The Health Care Authority (HCA) has announced rule changes to covered Apple Health (Medicaid) dental-related services. Multiple sections of WAC 182-535 (Dental-related services) have been amended including:

• The definitions of certain services.
• Covered diagnostic services.
• Covered preventative services.
• Dental-related covered restorative services.
• Dental-related covered prosthodontic services.
• Dental-related covered oral and maxillofacial surgery services.
• Covered adjunctive general services.
• Dental-related services for clients of the developmental disabilities administration of the Department of Social and Health Services.
• Obtaining prior authorization for dental-related services.
• Access to Baby and Child Dentistry (ABCD) program.

The updated rules will become effective Aug. 1, 2021, and more details on the amendments for each section can be reviewed here.