Updated 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.

Latest Medicaid News

Updated Apple Health Billing Guides

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

Attention Medicaid Providers - The Washington State Health Care Authority (HCA) recently published updates to the following 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, additional language specifying that initial space maintainers do not require prior authorization, 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, & 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.

Learn More

Questions? Please email info@wsda.org.
"State":"WA"