Apple Health Provider Update

Dental Medicaid

WSDA is committed to keeping our members up to date on the latest news and information involving Washington state's Dental Medicaid program.

COVID-19: HCA has created a web page ​for COVID-19 information. For Medicaid provider information, scroll down to the "Providers" section.

Latest Medicaid News

Apple Health Provider Update

Apple Health (Medicaid) providers, please read an update from Washington State Health Care Authority (HCA) regarding the process of contracting out WA's Dental Medicaid program and what you can expect as a provider.
From the ​HCA:

During the 2017 legislative session, Substitute Senate Bill 5883 passed, requiring the ​HCA to contract through the competitive procurement process with licensed dental health plans or managed health care plans to provide carved-out managed care dental services by January 1, 2019. The purpose of the legislation is to allow for greater efficiency, and facilitation of better access and oral health outcomes for Washington Apple Health (Medicaid) enrollees.

In order for potential bidders to build adequate networks, we will be providing them with contact information for all Apple Health enrolled dental providers. You will likely be contacted by one or more potential bidder(s). The contact information will be available to bidders the week of March 19.

For additional information, visit our Apple Health dental moving to managed care webpage

For general questions, email: hcamcprograms@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.

Learn More

Questions? Please email info@wsda.org.
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