HCA Provider Alert: Billing for ABCD Services 

Dental Medicaid

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Latest Medicaid News

HCA Provider Alert: Billing for ABCD Services 

The Health Care Authority has been notified that some of our Access to Baby and Child Dentistry (ABCD) providers have received denials on interim therapeutic restoration (ITR) claims or have not received enhanced payments for ABCD services.
The Health Care Authority (agency) has been notified that some of our Access to Baby and Child Dentistry (ABCD) providers have received denials on interim therapeutic restoration (ITR) claims or have not received enhanced payments for ABCD services. We found that the ProviderOne file for these providers does not have the appropriate indicators needed for correct claims payment. We are working with our Provider Enrollment unit to correct this issue and will work with providers to reprocess their claims.

If you need assistance with these claims, please contact our ABCD Program Manager, Janice Tadeo by email at janice.tadeo@hca.wa.gov

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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