016.06.3-216.200. Cosmetic Surgery
AR ADC 016.06.3-216.200Arkansas Administrative Code
Ark. Admin. Code 016.06.3-216.200
016.06.3-216.200. Cosmetic Surgery
Cosmetic surgery is NOT generally covered under the Medicaid Program except in the following areas, and then only after prior authorization has been obtained. (See Section 221.000 of this manual for information related to obtaining prior authorization.)
B. Otoplasty (lop ears). Payment will be allowed for surgical correction of lop ears and similar congenital abnormalities when performed on children prior to their 21st birthday. Criteria used in the evaluation of such procedures will include the attending physician’s statement as to the degree that such conditions are detrimental to the patient’s psychological well-being.
C. Rhinoplasty. Payment will be allowed for surgical correction involving rhinoplasty procedures when performed on children prior to the 21st birthday. Criteria used in the evaluation of such procedures will include the attending physician’s statement as to the degree that such conditions are detrimental to the patient’s physical and functional abilities.
Expenses incurred for cosmetic surgery other than those listed above will not be covered by the Medicaid Program.
Credits
Eff. Nov. 1, 2007; Oct. 13, 2003.
<Editor’s Note: Nonfunctioning links so in original.>
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 016.06.3-216.200, AR ADC 016.06.3-216.200
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