SECTION 363.401. Eligibility for TH Steps Dental Services

(a) Persons are eligible for dental services if they have a current Texas Medicaid identification or Medicaid verification letter that indicates Medicaid and Texas Health Steps eligibility for the time period during which services are delivered, and are under age 21. Providers may also verify eligibility for clients who do not have a Medicaid identification or Medicaid verification letter by contacting the department's claims processing agent.

(b) Dental services can be continued through the month in which the recipient reaches 21. A recipient becomes ineligible for THSteps-Comprehensive Care Program (CCP) services on his or her 21st birthday.

(c) Persons one year of age and older who are eligible for Medicaid and Texas Health Steps services may receive periodic, preventive dental services as defined in §33.303 of this title (relating to Preventive Dental Services) every six months.

Source Note: The provisions of this §363.401 adopted to be effective December 8, 1998, 23 TexReg 12312; transferred effective September 1, 2002, as published in the Texas Register December 6, 2002, 27 TexReg 11527