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.
Please submit written comments by April 24, 2018