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This provider bulletin gives important information to Dental Providers regarding the regulations governing the placement of preformed crowns using the Hall Technique for clients who obtain dental care through the Connecticut Dental Health Partnership (CTDHP).
The Connecticut Medical Assistance Program (CMAP) will only reimburse dentists for stainless steel crown placement when the tooth has undergone complete caries removal, pulpotomy therapy (when medically necessary), and tooth reduction/preparation for preformed crown placement. The performance of the tooth preparation should be clearly documented in the member's permanent record. Failure to document that the tooth was prepared for crown placement could result in a finding during an audit.
For more details, please click here to access the entire Provider Bulletin in PDF form.
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