment dates, provider information, and any necessary clinical documentation.
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