Dental Medicaid

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

  • Jan 4, 2022

    Updated Apple Health Billing Guides and Fee Schedule

    Attention Medicaid Providers: The Washington State Health Care Authority (HCA) recently published updates to the Access to Baby and Child Dentistry, Dental-related Services, Orthodontic Services, and Oral Health Connections Pilot Project billing guides, along with updates to the Dental Program fee schedule.
  • Dec 11, 2021
  • Dec 7, 2021

    HCA: Dental Program Changes, Effective Jan. 1, 2022

    Updates from the Health Care Authority (HCA) on the Access to Baby and Child Dentistry (ABCD) program and covered orthodontic services.
  • Nov 20, 2021

    HCA and Apple Health Provider Directory Update

    HCA will make a new Provider Directory tool for Apple Health (Medicaid) clients available on December 10, 2021 through this API. This impacts providers who are contracted with HCA, and Apple Health clients. To prepare for this launch, HCA is requesting all contracted providers to update their ProviderOne provider file.
  • Nov 19, 2021

    Apple Health (Medicaid) Provider Alert

    Attention Orthodontic providers: For dates of service on and after January 1, 2022, HCA will require providers to request prior authorization for CDT® codes D8680 and D8695. HCA will discontinue EPA for these codes.

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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