Molina Healthcare of Kentucky policy
Criteria for Occlusal Guards Policy Effective Date January 1, 2026
Criteria for Occlusal Guards Policy Effective Date January 1, 2026 is a public Molina Healthcare of Kentucky policy (effective Jan 1, 2026). It lists 3 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- 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 |
|---|---|
| D9944 | Policies naming D9944 |
| D9945 | Policies naming D9945 |
| D9946 | Policies naming D9946 |
All Molina Healthcare of Kentucky policies · Molina Healthcare of Kentucky prior authorization CPT list