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Washington State Dental Association

Medicaid Policy Updates

Provider Guides

Please note that effective July 1, 2014, the Health Care Authority (HCA) will no longer be sending listserv notices regarding provider guide updates. The HCA currently updates each provider guide at the start of each quarter: January 1st, April 1st, July 1st & October 1st. According to the HCA, it will now be the responsibility of the provider to access the updated provider guides on the HCA’s website at the start of each quarter. 

Updated provider guides will continue to be posted on the HCA’s website with the effective date for each guide on the cover. Any major program changes will be listed in the “What Has Changed” table. If no changes are made to a provider guide, the “What Has Changed” table will state “No Change at this Time."  The HCA will send providers a listserv notice with program updates only when those changes occur outside the quarterly update cycle. 

Billing

Also effective July 1, 2014, the HCA is now requiring that all Medicaid dental providers billing with a group NPI now also bill with the servicing/performing provider NPI number.

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