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Chapter 182-535 Wac: Dental-Related Services


Published: 2015

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WACs > Title 182 > Chapter 182-535















Last Update: 4/29/15





Chapter 182-535 WAC









DENTAL-RELATED SERVICES















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WAC Sections

GENERAL

182-535-1050
Dental-related services—Definitions.

182-535-1060
Dental-related services—Client eligibility.

182-535-1066
Dental-related services—Medical care services clients.

182-535-1070
Dental-related services—Provider information.

182-535-1079

Dental-related services—General.

182-535-1080
Dental-related services—Covered—Diagnostic.

182-535-1082
Dental-related services—Covered—Preventive services.

182-535-1084
Dental-related services—Covered—Restorative services.

182-535-1086
Dental-related services—Covered—Endodontic services.

182-535-1088
Dental-related services—Covered—Periodontic services.

182-535-1090
Dental-related services—Covered—Prosthodontics (removable).

182-535-1092
Dental-related services—Covered—Maxillofacial prosthetic services.

182-535-1094
Dental-related services—Covered—Oral and maxillofacial surgery services.

182-535-1096
Dental-related services—Covered—Orthodontic services.

182-535-1098
Dental-related services—Covered—Adjunctive general services.

182-535-1099
Dental-related services for clients of the developmental disabilities administration of the department of social and health services.

182-535-1100
Dental-related services—Not covered.

182-535-1220

Obtaining prior authorization for dental-related services.

ABCD DENTAL PROGRAM

182-535-1245

Access to baby and child dentistry (ABCD) program.

PAYMENT

182-535-1350

Payment methodology for dental-related services.

182-535-1400

Payment for dental-related services.

182-535-1450

Payment for denture laboratory services.

182-535-1500

Payment for dental-related hospital services.

182-535-1550

Payment for dental care provided out-of-state.

DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS CHAPTER

182-535-1065
Coverage 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.

182-535-1247
Dental-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.

182-535-1255
Covered 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.

182-535-1257
Covered 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.

182-535-1259
Covered 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.

182-535-1261
Covered 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.

182-535-1263
Covered 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.

182-535-1266
Covered 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.

182-535-1267
Covered 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.

182-535-1269
Covered 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.

182-535-1271
Dental-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.

182-535-1280
Obtaining 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.