Attention Orthodontic Providers

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.

COVID-19: HCA has created a web page ​for COVID-19 information. For Medicaid provider information, scroll down to the "Providers" section.

Latest Medicaid News

Attention Orthodontic Providers

Please read the following message from the HCA: 

The Health Care Authority (HCA) is requiring a new form for orthodontic providers. The form must be submitted to HCA whenever orthodontic treatment has been discontinued prior to completion of treatment.

The Orthodontic Discontinuation of Service (13-0039) form can be found on the agency’s Forms and Publications page.

Providers will submit the notification form using the barcode document submission cover sheet for general prior authorization requests using the prior authorization number from the original approval. The barcode document submission cover sheet can be found on the agency’s prior authorization webpage under Step 4: How to submit a PA request.

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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