Nevada § 422.27247 - Application for federal waiver to provide certain dental care for certain persons

§ 422.27247. Application for federal waiver to provide certain dental care for certain persons

1. The Department shall apply to the Secretary of Health and Human Services for a

waiver granted pursuant to 42 U.S.C. § 1315 to authorize the Department to provide the dental care described in this section

for persons with diabetes who are at least 21 years of age. To the extent authorized by the waiver and in accordance with any requirements of

the waiver, including, without limitation, requirements concerning fiscal neutrality,

such dental care must consist of an initial oral evaluation and, if that evaluation

determines, in accordance with the criteria for periodontal disease prescribed by

the American Academy of Periodontology or its successor organization, that: (a) The person does not have periodontal disease: (1) Dental prophylaxis for adults, an oral evaluation, the tracking and monitoring

of glycosylated hemoglobin and notification of the person and his or her primary care

provider, if any, concerning abnormal results once every 180 days; (2) A comprehensive periodontal evaluation annually; and (3) Filling of cavities, as necessary. (b) The person has periodontal disease: (1) Up to four quadrants of periodontal scaling and root planing every 36 months or,

if periodontal scaling and root planing are determined to be unnecessary in accordance

with the guidelines prescribed by the American Dental Association or its successor

organization, dental prophylaxis for adults every 180 days; (2) One periodontal maintenance procedure every 91 days; (3) Tracking and monitoring of glycosylated hemoglobin and notification of the person

and his or her primary care provider, if any, concerning abnormal results every 90

days; and (4) Filling of cavities, as necessary. 2. The Director shall collaborate with the Division of Public and Behavioral Health

of the Department when carrying out the provisions of this section. 3. As used in this section, “ dental prophylaxis ” means the use of dental tools and polishing procedures to remove plaque, tartar

and stains from the portion of the tooth that extends above the gum line.