Effective September 15, 2014, the Health Care Authority (HCA) will require providers to send expedited authorization requests via email to firstname.lastname@example.org. 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 email@example.com. 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 firstname.lastname@example.org.
Entries in Medicaid (7)
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.
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 email@example.com should you have any questions or concerns.