UPDATE TO RETROACTIVE REVIEW POLICY FOR REMOVABLE DENTAL PROSTHESIS
Please note as of October 1st retroactive requests for removable prostheses will no longer be down coded to alternate services. If the recipient does not meet criteria for the code / service completed, the service will be denied.
If the service that was completed does not meet criteria, an alternate code will not be approved.
Reference MN statute 3100.6200 subpart D & I / 146A.08 subdivision 1 ( o ).
PROPER DOCUMENTATION REQUIREMENTS REMINDER:
Please ensure that all clinical documentation follows all record keeping rules in accordance with MHCP requirements, state, federal and MN BOD guidelines when submitting requests. (posted 9/28/23)