Updates to Apple Health Billing Guides

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

Updates to Apple Health Billing Guides

Attention Medicaid Providers: The Washington State Health Care Authority (HCA) recently published updates to the Access to Baby and Child Dentistry (ABCD), Dental-Related Services Program, and Orthodontic Services Billing Guides.

Attention Medicaid Providers: The Washington State Health Care Authority (HCA) recently published updates to the following Washington Apple Health Billing Guides:

All of the changes which have been made are listed at the beginning of each billing guide under the “What has changed?” table. Some of the recent changes include policy clarifications, policy updates, billing clarifications, the addition of new CDT codes, and general housekeeping items. 

Please note the updated Dental-Related Service Program Billing Guide now includes a section regarding the HCA’s coverage of teledentistry.

The HCA has also updated the Dental Program Fee Schedule.

All updates and changes to billing guides and fee schedules are made quarterly (January 1, April 1, July 1, & October 1). 

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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