Attention Medicaid Providers: The Washington State Health Care Authority (HCA) recently published updates to the following Washington Apple Health Billing Guides:

• Access to Baby and Child Dentistry (ABCD) Billing Guide
• Dental-Related Services Program Billing Guide 
• Orthodontic Services Billing Guide

All of the changes which have been made are listed at the beginning of each billing guide under the “What has changed?” table. Some of the recent changes include policy clarifications, policy updates, billing clarifications, the addition of new CDT codes, and general housekeeping items. 

Please note the updated Dental-Related Service Program Billing Guide now includes a section regarding the HCA’s coverage of teledentistry.

The HCA has also updated the Dental Program Fee Schedule.

All updates and changes to billing guides and fee schedules are made quarterly (January 1, April 1, July 1, & October 1).