Sec. 31.10.45.04. Appointment Waiting Time Standards

A. Sufficiency Standards.

(1) Subject to §B of this regulation, each carrier’s provider panel shall meet the waiting time standards listed in §C of this regulation for at least 95 percent of the enrollees covered under dental plans that use that provider panel.

(2) When it is clinically appropriate and an enrollee elects to utilize a telehealth appointment, a carrier may consider that utilization as a part of its meeting the standards listed in §C of this regulation.

B. Preventive care services and periodic follow-up care may be scheduled in advance consistent with professionally recognized dental standards of practice as determined by the treating provider acting within the scope of the provider’s license.

C. Chart of Waiting Time Standards.

First Available Appointment Waiting Time Standards
Urgent care	3 calendar days
Routine dental services	45 calendar days
Non-urgent specialty care	60 calendar days