Updated Apple Health Billing Guide

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

Updated Apple Health Billing Guide

Attention Medicaid Providers: The Washington State Health Care Authority (HCA) recently published updates to its Dental-Related Services Program Billing Guide and Orthodontic Services Billing Guide.

Attention Medicaid Providers: The Washington State Health Care Authority (HCA) recently published updates to its Dental-Related Services Program Billing Guide and Orthodontic Services Billing Guide.

The HCA recently published updates to the following Washington Apple Health Billing Guides:

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

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 and 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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