Apple Health Provider Alert - ABCD Providers

Washington State Health Care Authority sent this bulletin at 10/20/2017 11:31 AM PDT

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Apple Health (Medicaid) Provider Alert

Billing for ABCD Services

The Health Care Authority (agency) has been notified that some of our Access to Baby and Child Dentistry (ABCD) providers have received denials on interim therapeutic restoration (ITR) claims or have not received enhanced payments for ABCD services. We found that the ProviderOne file for these providers does not have the appropriate indicators needed for correct claims payment. We are working with our Provider Enrollment unit to correct this issue and will work with providers to reprocess their claims.

If you need assistance with these claims, please contact our ABCD Program Manager, Janice Tadeo by email at Janice.tadeo@hca.wa.gov.

About the Health Care Authority (HCA)

The Washington State Health Care Authority purchases health care for more than 2 million Washington residents through Apple Health (Medicaid) and the Public Employees Benefits Board (PEBB) Program. As the largest health care purchaser in the state, we lead the effort to transform health care, helping ensure Washington residents have access to better health and better care at a lower cost.

Please do not reply directly to this message. For more information, visit the HCA website, where you'll also find contact information.

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