Oral Health Connections Pilot Project: Billing Change for Periodontal Maintenance
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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.

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Oral Health Connections Pilot Project: Billing Change for Periodontal Maintenance

Please read the following from the HCA: 

Attention Dental Providers:

The Health Care Authority (HCA) revised the Oral Health Connections Pilot Project Billing Guide, published July 1, 2019, to change the frequency of periodontal maintenance (CDT code D4910) from 12 months to 90 days after the completion of scaling and root planing. This change aligns with WAC 182-535-1270.

To view the revised Oral Health Connections Pilot Project Billing Guide, see HCA's Billing guides and fee schedules webpage. Scan down and select Dental Program. 

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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