Source: https://app.leg.wa.gov/WAC/default.aspx?cite=182-535-1086
Timestamp: 2020-07-03 16:40:04
Document Index: 446914204

Matched Legal Cases: ['§ 182', '§ 213', '§ 182', '§ 182', '§ 182', '§ 388']

WAC 182-535-1086:
WACs > Title 182 > Chapter 182-535 > Section 182-535-1086
182-535-1084 << 182-535-1086 >> 182-535-1088
PDFWAC 182-535-1086
Dental-related services—Covered—Endodontic services.
Clients described in WAC 182-535-1060 are eligible to receive the dental-related endodontic services listed in this section, subject to coverage limitations, restrictions, and client age requirements identified for a specific service.
(1) Pulp capping. The medicaid agency considers pulp capping to be included in the payment for the restoration.
(a) Therapeutic pulpotomy on primary teeth only for clients age twenty and younger.
(3) Endodontic treatment on primary teeth. The agency covers endodontic treatment with resorbable material for primary teeth, if the entire root is present at treatment.
(b) Covers endodontic treatment for permanent bicuspid and molar teeth, excluding teeth one, sixteen, seventeen, and thirty-two for clients age twenty and younger.
(iii) All intra-operative and final evaluation radiographs (X-rays) for the endodontic procedure.
(5) Endodontic retreatment on permanent anterior teeth. The agency:
(a) Covers endodontic retreatment for clients age twenty and younger when prior authorized.
(b) Covers endodontic retreatment of permanent anterior teeth for clients twenty-one years of age and older when prior authorized.
(d) Pays separately for the following services that are related to the endodontic retreatment:
(e) Does not pay for endodontic retreatment when provided by the original treating provider or clinic unless prior authorized by the agency.
(6) Apexification/apicoectomy. The agency covers:
(a) Apexification for apical closures for anterior permanent teeth only. Apexification is limited to the initial visit and three interim treatment visits per tooth and is limited to clients age twenty and younger.
(b) Apicoectomy and a retrograde fill for anterior teeth only for clients age twenty and younger.
[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 17-20-097, § 182-535-1086, 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, § 182-535-1086, filed 3/25/14, effective 4/30/14. Statutory Authority: RCW 41.05.021. WSR 12-09-081, § 182-535-1086, filed 4/17/12, effective 5/18/12. WSR 11-14-075, recodified as § 182-535-1086, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520. WSR 07-06-042, § 388-535-1086, filed 3/1/07, effective 4/1/07.]