Updated Apple Health Billing Guides and Fee Schedule

Updated Apple Health Billing Guides and Fee Schedule

Attention Medicaid Providers: The Washington State Health Care Authority (HCA) recently published updates to the Orthodontic and Dental-related services billing guides, along with updates to the Dental program fee schedule.

Attention Medicaid Providers: The Washington State Health Care Authority (HCA) recently published updates to the following Apple Health Billing Guides as well as the Dental program fee schedule:

All of the changes that have been made are listed at the beginning of each billing guide under the “What has changed?” section. Some of the recent changes include clarifications and updates to increase ease of finding information in both guides, revised language to clarify what information HCA requires for an LE request, as well as updated language reflecting that HCA no longer accepts x-rays by mail and that study models are no longer accepted.

All updates and changes to billing guides and fee schedules are made quarterly (Jan. 1, April 1, July 1 and Oct. 1).

"State":"WA"