Apple Health Provider Alert: Billing Multiple Units of Deep Sedation/General Anesthesia

Dental Medicaid

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Apple Health Provider Alert: Billing Multiple Units of Deep Sedation/General Anesthesia

Attention Dental Providers:

Retroactive for claims with dates of service on and after March 18, 2019, the Health Care Authority requires providers who bill multiple units of deep sedation/general anesthesia (D9222/D9223) or intravenous moderate (conscious) sedation/analgesia (D9239/D9243) to list the multiple units on one line of a dental claim.

Example: 

If you are billing for 60 minutes of deep sedation/general anesthesia (D9222/D9223), complete the claim lines as follows:

Claim line one - D9222 1 unit (first 15 minutes)

Claim line two - D9223 3 units (additional 45 minutes)

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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