Access to Baby and Child Dentistry (ABCD) Billing Guide Update

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

Access to Baby and Child Dentistry (ABCD) Billing Guide Update

Please read the following message from the HCA:

Attention Access to Baby and Child (ABCD) providers:

The Health Care Authority (HCA) revised the Access to Baby and Child Dentistry (ABCD) Billing Guide to align with the Expedited Prior Authorization (EPA) schedule (for CDT codes D2390, D2929, D2930, and D2933) in the Dental-related services billing guide.

For clients age 12 and younger, providers may use the appropriate EPA for CDT codes D2390, D2929, D2930, and D2933 if client meets EPA criteria. Prior authorization will continue to be required for clients who do not meet the EPA criteria or who are age 13 through 20 in accordance to WAC 182-535-1084(6).

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"