The Health Care Authority (HCA) recently sent the following alert to dental Medicaid providers.
Apple Health (Medicaid) Provider Alert
Reminder! You must submit a prior authorization request for CDT® code D8670 when a client is banded on or after October 1, 2020.
If you are submitting a prior authorization for a limitation extension or transfer for a client who was banded before October 1, 2020, please use the appropriate orthodontic treatment CDT® code, such as D8020, D8030, or D8080.
Please see the Orthodontic Services Billing Guide for instructions.
CDT® codes and descriptions only are copyright 2020 American Dental Association