RS 40:1250.31

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RS 40:1250.31

PART II-B. DENTAL COVERAGE FOR PERSONS WITH

DEVELOPMENTAL OR INTELLECTUAL DISABILITIES

§1250.31. Dental care for certain adults with developmental or intellectual disabilities; Medicaid coverage required

NOTE: Paragraph (A)(1) eff. until an Act of the Louisiana Legislature containing a specific appropriation of monies for the implementation of Act 366 of the 2022 Regular Session becomes effective. See Acts 2022, No. 366.

A.(1) The Louisiana Department of Health shall ensure that comprehensive Medicaid coverage for dental care is provided to each person of age twenty-one or older who is enrolled in any Medicaid waiver program for persons with developmental or intellectual disabilities.

NOTE: Paragraph (A)(1) eff. upon an Act of the Louisiana Legislature containing a specific appropriation of monies for the implementation of Act 366 of the 2022 Regular Session becomes effective. See Acts 2022, No. 366.

A.(1) The Louisiana Department of Health shall ensure that comprehensive Medicaid coverage for dental care is provided to all of the following persons:

(a)Each person of age twenty-one or older who is enrolled in any Medicaid waiver program for persons with developmental or intellectual disabilities.

(b)Each Medicaid enrollee of age twenty-one or older who resides in an intermediate care facility for people with developmental disabilities licensed in accordance with the provisions of R.S. 40:2180 et seq.

(2)For purposes of this Section, "comprehensive Medicaid coverage for dental care" means Medicaid coverage which reimburses for dental and oral health services including all of the following:

(a)Diagnostic services.

(b)Preventive services.

(c)Restorative services.

(d)Endodontics.

(e)Periodontics.

(f)Prosthodontics.

(g)Oral and maxillofacial surgery.

(h)Orthodontics.

(i)Emergency care.

B. The Louisiana Department of Health shall not furnish any coverage required by Subsection A of this Section until all of the following have occurred:

(1)The Centers for Medicare and Medicaid Services has approved the provision of such coverage.

(2)The legislature has appropriated the funding necessary for the provision of such coverage.

Acts 2021, No. 450, §1; Acts 2022, No. 366, §1, see Act.

NOTE: The La. Dept. of Health shall take all such actions as are necessary to make the coverage required by the provisions of Section 1 of Acts 2021, No. 450, available to all persons eligible for such coverage on or before July 1, 2022.