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OKDHS Home > Library > Policy > OAC 317 > Chapter 30. Medical Providers-Fee for Service > 3. General Provider Policies > 78. Request for prior authorization for dental services
317:30-3-78. Request for prior authorization for dental services
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Revised 7-1-06

 

     The currently approved ADA form is used to request prior authorization for dental services that require a treatment plan or as indicated in Part 79 of Subchapter 5 of this Chapter.
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Last Updated:  8/18/2008
Oklahoma Department of Human Services
Street address: Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd., Oklahoma City, OK 73105
Mailing address: P.O. Box 25352, Oklahoma City, OK 73125
(405) 521-3646
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