Molina Healthcare of Kentucky policy
Criteria for Maxillofacial Prosthetics Policy Effective Date January 1, 2026
Criteria for Maxillofacial Prosthetics Policy Effective Date January 1, 2026 is a public Molina Healthcare of Kentucky policy (effective Jan 1, 2026). It lists 11 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
Check eligibility for free
No account required. Sign a BAA to see plan details, coordination of benefits and more
- Effective
- Jan 1, 2026
- Line of business
- Medicaid
- States
- KY
- Source
- www.molinahealthcare.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.
| Code | Other Molina Healthcare of Kentucky policies |
|---|---|
| D5913 | Policies naming D5913 |
| D5914 | Policies naming D5914 |
| D5919 | Policies naming D5919 |
| D5931 | Policies naming D5931 |
| D5932 | Policies naming D5932 |
| D5934 | Policies naming D5934 |
| D5952 | Policies naming D5952 |
| D5953 | Policies naming D5953 |
| D5954 | Policies naming D5954 |
| D5955 | Policies naming D5955 |
| D5988 | Policies naming D5988 |
All Molina Healthcare of Kentucky policies · Molina Healthcare of Kentucky prior authorization CPT list