Apple Health dental program not moving to managed care

Mon, 06/24/2019

The Health Care Authority (HCA), as directed by the Washington State Legislature, has cancelled the implementation of managed care dental. 

The current Apple Health (Medicaid) fee-for-service (coverage without a dental managed care plan), will remain. There will be no changes to the current dental services or benefits provided to Apple Health clients.

What do clients need to do?

Apple Health clients do not need to do anything at this time. HCA sent a notice to all Apple Health clients informing them that the managed care dental program will not be implemented, and there will be no changes to their services or benefits. View dental services covered under Apple Health.

What do providers need to do?

If you are a provider who signed a contract with one of the three ASBs and you have a question about the cancellation clause of your contract, contact that ASB directly. Additional information for providers is on the stakeholder webpage, which includes frequently asked questions (FAQs).

HCA would like to thank all of the dental providers, stakeholders, and the three Apparent Successful Bidders (ASBs) who actively worked to implement the managed care dental program. While the program itself will not implement on July 1, we will retain much of this important work and apply it to future dental-related projects.