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October 1, 2026 guide · Rules with source links
Explore the guide.
Find a procedure or program rule, or see what the guide does not normally cover. Each entry links to its source.
A listed code is not individual coverage approval. This is a paraphrased guide reference, not a substitute for the governing rule, current eligibility, clinical judgment, or authorization. Known conflicts require review.
Disability program, diabetes & gum-disease rules
Program & billing topics
Noncovered categories
These services are not normally covered. Extra under-21 Medicaid protections (EPSDT), an exception-to-rule request, or a specific program rule may still apply.
Source snapshot: October 2026 dental guide; November 2026 ProviderOne guide. Some related programs require separate guides. Clinical dates, diagnoses, provider status, claims history and individual eligibility are not verified. No source PDFs are hosted here.