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Apple Health dental moving to managed care

Find information about the cancellation of Apple Health dental moving to managed care. 

Effective May 21, 2019: the Washington State Legislature directed HCA to cancel the implementation of managed care dental. There will be no changes to the current Apple Health dental program.

Partner/Stakeholder survey:  We want to hear from you whether or not you are currently participating in the Apple Health dental program. Please complete the survey by August 1, 2019. (see more below)

Summary

SSB 5883 passed during the 2017 legislative session, which required the Health Care Authority (HCA) to contract through the competitive procurement process with licensed dental health plans or managed health care plans to provide carved-out managed dental care services. The goal was to implement a statewide managed care dental program by July 1, 2019.

On May 21, 2019, the Governor signed ESHB 1109, which directs HCA to cancel all dental managed care procurement activities. HCA will continue to administer the current Apple Health dental fee-for-service program.

Partners/stakeholders

ESHB 1109 directs the Health Care Authority to present the legislature a plan by November 15, 2019, for improving access to dental health services for Apple Health clients. HCA will be partnering with dental stakeholders in the development of this plan. 

HCA is gathering data for a legislative report that will present options to improve access to dental care for Apple Health (Medicaid) clients. The Legislature asked the HCA to explore all potential administrative options, including, but not limited to, the current fee-for-service (FFS) program to achieve this goal. The data collected from this survey will help shape the report in an important way- it will deliver insight into the opinions of providers and stakeholders.

We want to hear from you whether or not you are currently participating in the Apple Health dental program. Please complete the survey by August 1, 2019.  

Frequently asked questions

The following are lists of Apple Health dental providers with paid dental or CDT claims in ProviderOne, from January 1, 2010 through December 31, 2017:

 

If you are a provider who signed a contract with one of the three Apparent Success Bidders (ASB) and you have questions about the cancellation clause of your contract, contact the ASB directly. More information is available in our dental provider FAQ

Apple Health dental managed care plans

Amerigroup (AMG) 1-855-873-1283
Delta Dental 1-206-528-2333
MCNA Dental  1-844-903-6262

Contact

For general questions 
Email:
 hcamcdentalinfo@hca.wa.gov