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The purpose of this policy transmittal is to notify enrolled dental providers who perform orthodontic treatment and all orthodontists of an important change to the qualifying Salzmann Handicapping Malocclusion Assessment (Salzmann Score) available to eligible members who obtain dental care through the Connecticut Dental Health Partnership (CTDHP).
Effective for dates of service on or after July 15, 2015, the determination of medical necessity on a correctly scored Salzmann Handicapping Malocclusion Assessment will increase. In order to qualify for orthodontic coverage in the Connecticut Medical Assistance Program, the minimum scoring for medical necessity will be raised from the current scoring of 24 points and higher to 26 points and greater, which will make Connecticut consistent with other states' minimum scoring requirement.
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