Apple Health Provider Alert

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

Apple Health Provider Alert

Updates from the HCA: Quarterly billing guide updates, effective October 1, 2018, and changes coming to Washington Apple Health, effective January 1, 2019.

Quarterly billing guide updates, effective October 1, 2018
Effective October 1, 2018, the Health Care Authority (HCA) is publishing quarterly updates to most of the Washington Apple Health billing guides. Billing guides are located on HCA’s Provider billing guides and fee schedule web page. Check the web page often. HCA is loading the revised billing guides as soon as they are finalized for publishing. 

Changes coming to Washington Apple Health, effective January 1, 2019
Effective January 1, 2019, Apple Health managed care plans will begin covering behavioral health services (mental health and substance use disorder treatment), along with the currently covered physical health services.  

To view a map and table of the integrated managed care plans available within each region, please see Changes coming to Washington Apple Health. You may also refer to the agency’s Apple Health managed care webpage

Apple Health clients without managed care plans (e.g., dual-eligible Medicare-Medicaid clients) will still have behavioral health coverage through one of the new integrated managed care plans. However, their plan will cover behavioral health services only. 

Most clients will remain with the same health plan, except in regions where clients’ plans will no longer be available. HCA will auto-enroll these clients to one of the offered plans.  

Clients can change their plan at any time by: 

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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