5101:3-13-01.7 Fee-for-service ambulatory health care clinics (AHCCs): professional dental school clinics.

Requirements outlined in this rule 5101:3-13-01 of the Administrative Code apply to all fee-for-service AHCCs.

(A) Any organization applying to be a medicaid fee-for-service ambulatory health care professional dental school clinic provider on and after January 1, 2008 must:

(1) Meet the criteria for fee-for-service AHCC providers in accordance with paragraph (C) of rule 5101:3-13-01 of the Administrative Code; and

(2) Function as a training facility for a professional dental school clinic accredited by the commission on dental accreditation (CODA) of the American dental association (ADA).

(B) Covered services are covered dental services in accordance with Chapter 5101:3-5 of the Administrative Code.

(C) Limits.

(1) In accordance with rule 5101:3-5-01 of the Administrative Code, AHCCs are eligible providers of dental services. Coverage limitations set forth in Chapter 5101:3-5 of the Administrative Code apply to AHCC services provided by dentists.

(2) Individual dentists working within an ambulatory health care professional dental school clinic are not required to have provider numbers. The clinic must retain proof of legal authorization for each dentist without medicaid provider number to provide services.

Replaces: Part of 5101:3-13-01, Part of 5101:3-13-04

Effective: 01/01/2008
R.C. 119.032 review dates: 01/01/2013
Promulgated Under: 119.03
Statutory Authority: 5111.02
Rule Amplifies: 5111.01 , 5111.02 , 5111.021
Prior Effective Dates: 4/7/77, 12/30/77, 1/14/83, 4/2/83