Dental/orthodontic payment methodology changes – DELAYED UNTIL FURTHER NOTICE

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Apple Health (Medicaid) Provider Alert

Attention Apple Health orthodontic providers:

The Health Care Authority (HCA) sent a Provider Alert to Apple Health orthodontic providers on March 25, 2020, regarding changes to the payment methodology for comprehensive and limited orthodontic treatment effective July 1, 2020.

HCA is delaying implementation of the changes identified in this provider alert until further notice. Please continue to use CDT procedure codes D8030 and D8080. HCA will give ample notification to providers before the changes take effect.