| LONG DESCRIPTION |
Dental Focused Emergent Care is:
. Treatment provided to active duty military, military
and applies only to Class II beneficiaries who have met
the criteria as specified in Paragraph 7c1(a)-(f) and
7c2(a) and (b) of this Handbook. The Chief or designee
can use the document to assist in development of
appropriate treatment recommendations.
7. United States Department of Defense (DoD)
responsibilities. Under 38 U.S.C. 1712(a)(2), DoD must
notify the Veteran at the time of discharge or release
of the VA Class II- dental benefit available to newly
discharged Veterans, including notice of the applicable
retirees, CHAMPVA inpatients that are completed after
time-limit for these benefits (i.e., including the
need to apply for this benefit within 180 days of their
discharge or release). If a Veteran requests dental
treatment after that 180 day period and states the
required notification was not provided to the Veteran
upon discharge or release, the Chief Business Office
should send a VA Form 10-7131 Exchange of Beneficiary
Information to VBA to investigate. If no indication of
notification was documented by DoD, or the DD-214
indicates dental treatment was not completed within 90
hospital discharge.
days of discharge and no Class II treatment has been
provided, then Veteran may be provided a one-time
course of dental care.
Derived from the VHA Handbook 1130.01 dated February 11, 2013
. Treatment of an emergent/urgent oral condition involving
acute pain, infection, trauma and/or hemorrhage; or suspicion
of an oral malignancy.
. Inpatients in a non-acute care unit.
. Residents in VA Community Living Centers.
. Residents in VA Domiciliary Centers.
**Inpatients specified under sharing agreements and employees or
. Treatment of an oral condition complicating the management of
patients officially authorized treatment for work related oral-
dental injuries.**
a. A Veteran who is actively engaged in a Chapter 31 vocational
rehabilitation program may receive dental care to the extent
needed to meet any of the following goals:
1. Make possible the Veteran's entrance into a
rehabilitation program;
2. Achieve the goals of the Veteran's vocational
rehabilitation program;
3. Prevent interruption of a rehabilitation program;
the medical condition for which the Veteran was admitted.
4. Hasten the return to a rehabilitation program of a
Veteran in interrupted or leave status;
5. Hasten the return to a rehabilitation program of a
Veteran placed in discontinued status because of
illness, injury or dental condition;
6. Secure and adjust to employment during the period of
employment assistance; or
7. Enable the Veteran to achieve maximum independence in
daily living.
b. Requests for Class V dental care must be forwarded to the
. Treatment of an oral condition complicating the management of
Dental Service by the Chapter 31 Vocational Rehabilitation
Program on VA Form 28-8861. This form needs to be provided
for each episode of care requested. Dental care must not be
provided beyond the anticipated rehabilitation date as
specified on the form.
Any Veteran scheduled for admission or who is receiving care under
Chapter 17 of title 38, U.S.C., may receive outpatient dental care
if the dental condition is clinically determined to be complicating
the medical condition currently under VA treatment. Eligibility for
each episode of dental care will be predicated on referral and
the medical condition for which the patient was admitted that
consultation, followed by a decision based upon clinical judgment.
The goal is to provide focused care to treat only the oral
conditions that are complicating impact to the clinical management
of the medical condition currently under treatment. This
classification includes medically necessary dental care for
Veterans receiving care for Military Sexual Trauma under Title 38
U.S.C. 1720D.
Limitations of Treatment Provided Under Class II.
1. Dental Prostheses and Implants Provided by VA. Class II
was initiated but not completed while the Veteran was an
dental beneficiaries are not eligible to receive
ongoing maintenance. Once adjustments are satisfactory,
the episode of prosthetic care is considered to be
complete and subsequent treatment is the responsibility
of the Veteran.
2. Periodontal Conditions. Specific treatment authorized
for periodontal conditions of Class II beneficiaries is
expected to provide maximum benefit by the time that
episode of overall care is completed. When that
treatment is satisfactorily completed as authorized,
inpatient.
further treatment or follow-up for the periodontal
condition is not authorized.
3. Impacted Teeth. Impacted teeth are a developmental
abnormality. Consideration for surgical extraction must
be based on sound professional judgment to resolve
existing disease or symptoms.
4. Malposed Teeth. Malposed teeth are considered a
developmental abnormality and a pre-existing condition
relative to the start of military service. Orthodontic
care in this circumstance is not authorized.
. Treatment provided to inpatients that are completed after
For cases in which trauma incurred in the line of duty
resulted in malalignment of the teeth or when
restorative procedures for which the Veteran is
eligible require orthodontic intervention, orthodontic
care may be provided.
5. Veterans with Orthodontic Appliances. When Veterans
present at VA facilities with orthodontic appliances
for the purpose of correcting developmental
malocclusion and have not had their treatment completed
by the military prior to discharge, they must be
hospital discharge.
informed that VA does not assume the responsibility for
any phase of the orthodontic care unless directly
related to rehabilitation of combat trauma to the
maxillofacial region.
6. Service Connection of Dental Conditions for Treatment
Purposes. VBA may, upon request, provide documentation
to the Dental Service defining service connection of
specific teeth for dental treatment purposes. (see
Title 38 CFR 3.381). The regulation provides for
identification of teeth treated during military service
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