Provider Alert | Dental Prescription Coverage | Due 12/19/19

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Apple Health (Medicaid) Provider Alert

Dental Prescription Coverage:

Effective on and after January 1, 2020, for clients enrolled in an agency-contracted managed care organization (MCO), dental prescriptions will no longer be paid through the fee-for-service program. Dental prescriptions for these clients must be billed directly to the client’s MCO.

There is no billing change for clients enrolled in the Apple Health fee-for-service program.

For questions related to dental prescriptions, email Apple Health Pharmacy Policy at

HCA will update the Dental Billing Guide by January 1, 2020, to reflect this change.