1. (a) The department will pay a dentist for dental services provided to a recipient 21 years of age or older in accordance with 7 AAC 110.145 and the Fee Schedule: Emergent Adult Dental Services, Fee Schedule: Prosthodontic Adult Dental Services, and Fee Schedule: Enhanced Adult Dental Services, adopted by reference in 7 AAC 160.900.
2. (b) Except for orthodontic services, the department will pay a dentist for dental services provided to a recipient under 21 years of age in accordance with 7 AAC 110.150 and the Fee Schedule: Dental Services for Children, adopted by reference in 7 AAC 160.900.
3. (c) The department will pay for orthodontic services in accordance with 7 AAC 110.153 and the Fee Schedule: Dental Services for Children, adopted by reference in 7 AAC 160.900.
4. (d) The department will review dental payment rates at the beginning of each fiscal year and may adjust the rates to reflect changes in the United States Department of Labor consumer price index and after reviewing fee profiles from the most recent calendar year's Medicaid dental claims to determine the need for adjusting payment rates. For state fiscal year 2020, payment rates will not be adjusted by the consumer price index.
5. (e) The department will pay for services provided by an advanced practice dental hygienist in accordance with 7 AAC 110.165 and the Fee Schedule: Advanced Practice Dental Hygienist Services, adopted by reference in 7 AAC 160.900.

(Eff. 2/1/2010, Register 193; am 11/1/2010, Register 196; am 1/15/2011, Register 197; am 3/22/2014, Register 209; am 5/1/2016, Register 218; am 7/1/2019, Register 231; am 12/1/2022, Register 244; am 3/1/2024, Register 249)

Authority: AS 47.05.010, AS 47.07.030, AS 47.07.040