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AZ-10-006

Eliminates certain optional services and imposes limitations on other optional services for adults age 21 and older Specifically, this SPA eliminates podiatrists services preventive dental services and well and physical exams. This SPA also limits prosthetics coverage and organ transplantation Dental services also are limited to treatments of oral disease prior to transplantation and to extractions prior to treatment of certain cancers.

State
Approval Date
Effective Date
File 1 - Approval Document Media
File 3 - Attachment Media
File 4 - Form CMS-179 Media