Medi-Cal Dental Manual of Criteria (MOC) and Schedule of Maximum Allowances (SMA)

Providers are required to follow all standards and guidelines set forth in the Manual of Criteria (MOC) and Medi-Cal Dental Schedule of Maximum Allowances (SMA).

The Medi-Cal Dental Program updates its Current Dental Terminology (CDT) code set regularly. Providers should refer to this page for the latest submission and criteria requirements.

Please note: Provider Handbook Section 5 contains the current MOC and SMA; the policies therein have been implemented under bulletin authority pending approvals from the state regulatory process. The most recent regulations-approved version is identified in the table at the beginning of Section 5, and is denoted with **.

Current MOC and SMA

Current California Advancing and Innovating Medi-Cal (CalAIM) Pay-for-Performance (P4P) Fee Schedules

Current Proposition 56 (Prop 56) Fee Schedule

Prop 56 Supplemental Dental Payments: Effective for dates of services on or after July 1, 2018*
(Published) | Tags: Prop 56 Supplemental Payments
*Effective October 1, 2021, select procedure codes eligible for Prop 56 supplemental payments were updated to reflect the CDT-21 code set implementation. Refer to Provider Bulletin Volume 37, Number 19 for more information.

Past Draft MOCs and SMAs