In crisis?
Forms & publications
Notice: If you are looking for Apple Health (Medicaid) client forms and publications, please visit our Free or low-cost forms library.
Access to Baby and Child Dentistry (ABCD) Billing Guide (2014-07-01)
Instructions for billing for services provided to Washington Apple Health clients.
Provider billing guideADA dental attachments submission cover sheet
Use this form when submitting supporting documentation for dental claims.
FormAgreement of Acceptance (partial denture)
13-965Complete this form when provisioning all partial dentures.
FormBudget changes access to dental services
Budget change access to dental services for some clients 2011
PublicationDental fee schedule (2017-07-01)
Use this fee schedule for dental services effective July 1, 2017
Fee scheduleDental tooth, arch, and quad numbering
70-351Instructions on dental tooth, arch, and quad numbering.
PublicationDental-Related Services Billing Guide (2013-05-01)
Instructions for billing for services provided to Washington Apple Health clients.
Provider billing guideDenture agreement of acceptance
13-809Denture agreement of acceptance form which must be completed upon date of delivery.
FormDenture/partial appliance request
13-788For skilled nursing facilities clients.
FormGeneral Information for Authorization
13-835Use this form (13-835) to submit an initial authorization request.
Form