The Health Care Authority (HCA) recently sent the following alert to dental Medicaid providers.
Attention orthodontic and oral surgery providers:
Subject: Commitment letter requirement for orthognathic surgery temporarily suspended
Currently, the Health Care Authority (HCA) requires orthodontic providers to submit a commitment letter from an oral surgeon along with their prior authorization (PA) request for orthodontic treatment requiring orthognathic surgery.
Effective June 1, 2022, through November 30, 2022, HCA is temporarily suspending this requirement for a commitment letter. Even though the requirement to submit a commitment letter is waived for this period, PA is still required for orthodontic treatment.
Please see the June 1, 2022, Orthodontic Services Billing Guide for further information.
For questions regarding this change, contact the Dental Program at HCA’s Dental Program.