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Post date: 01/11/2012 - 4:20pm

Post date: 12/08/2011 - 3:14pm

FREQUENCY LIMITATION APPLICATION With the transition to DentaQuest (DQ), the South Carolina Department of Health and Human Services (SCDHHS) made changes to the frequencies allowed for certain dental services. These changes were communicated in a Provider Bulletin dated October 15, 2010. Providers should review the latest version of the Dental Office Reference Manual (ORM) to verify frequency limits and to check the web portal to determine if the beneficiary has received the service within the frequency time period. Failure to follow the frequency limits in the ORM may result in the denial of the claim. The ORM contains SCDHHS policies applicable to the administration of the dental program. It is advised that providers maintain a copy of the claims history in the patient record until the claim has paid.

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