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UNOFFICIAL 1737-74 (2) Age two to six years - repeat twelve to twenty-four month procedures every six months or as indicated by individual patient's needs/susceptibility to disease; provide age-appropriate oral hygiene

instructions; complete a radiographic assessment of pathology and/or abnormal growth and development, as indicated for individual patient's needs; scale and clean the teeth every six months or as indicated by

the individual patient's needs; provide topical fluoride treatments every six months or as indicated by the individual patient's needs; provide pit and fissure sealants for permanent teeth as indicated by the individual patient's needs; provide counseling and services (athletic mouth guards) as needed for orofacial trauma prevention; provide assessment/treatment or referral of developing malocclusion as indicated by individual patient's needs;

treat any oral disease/habits/injuries as indicated; (3) Age six to twelve years - repeat two to six year procedures every six months or as indicated by individual patient's needs/susceptibility to disease; provide injury prevention counseling/services for orofacial trauma (sports activities); provide

substance abuse counseling (smoking, smoke less tobacco, etc.); and (4) Age twelve to twenty years - repeat six to twelve year procedure every six months or as indicated by individual patient's needs/susceptibility to disease. [Eff 08/01/94; am 11/25/96 ] (Auth: HRS §346-14) (Imp: 42 C.F.R. §441.56; 42 U.S.C. §1396d)

§17-1737-58 Diagnosis and treatment. (a) Diagnostic and treatment services shall be provided for problems identified during screening regardless of whether the service is included in the department's state plan. Provision of services that are not included in the state plan shall be based on medical necessity and require prior authorization, and shall be limited to services permitted under medicaid.

(b) Assistance in referral shall be provided for treatment services not covered by the medical