Page 86

UNOFFICIAL 1737-86 developmental defect or injury in a child for which the functions of speech, swallowing, or chewing shall be restored; (2) Fixed bridge work; (3) Plaque control; (4) Gold inlays; (5) Gold crowns, except for permanent first and second molars;

(6) Procedures, appliances, or restorations

solely for cosmetic purposes. Composite resin or acrylic restoration in posterior

teeth and all primary teeth shall be considered purely cosmetic; and

(7) Overdentures.

(d) Dental services for individuals twenty-one years and older are limited to emergency treatment which does not include services aimed at restoring and replacing teeth and shall include services for the following:

(1) Relief of dental pain;

(2) Elimination of infection; and (3) Treatment of acute injuries to the teeth or supporting structures of the oro-facial

complex. [Eff 08/01/94; am 01/29/96;

am 03/30/96; am 06/19/00; am 04/11/03;

am 12/07/06,am 08/10/09,am ]

(Auth: HRS §346-14) (Imp: 42 C.F.R. §440.100) §17-1737-75.1

§17-1737-75.1 REPEALED. [Eff 12/07/06; R

08/10/09]

§17-1737-76 Visual services. (a) Visual or optometric services means services provided by an ophthalmologist or optometrist licensed to practice under state law to correct visual problems within the limits of their professional fields and includes the dispensing of prescription eyeglasses on the written prescription of a licensed practitioner.

(b) Visual services shall include: (1) Professional services limited to: (A) Eye examinations; (B) Refraction, with coverage of a second refraction for persons under the age of eighteen years within twelve months, or eighteen years or older within twenty-four months only when indicated