HCA Rule Review - Dental Related Services and Orthodontic Services

Dental Medicaid

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HCA Rule Review - Dental Related Services and Orthodontic Services

Please review the following from the HCA: 

Attached for your review and comment are the following WAC sections:

WAC 182-535-1050 Dental-related services—Definitions
WAC 182-535-1060 Dental-related services—Client eligibility
WAC 182-535-1245 Access to baby and child dentistry (ABCD) program
WAC 182-535A-0010 Orthodontic services—Definitions
WAC 182-535A-0020 Orthodontic treatment and orthodontic services—Client eligibility

Purpose: 
The agency is striking all references to dental managed care from these sections. Eligible clients will continue to receive their dental services through fee-for-service on and after July 1, 2019. 
 
Comments are due by August 7, 2019.

 
Return your comments on the propose rules to: 
Michael Williams, Rules and Publications Program Manager, via email at: michael.williams@hca.wa.gov or Fax to (360) 586-9727. 
 
Direct policy questions to:
Pixie Needham, CQCT via email at: pixie.needham@hca.wa.gov with a cc: to michael.williams@hca.wa.gov.

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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