Dental/orthodontic payment methodology changes - DELAYED

Dental Medicaid

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Dental/orthodontic payment methodology changes - DELAYED

Please read the following update from HCA: 

Apple Health (Medicaid) Provider Alert

The Health Care Authority (HCA) sent a Provider Alert to Apple Health orthodontic providers on March 19, 2020, regarding changes to the payment methodology for comprehensive and limited orthodontic treatment, effective May 1, 2020.

HCA is delaying the implementation of the changes identified in this provider alert to dates of service on and after July 1, 2020.

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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