California Department of Social Services - State Hearings Division
Notes from the Training Bureau - August 8, 2003

Senate Bill 26-1X made changes to the Denti-Cal program amending Welfare and Institutions Code (W&IC) §14132.88. Effective July 1, 2003, posterior laboratory processed crowns (procedures 650, 651, 652, 653, 660 and 653) will no longer be a benefit for adults 21 and older except when a posterior tooth is used as an abutment for any fixed or removable prosthesis with cast clasps and rests, and meets current criteria. Providers will be required to submit a radiograph or photograph to document an existing prosthesis.

For laboratory processed crowns that were previously authorized, the provider must cement the crowns prior to July 1, 2003 in order to get paid.

These changes are noted in Denti-Cal Bulletin Volume 17, Number 19 dated June 2003 found in section 7 of the Denti-Cal Procedures Manual.