CaliforniaDentalInsurance.com Denti-Cal Reminder
How to find dental insurance for your denti-cal plan can be found at CaliforniaDentalInsurance.com – Federal law governing the provision of dental services to children under Medicaid’s Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program requires that dental services be provided in accordance with a dental periodicity schedule.
This schedule must recommend treatment intervals that meet reasonable standards of dental practice, as determined by the State after consultation with recognized dental organizations involved in child health care, and at such other intervals that are medically necessary to determine the existence of a suspected illness or condition.
The dental periodicity schedule reflects the ages and intervals at which a child should receive specified dental services, not when a referral should take place. Following consultation with the California Dental Association (CDA), California Society of Pediatric Dentistry (CSPD) and American Academy of Pediatric Dentistry (AAPD), Denti-Cal has elected to use the attached periodicity schedule recommended by AAPD (reproduced with permission). The rationale supporting the procedures recommended in the periodicity schedule can be found on the AAPD Web site at http://www.aapd.org/media/Policies_Guidelines/G_Periodicity.pdf.
Although Denti-Cal supports the intervals recommended in the AAPD Periodicity Schedule, please be aware that the Manual of Criteria contained in the Provider Handbook governs Denti-Cal policy with respect to which procedures are benefits and the frequency at which they are allowable. For questions, please contact the Denti-Cal Telephone Service Center at (800) 423-0507.