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 AppleHealthPharmacyPolicy@hca.wa.gov.
HCA will update the Dental Billing Guide by January 1, 2020, to reflect this change.
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