Apple Health (Medicaid) dental rate reductions

Washington State Health Care Authority sent this bulletin at 06/23/2025 11:19 AM PDT

June 23, 2025

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Apple Health (Medicaid) dental rate reductions effective July 1, 2025

Adult and children's Apple Health (Medicaid) dental rates will be reduced beginning July 1, 2025.

Due to the impact on participating providers, the Health Care Authority (HCA) has published a draft fee schedule with the rate changes.

View the draft fee schedule

State budget background

Governor Ferguson signed the Washington State budget on May 20, 2025. The Legislature identified reductions to both the adult and children’s Apple Health dental fee-for-service rates within the budget.

The Access to Baby and Child Dentistry (ABCD) and Orthodontic Program rates were not included in these reductions. Specific language regarding rate reductions and how they were applied can be found on page 235 of Conference Report ESSB 5167.

View the enacted state budgets

Contact

Email: HCA Dental Program

About the Health Care Authority (HCA)

Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.

There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.

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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Nondiscrimination

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.