Chapter 182-535 WAC

Last Update: 10/4/23

DENTAL-RELATED SERVICES

WAC Sections

GENERAL
HTMLPDF182-535-1050Definitions.
HTMLPDF182-535-1060Client eligibility.
HTMLPDF182-535-1070Dental-related services—Provider information.
HTMLPDF182-535-1079Dental-related services—General.
HTMLPDF182-535-1080Covered—Diagnostic.
HTMLPDF182-535-1082Covered—Preventive services.
HTMLPDF182-535-1084Dental-related services—Covered—Restorative services.
HTMLPDF182-535-1086Dental-related services—Covered—Endodontic services.
HTMLPDF182-535-1088Dental-related services—Covered—Periodontic services.
HTMLPDF182-535-1090Dental-related services—Covered—Prosthodontics (removable).
HTMLPDF182-535-1092Dental-related services—Covered—Maxillofacial prosthetic services.
HTMLPDF182-535-1094Dental-related services—Covered—Oral and maxillofacial surgery services.
HTMLPDF182-535-1096Dental-related services—Covered—Orthodontic services.
HTMLPDF182-535-1098Covered—Adjunctive general services.
HTMLPDF182-535-1099Dental-related services for clients of the developmental disabilities administration of the department of social and health services.
HTMLPDF182-535-1100Dental-related services—Not covered.
HTMLPDF182-535-1220Obtaining prior authorization for dental-related services.
ABCD DENTAL PROGRAM
HTMLPDF182-535-1245Access to baby and child dentistry (ABCD) program.
HTMLPDF182-535-1270Oral health connections pilot project.
PAYMENT
HTMLPDF182-535-1350Payment methodology for dental-related services.
HTMLPDF182-535-1400Payment for dental-related services.
HTMLPDF182-535-1450Payment for denture laboratory services.
HTMLPDF182-535-1500Payment for dental-related hospital services.
HTMLPDF182-535-1550Payment for dental care provided out-of-state.
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE
182-535-1065Coverage limits for dental-related services provided under the GA-U and ADATSA programs. [WSR 11-14-075, recodified as § 182-535-1065, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.04.050, 74.08.090. WSR 07-17-107, § 388-535-1065, filed 8/17/07, effective 9/17/07. Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520. WSR 07-06-041, § 388-535-1065, filed 3/1/07, effective 4/1/07. Statutory Authority: RCW 74.04.050, 74.04.057, and 74.09.530. WSR 04-14-100, § 388-535-1065, filed 7/6/04, effective 8/6/04. Statutory Authority: RCW 74.04.050, 74.04.057, 74.08.090, 74.09.530, 2003 1st sp.s. c 25, P.L. 104-191. WSR 03-19-077, § 388-535-1065, filed 9/12/03, effective 10/13/03.] Repealed by WSR 12-09-081, filed 4/17/12, effective 5/18/12. Statutory Authority: RCW 41.05.021.
182-535-1066Dental-related services—Medical care services clients. [Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 19-06-003, § 182-535-1066, filed 2/21/19, effective 3/24/19; WSR 17-20-097, § 182-535-1066, filed 10/3/17, effective 11/3/17. Statutory Authority: RCW 41.05.021 and 2013 2nd sp.s. c 4 § 213. WSR 14-08-032, § 182-535-1066, filed 3/25/14, effective 4/30/14.] Repealed by WSR 19-24-064, filed 11/27/19, effective 1/1/20. Statutory Authority: RCW 41.05.021, 41.05.160 and 2019 c 415 § 211(30).
182-535-1247Dental-related services for clients age twenty-one and older—General. [WSR 11-14-075, recodified as § 182-535-1247, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520. WSR 07-06-041, § 388-535-1247, filed 3/1/07, effective 4/1/07.] Repealed by WSR 12-09-081, filed 4/17/12, effective 5/18/12. Statutory Authority: RCW 41.05.021.
182-535-1255Covered dental-related services—Adults. [WSR 11-14-075, recodified as § 182-535-1255, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520. WSR 07-06-041, § 388-535-1255, filed 3/1/07, effective 4/1/07. Statutory Authority: RCW 74.04.050, 74.04.057, 74.08.090, 74.09.530, 2003 1st sp.s. c 25, P.L. 104-191. WSR 03-19-079, § 388-535-1255, filed 9/12/03, effective 10/13/03.] Repealed by WSR 12-09-081, filed 4/17/12, effective 5/18/12. Statutory Authority: RCW 41.05.021.
