The Ryan White Part A oral health care program offers a wide range of dental services to eligible persons infected with HIV. Services include routine dental exams and prophylaxis, x-rays, fillings, replacements, treatment of gum disease, and oral surgery. Only dental procedures included in the Ryan White Part A Oral Health Care Formulary can be performed under this program.

Additional information on the Part A Oral Health Care Program appears below:

These files are in Adobe Acrobat format for you to view.

• Fiscal Year 2008-09 Oral Health Care Form Letter
  
• Fiscal Year 2008-09 Oral Health Care Formulary Sorted by Category
  
• Fiscal Year 2008-09 Oral Health Care Sorted by Procedure Code
  
• Fiscal Year 2007-08 Oral Health Care Form Letter
  
• Fiscal Year 2007-08 Oral Health Care Formulary Sorted by Category
  
• Fiscal Year 2007-08 Oral Health Care Sorted by Procedure Code
  
• Oral Health Care Formulary Review Request Form