Dental Medicaid

Apple Health Orthodontic Services Billing Guide Update

Attention Medicaid Providers: The Washington State Health Care Authority (HCA) recently published an update to the Orthodontic Services Billing Guide.

HCA: Edit code 11120 posting on claims in error

Reminder for Medicaid Providers: New PMP Rule Goes into Effect Oct. 1, 2021

Effective Oct. 1, Medicaid providers will need to check the Washington State Prescription Monitoring Program (PMP) prior to prescribing any controlled substance (Schedule II through Schedule IV, not just opioids) to a patient enrolled in an Apple Health Managed Care plan or Fee-for-Service program.

Apple Health ABCD Program Billing Guide Update

Attention Medicaid Providers: The Washington State Health Care Authority (HCA) recently published an update to the billing guide for the Access to Baby and Child Dentistry (ABCD) program.

HCA: Photos required with PA requests for replacement and partial dentures, Eff. 10/15/2021