TITLE: Relating to Medicaid reimbursement for dental services provided to certain Medicaid recipients.

SUMMARY: Relating to Medicaid reimbursement for dental services provided to certain Medicaid recipients.

FULL TEXT:
AN ACT relating to Medicaid reimbursement for dental services provided to certain Medicaid recipients. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 32.054, Human Resources Code, is amended by adding Subsections (f) and (g) to read as follows: (f) In addition to any emergency dental services already covered under the medical assistance program, the commission shall provide medical assistance reimbursement in an annual amount of not more than $750 for preventive dental services, including diagnostic services, tooth extractions, fillings, and annual cleanings, for recipients who are 21 years of age or older. (g) The commission shall provide medical assistance reimbursement for the medically necessary use of anesthesia during a dental service, as determined by the dentist performing the service, for a recipient with a disability or a recipient who is receiving treatment by an oral surgeon. The use of anesthesia is excluded from the annual maximum benefit amount under Subsection (f). SECTION 2. If before implementing any provision of this Act a state agency determines that a waiver or authorization from a federal agency is necessary for implementation of that provision, the agency affected by the provision shall request the waiver or authorization and may delay implementing that provision until the waiver or authorization is granted. SECTION 3. This Act takes effect September 1, 2019.