INTERPRETIVE OR POLICY STATEMENT
Legal and Administrative Services
Document Title: Provider Notice #12-63.
Subject: Dental-Related Service Medicaid Provider Guide.
Effective Date: June 1, 2012.
Retroactive to dates of service on and after June 1, 2012, the medicaid program of the HCA is publishing a revised Dental-Related Service Medicaid Provider Guide. The guide's revisions reflect recent changes made to chapter 182-535 WAC.
For additional information, contact Amber Dassow, HCA, P.O. Box 45504, phone (360) 725-1349, TDD/TTY 1-800-848-5429, fax (360) 586-9727, e-mail firstname.lastname@example.org, web site http://www.hca.wa.gov/.