30-day grace period on requiring prior authorization for replacement dentures

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Apple Health (Medicaid) Provider Alert

Attention Dental providers:

In response to the provider alert sent on July 27, 2021, regarding replacement dentures requiring prior authorization, the Health Care Authority (HCA) will allow a 30-day grace period for CDT® codes D5110 and D5120, procedures in progress. The prior authorization requirements for replacement dentures will be effective for all claims with dates of service on and after September 2, 2021.

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