Mentally Challenged Program

Description:

The Mentally Challenged Program provides the insured dental services set out for the Children’s Oral Health Program in Schedule B for residents (as defined in the M.S.I. Regulations) who are considered by a physician to be mentally handicapped.

Region of Administration:

Provincial

Government / Department:

Health and Wellness

Eligibility:

Coverage:

Provides the insured dental services set out for the Children’s Oral Health Program in Schedule B.

Basic preventive, diagnostic, restorative, periodontics, prosthetics – removable and oral & maxillofacial surgery. The Mentally Challenged Program is insurer of last resort. There is no cost to the beneficiary for insured benefits.

The fee for an insured dental service provided under this Schedule to a mentally handicapped resident is the fee set out in the Nova Scotia Dental Association Schedule of Fees at the general practitioner rate, unless the service is provided in a hospital, in which case the fee is the fee set out in the Nova Scotia Dental Association Schedule of Fees at the general practitioner rate, plus 30%.

In order for an insured dental service to be provided in a hospital, a physician must indicate that a hospital setting is required to meet the resident’s dental needs.

If major restorative treatment is required, pre-authorization must be obtained from the Corporation that administers the M.S.I. Plan for the Province before beginning treatment.

Providers:

Dentists

Therapeutic Responsibility: