Apple Health Emergency Dental Rate Change Effective Oct. 1

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

Apple Health Emergency Dental Rate Change Effective Oct. 1

Attention Apple Health dental providers: Effective Oct. 1, rates for emergency extractions for several codes will be rolled back to pre-COVID rates.
Please read the following update from the Health Care Authority (HCA).

Apple Health emergency dental rate change effective October 1

Attention: Apple Health (Medicaid) dental providers

Effective Oct. 1, 2020, EPA number 870001608 will no longer apply. Rates for emergency extractions for codes D7140, D7210, D7220, D7230, and D7240 will be rolled back to pre-COVID rates:

Code

Rate

D7140

$30.49

D7210

$59.80

D7220

$70.57

D7230

$110.40

D7240

$128.80

Also effective October 1, 2020, the temporary CDT code D1999 (PPE) will have a rate change from $15 to $10.

For ​more ​information

Please see the Health Care Authority's Covid-19 related FAQ for emergency dental billing.

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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