HCA Rulemaking Notice

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.

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Latest Medicaid News

HCA Rulemaking Notice

The Washington State Health Care Authority (HCA) is considering rule changes to covered restorative services. Submit comments by April 24.
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 preventative agent in lieu of the topical fluoride treatment; (2) clarify that the coverage policy for silver diamine fluoride is per tooth not to exceed six teeth per visit in a twelve-month period; and (3) clarify that silver diamine fluoride cannot be performed and billed with interim therapeutic restoration on the same tooth when arresting caries or as a preventive agent. 

View Rule Proposal
Please submit written comments by April 24, 2018 to arc@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.