MedicaidDocumentationMedium impact
Language Update for Texas Health Steps Orthodontic Dental Services Effective March 1, 2026
Texas Medicaid·TX · Dentistry·General
Effective date
Mar 1, 2026
We identified it
Jan 12, 2026
Summary
Texas Medicaid is adding new requirements for orthodontic services under Texas Health Steps, effective March 1, 2026. Dental providers must comply with enhanced record retention standards, patient counseling requirements, and ensure orthodontic services are only performed after in-person examination and diagnostic imaging review by a licensed dentist.
Action Required
Before March 1, 2026: Dental providers offering Texas Health Steps orthodontic services must update their protocols to ensure all orthodontic treatments are preceded by in-person examinations and diagnostic imaging review by a licensed dentist. Implement enhanced record retention procedures and patient counseling standards as required by Texas Health and Safety Code §431.024. Contact specific MCOs for administrative procedure details including prior authorization requirements.