1.1 A bill for an act
1.2 relating to human services; modifying dental service coverage to include pediatric
1.3 zirconia crowns; amending Minnesota Statutes 2024, section 256B.0625,
1.4 subdivision 9.
1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.6 Section 1. Minnesota Statutes 2024, section 256B.0625, subdivision 9, is amended to read:
1.7 Subd. 9.Dental services.(a) Medical assistance covers medically necessary dental
1.8services.
1.9 (b) The following guidelines apply to dental services:
1.10 (1) posterior fillings are paid at the amalgam rate;
1.11 (2) application of sealants are covered once every five years per permanent molar; and
1.12 (3) application of fluoride varnish is covered once every six months.
1.13 (c) In addition to the services specified in paragraph (a), medical assistance covers the
1.14following services:
1.15 (1) house calls or extended care facility calls for on-site delivery of covered services;
1.16 (2) behavioral management when additional staff time is required to accommodate
1.17behavioral challenges and sedation is not used;
1.18 (3) oral or IV sedation, if the covered dental service cannot be performed safely without
1.19it or would otherwise require the service to be performed under general anesthesia in a
1.20hospital or surgical center; and
1Section 1.
25-01518 as introduced12/19/24 REVISOR AGW/AD
SENATE
STATE OF MINNESOTA
S.F. No. 274NINETY-FOURTH SESSION
(SENATE AUTHORS: BOLDON, Mann and Kupec)
OFFICIAL STATUSD-PGDATE
Introduction and first reading01/21/2025
Referred to Health and Human Services 2.1 (4) prophylaxis, in accordance with an appropriate individualized treatment plan, but
2.2no more than four times per year; and
2.3 (5) pediatric zirconia crowns for children.
2.4 (d) The commissioner shall not require prior authorization for the services included in
2.5paragraph (c), clauses (1) to (3), and shall prohibit managed care and county-based purchasing
2.6plans from requiring prior authorization for the services included in paragraph (c), clauses
2.7(1) to (3), when provided under sections 256B.69, 256B.692, and 256L.12.
2Section 1.
25-01518 as introduced12/19/24 REVISOR AGW/AD