Apple Health (Medicaid): Provider Alert

As of July 1, 2014, the Healthcare Authority required that all dental servicing providers be enrolled in the ProviderOne system and the servicing provider’s National Provider Identifier (NPI) be listed on all claims billed by a group practice or clinic.

Effective for dates of service on and after July 1, 2017, all dental claims without a servicing provider NPI will be denied.  (Claims may be resubmitted according to timely filing requirements under WAC 182-502-0150.) 

Please do not reply directly to this message. If you have feedback or questions, please visit the HCA website for contact information.

About Washington State Health Care Authority
HCA oversees the state’s top two health care purchasers — Washington Apple Health (Medicaid) and the Public Employee Benefits Board Program. We work with partners to help ensure Washingtonians have access to better health and better care at a lower cost. For more information, visit www.hca.wa.gov.