This bill amends Minnesota Statutes 2024, section 256B.0625, subdivision 9, to expand dental service coverage under medical assistance. Specifically, it introduces coverage for pediatric zirconia crowns for children, which is a new addition to the list of covered dental services. Additionally, the bill modifies the existing coverage for prophylaxis, allowing it to be provided in accordance with an appropriate individualized treatment plan, but limiting it to no more than four times per year.

The bill also clarifies that prior authorization will not be required for certain dental services, specifically those listed in paragraph (c), clauses (1) to (3). This provision aims to streamline access to necessary dental care for children and individuals with behavioral challenges, ensuring that these services can be delivered without unnecessary administrative barriers.

Statutes affected:
Introduction: 256B.0625