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HCA: Removing prior authorization requirements for certain CDT codes for children

Dec 15, 2020
The Health Care Authority (HCA) recently sent the following alert to dental Medicaid providers.

Apple Health (Medicaid) Provider Alert

Effective for dates of service on and after January 8, 2021, expedited prior authorization (EPA)/prior authorization (PA) is no longer required for CDT codes D2390, D2929, D2930, D2932, D2933, or D2934 for clients age 0-12.

A reminder alert will be sent on January 5, 2021.

The Health Care Authority (HCA) will publish an updated version of the Access to Baby and Child Dentistry Billing Guide on January 8, 2021.

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