Code of Massachusetts Regulations › 130 CMR - DIVISION OF MEDICAL ASSISTANCE › Title 130 CMR 420.000 - Dental Services › Section 420.402 - Definitions

Current through Register 1525, July 5, 2024
The following terms used in
				130 CMR
				420.000 have the meanings given in 130 CMR 420.402,
				unless the context clearly requires a different meaning. The reimbursability of
				services defined in
				130 CMR
				420.000 is not determined by these definitions, but by
				application of
				130 CMR
				420.000 and
				130 CMR 450.000:
Administrative and Billing Regulations
. Definitions specific
				to radiographs are set forth at
				130 CMR
				420.423.
Adult Dentition (Permanent Dentition)
- permanent teeth that have erupted and replaced deciduous teeth.
BORID
- the Board of Registration in
				Dentistry, or any committee or subcommittee thereof, established in the
				Massachusetts Department of Public Health (DPH) pursuant to the provisions of
				M.G.L. c. 13, § 19 and M.G.L. c. 112, §§ 1, 12CC, 43 through 53,
				and 61 through 65E.
Caseload Capacity
- a MassHealth
				dental provider's good-faith determination of the number of MassHealth members
				to whom the provider is able to provide dental services.
CODA
- the Commission on Dental
				Accreditation of the American Dental Association.
Department of Developmental Services
				(DDS)
- the state agency organized under M.G.L. c. 19B.
DDS Clients
- MassHealth members 21
				years of age or older who have been determined by DDS to be eligible for adult
				DDS services, pursuant to
				115 CMR 6.00:
Standards to Promote Dignity
.
EPSDT
- Early and Periodic Screening,
				Diagnostic and Treatment Services as described in federal law at
				42
				U.S.C. §§
									1396d(a)(4)(B) and
				1396d(r)
				and 42 CFR 441 Subpart B. In Massachusetts, EPSDT-eligible members are in
				MassHealth Standard or MassHealth CommonHealth categories of assistance, and
				are younger than 21 years old.
Mobile Dental Facility (MDF)
- any
				self-contained facility where dentistry will be practiced that may be driven,
				moved, towed, or transported from one location to another.
Portable Dental Operation (PDO)
- any
				dental practice where a portable dental unit is transported to and utilized on
				a temporary basis at an out-of-office location.
Primary Dentition (Deciduous
				Dentition)
- deciduous teeth developed and erupted first in order
				of time.
Public Health Setting
- includes, but
				is not limited to, residences of the homebound; schools; Head Start programs;
				nursing homes and long-term care facilities licensed pursuant to M.G.L. c. 111,
				§ 71; clinics, community health centers, and hospitals licensed pursuant
				to M.G.L. c. 111, § 51, medical facilities; residential treatment
				facilities; federal, state or local public health programs; MDFs and portable
				dental programs which are permitted by BORID pursuant to
				234
				CMR 7.00:
Mobile and Portable
				Dentistry
or licensed or certified by DPH pursuant to M.G.L. c. 111,
				§ 51; and other facilities or programs deemed appropriate by BORID or
				DPH.
Transitional Dentition (Mixed
				Dentition)
- the phase of the transition from Primary Dentition to
				Permanent Dentition, in which growth has not ceased and the deciduous teeth are
				in the process of shedding and the permanent successors are
				emerging.