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Entries in Medicaid (8)

Wednesday
Nov122014

Reminders for Medicaid Providers 

CMS Implements New EHR Ruling: The Centers for Medicare and Medicaid (CMS) have released a final rule known as the CMS 2014 CEHRT(Certified EHR Technology) Flexibility Rule which allows providers to meet Stage 1 or Stage 2 of meaningful use with 2011, 2014 or a combination of both 2011 & 2014 certified EHRs for an EHR reporting period in 2014.

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Monday
Sep082014

Medicaid Update


Effective September 15, 2014, the Health Care Authority (HCA) will require providers to send expedited authorization requests via email to dentalprovhelp@hca.wa.gov. In the body of the email providers will need to indicate the medical reason to prioritize the request and the urgency of a client’s appointment date. Please note that extraction authorization requests will no longer be expedited unless emailed to dentalprovhelp@hca.wa.gov. If providers do not receive a response to an extraction request seven days prior to a client’s appointment, please send a follow up email to dentalprovhelp@hca.wa.gov

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Tuesday
Aug262014

Medicaid Claim Form Updates

Attention Medicaid Providers: Effective November 1, 2014, the Washington State Health Care Authority (HCA) will only accept dental paper claims submitted on the new ADA paper claim form (version 2012). The HCA plans to begin accepting the new ADA paper claim form by October 19, 2014 and will be accepting both the 2006 and 2012 version until November 1, 2014.

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Friday
Aug222014

Medicaid Policy Update

Attention Medicaid Ortho Providers:

At the beginning of the month the Washington State Health Care Authority (HCA) announced that effective September 1, 2014, there will be a rate reduction for Medicaid’s orthodontic program for children. The new rates are now available on the HCA’s website.  The HCA later announced that this rate reduction will not affect cases that were banded for treatment prior to September 1, 2014 and that the lower rate will only apply to cases banded on or after that date.  It is important for providers to note that this rate reduction does not apply to cleft palate cases.  View a copy of the August 14, 2014 correspondence from the HCA outlining these modifications. 

Please contact Emily Lovell at emily@wsda.org should you have any questions or concerns.