UPDATE TO RETROACTIVE REVIEW POLICY FOR REMOVABLE DENTAL PROSTHESIS

Please note as of October 1^st 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)

Dental Providers Submitting D1110 Requests:

In collaboration with DHS, the Questionnaire has been updated to include additional required information as of 2/13/23, as highlighted below.