Health Care Authority Rulemaking Notice

Dental Medicaid

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Health Care Authority Rulemaking Notice

Read for HCA rule updates regarding silver diamine fluoride.
Permanent Adoption (CR103P)
182-535-1084 Dental-related services - Covered - Restorative services

​The agency is revising WAC 182-535-1084 to (1) allow for payment of silver diamine fluoride as a topical preventive agent; (2) clarify that the coverage policy for silver diamine fluoride is two times per tooth, per visit in a twelve month period; and (3) clarify that silver diamine fluoride cannot billed with interim therapeutic restoration on the same tooth when arresting caries or as a preventive agent. (WSR 182-12-033)

Medicaid Transition to Managed Care Cancelled

The 2019 Legislature has directed the Washington State Health Care Authority (HCA) to continue to administer the dental Medicaid program through fee-for-service. The HCA may not proceed with a carved-out or carved-in managed care dental option at this time.

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Questions? Please email info@wsda.org.
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