Oral Health Connections Pilot Project - billing change for periodontal maintenance

Washington State Health Care Authority sent this bulletin at 07/05/2019 02:37 PM PDT

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Apple Health (Medicaid) Provider Alert

Attention Dental Providers:

The Health Care Authority (HCA) revised the Oral Health Connections Pilot Project Billing Guide, published July 1, 2019, to change the frequency of periodontal maintenance (CDT code D4910) from 12 months to 90 days after the completion of scaling and root planing. This change aligns with WAC 182-535-1270.

To view the revised Oral Health Connections Pilot Project Billing Guide, see HCA's Billing guides and fee schedules webpage. Scan down and select Dental Program.

About the Health Care Authority (HCA)

The Washington State Health Care Authority (HCA) is committed to whole-person care, integrating physical health and behavioral health services for better results and healthier residents.

HCA purchases health care for more than two million Washington residents through Apple Health (Medicaid), the Public Employees Benefits Board (PEBB) Program, and, beginning in 2020, the School Employees Benefits Board (SEBB) 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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The Washington State Health Care Authority (HCA) complies with all applicable federal and Washington state civil rights laws and is committed to providing equal access to our services. Visit HCA’s website to view complete nondiscrimination statements.