Orthodontic treatment - Payment methodology not changing 7/1/2019

Having trouble viewing this email? View it as a Web page.

Health Care Authority (HCA) logo

Apple Health (Medicaid) Provider Alert

Attention Dental Providers:

The Health Care Authority (HCA) has heard your concerns and is re-evaluating the decision to change the payment methodology for orthodontic treatment provided to Apple Health clients beginning July 1, 2019. Please disregard the Provider Alert sent on June 14, 2019. HCA will not be implementing this change and will not be publishing a revised Orthodontic Services Billing Guide, effective July 1, 2019.

Dental providers should continue billing for orthodontic services as they currently are, using the billing instructions found in the current Orthodontic Services Billing Guide, dated April 1, 2019, found on HCA’s Billers and Providers webpage, under billing guides and fee schedules.

HCA encourages dental providers and billers to sign up to receive early notices of Apple Health rulemaking pertaining to orthodontic services. Sign up for rulemaking notices through HCA’s Rulemaking webpage.