Reimbursement Dental Personal Protective Equipment

Dental Medicaid

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Reimbursement Dental Personal Protective Equipment

Please read the following information from the HCA:

Effective for dates of service on and after May 18, 2020, Apple Health Dental will pay for personal protective equipment, CDT© code D1999.

Apple Health’s payment for this procedure code is $15, per client, per day.

The rate is not encounter eligible. This is a temporary measure and Apple Health Dental will give ample notice to providers when payment for this procedure code will expire.

See HCA’s Information about novel coronavirus (COVID-19) webpage for updated information regarding COVID-19.

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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