HCA: HCA Rulemaking Notice for WSR 23-06

Dental Medicaid

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HCA: HCA Rulemaking Notice for WSR 23-06

The Health Care Authority (HCA) recently sent the following alert to dental Medicaid providers.

Proposed Rule Making - Public Hearings (CR102)

WAC 182-535-1098, -1100, Dental-related services—Not covered, Covered—Adjunctive general services

To read the filing notice and view the proposed rules, see WSR 23-06-044

The proposed amendment would take off from the list of removable prosthodontics that the HCA does not cover: “Replacement of agency-purchased removable prosthodontics that have been lost, broken, stolen, sold, or destroyed as a result of the client's carelessness, negligence, recklessness, deliberate intent, or misuse as described in WAC 182-501-0050.”

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.