WSR 98-08-074




(Medical Assistance Administration)

[Filed March 31, 1998, 3:43 p.m.]

Subject of Possible Rule Making: Chapter 388-535 WAC, Dental-related services, describes dental, orthodontic, and denture services available to Medicaid and state medical assistance clients, including prior authorization requirements

Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 74.08.090, 74.09.035, 74.09.520 and 74.09.700; 42 USC 1396d(a); 42 CFR 440.100 and 440.225

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: These rules are necessary to provide and increase access to necessary dental care to Medicaid and state medical assistance clients. The department attempts to pursue cost-avoidance through emphasis on prevention, while ensuring that dentally necessary care is provided to its clients.

Existing rules need to be updated per Executive Order 97-02, in conjunction with updating the dental program billing instructions, to ensure that the rules and billing instructions are readable, concise, founded in law, and fairly applied to affected parties

Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: None

Process for Developing New Rule: The department invites the interested public to review and provide input on the draft language of this WAC. Draft material and information about how to participate are available by contacting the Department of Social and Health Services representative identified below

Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication by contacting Allen Richards, Program Assistance and Support Services, Medical Assistance Administration, Olympia, WA 98504-5530, phone (360) 586-1008, FAX (360) 753-7315, TTY 1-800-848-5429, e-mail

March 31, 1998

Edith M. Rice, Chief

Office of Legal Affairs

Legislature Code Reviser 


Washington State Code Reviser's Office