安裝中文字典英文字典辭典工具!
安裝中文字典英文字典辭典工具!
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- California Insurance Code section 10119. 9 (2025)
Insureds whose health is compromised and for whom general anesthesia is medically necessary, regardless of age Nothing in this section shall require insurers to cover any charges for the dental procedure itself, including the professional fee of the dentist
- Medical Policy - Blue Shield of California
Section 1367 71 of the Health and Safety Code requires health plans to provide medical coverage for general anesthesia and associated facility charges when the patient requires general anesthesia in a hospital or surgery center that would not normally require general anesthesia
- APL15-02 - DHCS
MCPs must cover medically necessary services administered in connection with dental services that are not provided by dentists or dental anesthesiologists
- DMHC Laws Regulations
The Knox-Keene Health Care Service Plan Act of 1975 (Knox-Keene Act), as amended, is the set of laws or statutes passed by the California state legislature providing the DMHC with the authority to regulate health care service plans
- California Health and Safety Code section 1367. 63 (2025)
As of July 1, 2010, “reconstructive surgery” shall include medically necessary dental or orthodontic services that are an integral part of reconstructive surgery, as defined in paragraph (1), for cleft palate procedures
- California Code, Health and Safety Code - HSC § 1367. 71
The health care service plan may require prior authorization of general anesthesia and associated charges required for dental care procedures in the same manner that prior authorization is required for other covered diseases or conditions
- Utilization Management Criteria for Dental Anesthesia - Commercial
The anesthesia and associated facility charges must meet Health Plan's terms and conditions that apply generally to other covered services For example, a Plan physician must determine that the services are medically necessary
- Provider Manuals, Policies Guidelines | California Provider - Anthem . . .
Here you will find the Anthem provider manuals, guidelines for clinical Utilization Management (UM), medical policies and coding spotlights for common conditions
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