GA · guidance
Ga. Medicaid Part II Policies & Procedures for Hospital Services § 803
Procedures for Obtaining Precertification for Dental Services Requiring Hospitalization
Dental services requiring inpatient or outpatient hospitalization must be Prior Approved and/or Pre-
certified for Medicaid members regardless of age and service being performed. It is the responsibility
of the attending dentist to obtain prior approval and/or precertification. The attending dentist must
provide the precertification number to the hospital. The dentist’s failure to obtain the correct
precertification number will be imputed to the hospital and result in denial of payment.
The hospital must submit Dental charges using the appropriate Current Dental
Terminology (CDT) procedure code for the services provided.
All dentists’ requests must be submitted on the American Dental Association (ADA)
1999, Version 2000 Dental claim form. The dentist’s requests for surgical and medical services
identified in Part II of the Dental Services manual must be submitted on all precertification’s and
submitted via the Web Portal. **Note ** The Facility Procedure Code for Outpatient is G0330.
Provenance
- Source
- www.mmis.georgia.gov
- Retrieved
- 2026-10-01
- Edition
- pp-hospital-2026-10-01
- Content hash
3cd82f74874d24e2be242a29595c5248a8b1dc9f19c5e2bec2814aeef67a7e9e
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.