Attention: Orthodontic and Oral Surgeon Apple Health (Medicaid) Providers:
Effective for dates of service on or after March 1, 2024: The Healthcare Authority (HCA) Apple Health dental program will no longer require prior authorization, nor expedited prior authorization for patients 20 years of age and younger for the CDT® codes: Placement of device to facilitate eruption of impacted tooth (CDT® code D7283) and Exposure of unerupted tooth (CDT® code D7280).
Providers can expect to see this change reflected in the Dental-Related Services Program Billing Guide to be published for April 1, 2024.
To view all guides and fee schedules, visit the Health Care Authority's (HCA) provider billing guides and fee schedules page
here.