APA WF # 25-11 Dental Policy Revisions

The proposed policy changes are being promulgated as Permanent Rules.

The proposed policy changes update dental imaging requirements to reflect the current standard of care and ensure appropriate billing for surgical extractions. Current OHCA policy defines full mouth images as two bitewings and panoramic images. The revision clarifies that a full mouth series consists of 10–12 periapical images and 2–4 posterior bitewings, consistent with current dental practice. The changes also establish a prior authorization requirement for complex extractions (codes D7210 and D7250) due to program integrity concerns. No changes are made to policy or billing expectations for simple extractions (code D7140).

Please view the draft regulatory text here and submit feedback via the comment box.

Pursuant to 75 O.S. §303(D), a rule impact statement will be posted here beginning December 30, 2025. Individuals may also request a copy using the comment box, and the statement will be provided on December 30, 2025.

Proposed Policy Timeline

Circulation Date: 12/15/2025

Medical Advisory Committee: 1/8/2026

Comment Due Date: 1/15/2026

Public Hearing: 1/15/2026

Board Meeting: 1/21/2026

After you submit your comment, you should be re-directed to a confirmation page. If you are not, please submit your comment through e-mail to federal.authorities@okhca.org.

Please note that all comments must be reviewed and approved prior to posting. Approved comments will be posted Monday through Friday between the hours of 7:30 a.m. – 4 p.m. Any comments received after 4 p.m. will be posted on the following business day.