Dental - Billing requirements for CDT code D1999

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

Health Care Authority (HCA) logo

Apple Health (Medicaid) Provider Alert

Attention Dental providers:

If you are receiving personal protective equipment at no charge, from any source, do not bill CDT code D1999 to Medicaid.

If you are receiving the Delta Dental PRSP payment, you may only bill the difference between the Delta payment of $10 and the Medicaid payment of $15 for a total billable amount to Medicaid of $5 until October 1, 2020.

All billings for CDT code D1999 must accompany another billable procedure code on the same claim to qualify for payment. Do not bill CDT code D1999 as the only procedure code on a claim.

CDT is copyright © 2020 American Dental Association. All rights reserved.