Information About Managed Care Dental Sent to Apple Health Clients

Dental Medicaid

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Information About Managed Care Dental Sent to Apple Health Clients

Health Care Authority (HCA) has sent letters to all eligible Apple Health clients that managed care dental will be implemented on July 1, 2019.
Dental Medicaid providers, please read the following message from the Washington State Health Care Authority (HCA).

Information about Managed Care Dental sent to Apple Health Clients

Health Care Authority (HCA) has sent letters to all eligible Apple Health clients that managed care dental will be implemented on July 1, 2019. This letter provides an overview of the differences between managed care dental and coverage without a managed care dental plan (also referred to as fee-for-service).

Apple Health clients do not need to do anything at this time. Most clients who are eligible for managed care dental will be auto-enrolled into a dental plan at the end of May. Once clients have received their enrollment letter they will have an opportunity to change plans prior to the implementation on July 1, 2019. 

If clients are not enrolled in a managed care dental plan (for example, if one is not available in their area), HCA will continue to cover their dental services.

HCA gives American Indians and Alaska Natives a choice between either Apple Health coverage with or coverage without a managed care dental plan.

Want more information?

Visit the Apple Health managed care dental webpage to learn more about changes coming or view an informational flyer you can share with your clients. Additional information for providers can be found on the stakeholder webpage, which includes frequently asked questions.

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.

Learn More

Questions? Please email info@wsda.org.
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