Healthy Children & Youth

Fluoride Varnish During Well Child Check

Fluoride varnish is a covered service for participants age five and under, when the need is identified through an Early Periodic Screening, Diagnostic, and Treatment (EPSDT) visit. Fluoride varnish may be applied by physicians and nurse practitioners along with other medical professionals (RN, LPN, Physician Assistant) working in a physician’s office or clinic.Fluoride treatment is limited to 1 application of stannous fluoride, acid-phosphate fluoride or fluoride varnish per participant, 2 times per rolling year, per provider.

Dental Billing Tips

Dental Examination:

  • D0120 – Periodic Oral Evaluation
    • Not included in the Adult Dental Limited Package
    • Would require a letter of medical necessity from the patient’s primary care provider The medical necessity must meet MO HealthNet policy in Section 13 of the Dental Manual.
  • D0140 – Limited Oral Evaluation Problem Focused
    •  Code could be used with appropriate documentation of the problem.
  • D0150 - Compr

Behavioral Health CyberAccess

Beginning December 19, 2014, MO HealthNet Division (MHD) allows Behavioral Health Providers to access CyberAcess electronic precertification process for Behavioral Health providers.

Providers can access a patient’s health record, precertification history, diagnosis history, and request precertification.

Subscribe to Healthy Children & Youth