New York S10606 mandates dental insurance policies to cover bruxism diagnosis and treatment, including occlusal guards, without less favorable.
New York S10606 requires dental coverage policies to include diagnosis and treatment for bruxism and related occlusal disorders, including the cost of occlusal guards. This applies to both Medicaid and Health Maintenance Organization (HMO) coverage. The bill ensures that coverage is not subject to less favorable annual or lifetime limitations than other medically necessary dental services. The superintendent of financial services is authorized to create rules and regulations to implement these provisions, including standards for medical necessity and utilization review.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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