The Health Care Authority (HCA) recently sent the following alert to dental Medicaid providers.
Apple Health (Medicaid) Provider Alert
Attention Orthodontic providers:
The temporary COVID policy allowing the provider to bill a quarterly unit of orthodontic services without seeing the client is recalled. Effective immediately, all orthodontic providers must see the client at least once in a quarter to bill for orthodontic services.
It is the expectation of the Health Care Authority that, even though a provider was able to bill a quarterly unit of services without seeing the client due to office shut downs, the provider will still complete the client’s services in the original units allotted.