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HCA: Orthodontic Temporary COVID Policy Recalled for Billing Quarterly Units Without Seeing Client

Oct 21, 2020
The Health Care Authority (HCA) recently sent the following alert to dental Medicaid providers.

Apple Health (Medicaid) Provider Alert

Attention Orthodontic providers:

The temporary COVID policy allowing the provider to bill a quarterly unit of orthodontic services without seeing the client is recalled. Effective immediately, all orthodontic providers must see the client at least once in a quarter to bill for orthodontic services.

It is the expectation of the Health Care Authority that, even though a provider was able to bill a quarterly unit of services without seeing the client due to office shut downs, the provider will still complete the client’s services in the original units allotted.