Orthodontic Services Billing Guide update, eff. 2/8/2020

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Apple Health (Medicaid) Provider Alert

Effective for claims with dates of service on and after February 8, 2020, the Health Care Authority (HCA) no longer covers replacement retainers, brackets, or lost or broken orthodontic appliances. This change aligns with recent amendments to Chapter 182-535A Orthodontic Services.

HCA updated the Orthodontic Services Billing Guide to reflect these changes.