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HomeMy WebLinkAbout89-011RESOLUTTON OF THE BOARD OF SUPERVI50RS OF THE COUNTY OF BUTTE IN THE MATTER OF THE ADOPTION OF THE DENTAL ELEMENT OF THE GENERAL ASSISTANCE STANDARDS OF AID AND CARE Pursuant to the Resolution adopted by~this Board an the 15th day of November, 1988 [Resolution Number 88-176], the County Health Officer and the County Welfare Director have conducted appropriate studies and have provided the Board of Supervisors with written recommendations regarding the adoption of a dental element of general assistance standards of aid and care and the manner with which such aid should be provided. A public hearing was conducted by the Board on January 10, 1989 and comments, both written and oral, were accepted at that time. Tn addition, the Board has extended the time in which documents may be filed to augment its record on this matter up to January 20, 1989 at 5:00 p.m. Having considered the oral and written presentations in the record, and being aware that it has not recently reviewed the dental element of General Assistance Standards of Aid and Care and being aware of current litigation pending against the County titled Mason, Reginald vs. Butte County__Board of Supervisors, Butte County Superior Court Number 96261 and Cooke Marian A. vs. Butte County Board of Supervisors, Third District Court of Appeals Number 0003955, now, therefore, the Board resolves as follows: 1. There shall be added a dental element to the existing Butte County General Assistance Program in addition to the programs now in effect. 2. The scope of eligibility for services for such dental element shall be that income and resource level currently allowed by the General Assistance Program as amended from time to time. 3. The applicable portion of the regulations previously adopted by the Butte County Welfare Department for the Butte County General Assistance Program shall also be applicable for the dental element of the General Assistance Program. 4. That additional regulations be written and adopted as necessary to fairly administer the program. I. SERVICES TO BE PROVIDED A. Dental services to be provided will be those procedures necessary to alleviate substantial pain, to treat infection, to maintain basic function, to maintain adequate nutrition, and to care for dental conditions which present a serious health risk. B. The specific procedures identified in Attachment I are the authorized services. C. In addition, on a case by case basis, the Health Officer or his designee, subject to xeview as hereinafter set forth, shall authorize additional services which may include but shall not be limited to amalgam restorations, anterior root canals, denture repair and other services found necessary to alleviate substantial pain, treat infection, maintain basic function, maintain adequate nutrition and care for dental conditions which present a serious health risk. II. DELIVERY OF SERVICE A. Eligible individuals shall receive needed dental care from dentists and oral surgeons practicing in Butte County. Third party payors shall be billed whenever possible. B. When a serious health hazard exists and the needed dental procedures are beyond the scope of the procedures identified in Attachment I, the treating dentist shall obtain approval from the Butte County Department of Public Health before the service is provided. C. Individuals denied a dental benefit on the basis of ineligibility for program benefits based upon income/resources shall have the right to submit an appeal through the Fair Hearing Procedure maintained by the Butte County Welfare Department. Individuals denied a dental benefit on the basis of the necessity of the particular service requested or needed shall first submit an appeal to the Butte County Health Officer. If the Health Officer's decision is to grant the benefit, that decision shall be final. If the Health Officer denies the benefit, the individual shall have the right to appeal to the Butte County Welfare Department. Procedures for such appeal shall be established by the Butte County Health Department and Welfare Department such that the program is administered fairly and in compliance with all applicable laws. D. All claims submitted to the Butte County Department of Public Health must be received within sixty (60) days from the date of service. Approved services shall be reimbursed at the DentiCal rate in effect at the time the service was previded. E. Questions regarding covered services and available dental providers can be directed to the Butte County Department of Public Health, 18-B County Center Drive, Oroville, California. III. FUNDING The Board shall use their best effort to provide sufficient funds to administer this program which was estimated at the public hearing of this matter to be $150,600 per year. PASSED AND ADOPTED by the Butte County Board of Supervisors this 31St day of __January,,,,,,,,,._,.,__, 1989, by the following vote: AYES: Supervisors Dolan, McInturf, McLaughlin and Vercruse NOES: Chairman Fulton ABSENT: None NOT VOTING : None i LE FULTO CH RMAN ATTEST: MARTIN J. NICHOLS, Chief Administrative Officer and Clerk of he Board By B'~ to County Board of Supervisors ATTACHMENT I SCHEDULE OF COVERED DENTAL PROCEDURES VISITS-DIAGNOSTIC Examination, initial episode of treatment only Office visit during regular office hours for treatment and observation of injuries to the teeth and supporting structures Professional visit after regular office hours, or to bedside Hospital care Intraoral periapical, single, first film Intraoral periapical, each additional film (maximum 10 films) Intraoral, complete s°ries consisting of at least 14 periapical films plus Bitewings Intraoral, occlusal, each film Extraoral, single, head or lateral jaw Estraoral, each additional, head or lateral jaw Bitewings, two films Bitewings, four films Bitewing, anterior, one film Photograph or slide, first Photograph or slide, each additional (maximum five) Panographic-type film, single film ORAL SIIRGERY Removal of erupted tooth, uncomplicated, first tocth Removal of erupted tooth, uncomplicated, each additiona:. tooth Re:nova_ of erupted ::coth, surgica3 Removal of root or root tip, completely covered by bone Removal of impacted tooth-soft tissue Removal of impacted tooth-partially bony Removal o€ impacted tooth-completely bony DRIIGS AND ANESTHESIA Oral antibiotics Oral analgesics Injectable drugs General. anesthesia ~ERIOnoNTlcs Emergency treatment (periodontal abscess, acute periodontitis, etc.) FRACTIIRES AND DISLOCATIONS Maxilla, open reduction, simple Maxilla, closed reduction, simple Mandible, open reduction, simple Mandible, closed reduction, simple Maxilla, closed reduction, compound Maxilla, open reduction, compound Mandible, closed reduction, compound Aandible, open reduction, compound Reduction o€ dislocation of temporomandibular joint Treatment of malar fracture, simple, closed reduction Treatment of malar Lractare, simple or compound depressed, open reduction