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Michigan Division Of Health & Human Services
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The Dental Clinical Policy Bulletins describe Aetna’s current determinations of whether or not certain services or provides are medically needed, primarily based upon a evaluate of obtainable clinical data. Each profit plan defines which services are covered, that are excluded, and which are subject to dollar caps or different limits. Members and their providers might need to consult the member’s benefit plan to discover out if there are any exclusions or different Health profit limitations applicable to this service or provide. Aetna’s conclusion that a particular service or supply is medically necessary…