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.

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.
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