MedicaidAdministrativeMedium impact
Dental Digital Models pdf
Connecticut Medicaid (HUSKY Health)·CT · Dentistry, Oral & Maxillofacial Surgery·Provider Bulletin
Effective date
Aug 1, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid now accepts digital models as an alternative to plaster diagnostic casts for dental procedures, with the same billing and prior authorization requirements. The policy streamlines dental processes while maintaining HIPAA compliance and medical necessity standards.
Action Required
Dental billing teams in Connecticut should update their systems to recognize that digital models can be submitted for code D0470 in place of plaster casts. Verify that digital model formats (Emodel®, Orthoselect 3D®, OrthoCAD®/iTero®) are accepted by CTDHP. Ensure orthodontists and oral surgeons understand they can bill for 2 sets twice per patient, while general dentists are limited to one set per patient unless prior authorization is obtained for medical necessity.