Reminder: Dental Prescription Coverage Provider Alert

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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Latest Medicaid News

Reminder: Dental Prescription Coverage Provider Alert

Please read the following message from the HCA:

Dental Prescription Coverage:

Effective on and after January 1, 2020, for clients enrolled in an agency-contracted managed care organization (MCO), dental prescriptions will no longer be paid through the fee-for-service program. Dental prescriptions for these clients must be billed directly to the client’s MCO.

There is no billing change for clients enrolled in the Apple Health fee-for-service program.
For questions related to dental prescriptions, email Apple Health Pharmacy Policy at AppleHealthPharmacyPolicy@hca.wa.gov.

HCA will update the Dental Billing Guide by January 1, 2020, to reflect this change.
 

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.
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