182-535-1257Covered dental-related services for clients age twenty-one and older—Preventive services. [WSR 11-14-075, recodified as § 182-535-1257, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520. WSR 07-06-041, § 388-535-1257, filed 3/1/07, effective 4/1/07.] Repealed by WSR 12-09-081, filed 4/17/12, effective 5/18/12. Statutory Authority: RCW 41.05.021.
182-535-1259Covered dental-related services for clients age twenty-one and older—Restorative services. [WSR 11-14-075, recodified as § 182-535-1259, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520. WSR 07-06-041, § 388-535-1259, filed 3/1/07, effective 4/1/07.] Repealed by WSR 12-09-081, filed 4/17/12, effective 5/18/12. Statutory Authority: RCW 41.05.021.
182-535-1261Covered dental-related services for clients age twenty-one and older—Endodontic services. [WSR 11-14-075, recodified as § 182-535-1261, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520. WSR 07-06-041, § 388-535-1261, filed 3/1/07, effective 4/1/07.] Repealed by WSR 12-09-081, filed 4/17/12, effective 5/18/12. Statutory Authority: RCW 41.05.021.
182-535-1263Covered dental-related services for clients age twenty-one and older—Periodontic services. [WSR 11-14-075, recodified as § 182-535-1263, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520. WSR 07-06-041, § 388-535-1263, filed 3/1/07, effective 4/1/07.] Repealed by WSR 12-09-081, filed 4/17/12, effective 5/18/12. Statutory Authority: RCW 41.05.021.
182-535-1266Covered dental-related services for clients age twenty-one and older—Prosthodontics (removable). [WSR 11-14-075, recodified as § 182-535-1266, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520. WSR 07-06-041, § 388-535-1266, filed 3/1/07, effective 4/1/07.] Repealed by WSR 12-09-081, filed 4/17/12, effective 5/18/12. Statutory Authority: RCW 41.05.021.
182-535-1267Covered dental-related services for clients age twenty-one and older—Oral and maxillofacial surgery services. [WSR 11-14-075, recodified as § 182-535-1267, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520. WSR 07-06-041, § 388-535-1267, filed 3/1/07, effective 4/1/07.] Repealed by WSR 12-09-081, filed 4/17/12, effective 5/18/12. Statutory Authority: RCW 41.05.021.
182-535-1269Covered dental-related services for clients age twenty-one and older—Adjunctive general services. [WSR 11-14-075, recodified as § 182-535-1269, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520. WSR 07-06-041, § 388-535-1269, filed 3/1/07, effective 4/1/07.] Repealed by WSR 12-09-081, filed 4/17/12, effective 5/18/12. Statutory Authority: RCW 41.05.021.
182-535-1271Dental-related services not covered for clients age twenty-one and older. [WSR 11-14-075, recodified as § 182-535-1271, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520. WSR 07-06-041, § 388-535-1271, filed 3/1/07, effective 4/1/07.] Repealed by WSR 12-09-081, filed 4/17/12, effective 5/18/12. Statutory Authority: RCW 41.05.021.
182-535-1280Obtaining prior authorization for dental-related services for clients age twenty-one and older. [WSR 11-14-075, recodified as § 182-535-1280, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520. WSR 07-06-041, § 388-535-1280, filed 3/1/07, effective 4/1/07. Statutory Authority: RCW 74.04.050, 74.04.057, 74.08.090, 74.09.530, 2003 1st sp.s. c 25, P.L. 104-191. WSR 03-19-080, § 388-535-1280, filed 9/12/03, effective 10/13/03.] Repealed by WSR 12-09-081, filed 4/17/12, effective 5/18/12. Statutory Authority: RCW 41.05.021.