Dental and orthodontic authorizations – effective immediately

Washington State Health Care Authority sent this bulletin at 03/25/2020 11:55 AM PDT

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Apple Health (Medicaid) Provider Alert

Attention dental and orthodontic providers,

Effective immediately, due to Governor Inslee’s statewide Stay Home, Stay Healthy proclamation to combat the spread of COVID-19, the Health Care Authority’s (HCA) Medicaid dental authorizations unit is teleworking.

To request authorizations, providers are strongly encouraged to use one of the following ways to avoid a delay in services:

Online submission: HCA’s Prior Authorization webpage
The FastLook™ and FastAttach™ services provided by National Electronic Attachment, Inc. (NEA). You may register with NEA online and entering “FastWDSHS” in the blue promotion code box. Contact NEA toll-free at 1-800-782-5150, ext. 2, with any questions.

HCA will not process authorization requests submitted by mail (including those requests already received or recently mailed) until staff is back to work in the office. At this time, that date is unknown.

See also HCA’s online submission instructions and the Dental Services Billing Guide and the Orthodontic Services Billing Guide on HCA’s Provider billing guides and fee schedules webpage.

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 2.5 million Washington residents through Apple Health (Medicaid), the Public Employees Benefits Board (PEBB) Program, the School Employees Benefits Board (SEBB) Program, and the COFA Islander Health Care 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.