Chapter 388-535 WAC
DENTAL-RELATED SERVICES
Last Update: 7/24/08

WAC SECTIONS

GENERAL
388-535-1050 Dental-related definitions.
388-535-1060 Clients who are eligible for dental-related services.
388-535-1065 Coverage limits for dental-related services provided under the GA-U and ADATSA programs.
388-535-1070 Dental-related services provider information.
388-535-1079 Dental-related services for clients through age twenty -- General.
388-535-1080 Covered dental-related services for clients through age twenty--Diagnostic.
388-535-1082 Covered dental-related services for clients through age twenty -- Preventive services.
388-535-1084 Covered dental-related services for clients through age twenty -- Restorative services.
388-535-1086 Covered dental-related services for clients through age twenty--Endodontic services.
388-535-1088 Covered dental-related services for clients through age twenty--Periodontic services.
388-535-1090 Covered dental-related services for clients through age twenty--Prosthodontics (removable).
388-535-1092 Covered dental-related services for clients through age twenty--Maxillofacial prosthetic services.
388-535-1094 Covered dental-related services for clients through age twenty--Oral and maxillofacial surgery services.
388-535-1096 Covered dental-related services for clients through age twenty--Orthodontic services.
388-535-1098 Covered dental-related services for clients through age twenty--Adjunctive general services.
388-535-1099 Covered dental-related services for clients of the division of developmental disabilities.
388-535-1100 Dental-related services not covered for clients through age twenty.
388-535-1220 Obtaining prior authorization for dental-related services for clients through age twenty.
ABCD DENTAL PROGRAM
388-535-1245 Access to baby and child dentistry (ABCD) program.
ADULTS' DENTAL-RELATED SERVICES
388-535-1247 Dental-related services for clients age twenty-one and older -- General.
388-535-1255 Covered dental-related services -- Adults.
388-535-1257 Covered dental-related services for clients age twenty-one and older -- Preventive services.
388-535-1259 Covered dental-related services for clients age twenty-one and older -- Restorative services.
388-535-1261 Covered dental-related services for clients age twenty-one and older -- Endodontic services.
388-535-1263 Covered dental-related services for clients age twenty-one and older -- Periodontic services.
388-535-1266 Covered dental-related services for clients age twenty-one and older -- Prosthodontics (removable).
388-535-1267 Covered dental-related services for clients age twenty-one and older -- Oral and maxillofacial surgery services.
388-535-1269 Covered dental-related services for clients age twenty-one and older -- Adjunctive general services.
388-535-1271 Dental-related services not covered for clients age twenty-one and older.
388-535-1280 Obtaining prior authorization for dental-related services for clients age twenty-one and older.
PAYMENT
388-535-1350 Payment methodology for dental-related services.
388-535-1400 Payment for dental-related services.
388-535-1450 Payment for denture laboratory services.
388-535-1500 Payment for dental-related hospital services.
388-535-1550 Payment for dental care provided out-of-state.
DISPOSITIONS OF SECTIONS FORMERLY CODIFIED IN THIS CHAPTER
388-535-1000 Dental-related services--Scope of coverage. [Statutory Authority: Initiative 607, 1995 c 18 2nd sp.s. and74.08.090 . 96-01-006 (Order 3931), § 388-535-1000, filed 12/6/95, effective 1/6/96.]  Repealed by 99-07-023, filed 3/10/99, effective 4/10/99. Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.520 and 74.09.700, 42 USC 1396d(a), CFR 440.100 and 440.225. 
388-535-1010 Dental-related program introduction. [Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.520 and 74.09.700, 42 USC 1396d(a), CFR 440.100 and 440.225. 99-07-023, § 388-535-1010, filed 3/10/99, effective 4/10/99.]  Repealed by 02-13-074, filed 6/14/02, effective 7/15/02. Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.500, 74.09.520, 42 U.S.C. 1396d(a), 42 C.F.R. 440.100 and 440.225. 
388-535-1120 Coverage limits for dental-related services provided under state-only funded programs. [Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.500, 74.09.520, 42 U.S.C. 1396d(a), 42 C.F.R. 440.100 and 440.225. 02-13-074, § 388-535-1120, filed 6/14/02, effective 7/15/02.]  Repealed by 03-19-080, filed 9/12/03, effective 10/13/03. 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. 
388-535-1150 Becoming a DSHS dental provider. [Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.520 and 74.09.700, 42 USC 1396d(a), CFR 440.100 and 440.225. 99-07-023, § 388-535-1150, filed 3/10/99, effective 4/10/99. Statutory Authority: Initiative 607, 1995 c 18 2nd sp.s. and 74.08.090. 96-01-006 (Order 3931), § 388-535-1150, filed 12/6/95, effective 1/6/96.]  Repealed by 02-13-074, filed 6/14/02, effective 7/15/02. Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.500, 74.09.520, 42 U.S.C. 1396d(a), 42 C.F.R. 440.100 and 440.225. 
388-535-1200 Dental-related services requiring prior authorization -- Children. [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. 03-19-078, § 388-535-1200, filed 9/12/03, effective 10/13/03. Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.500, 74.09.520, 42 U.S.C. 1396d(a), 42 C.F.R. 440.100 and 440.225. 02-13-074, § 388-535-1200, filed 6/14/02, effective 7/15/02. Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.520 and 74.09.700, 42 USC 1396d(a), CFR 440.100 and 440.225. 99-07-023, § 388-535-1200, filed 3/10/99, effective 4/10/99. Statutory Authority: Initiative 607, 1995 c 18 2nd sp.s. and74.08.090 . 96-01-006 (Order 3931), § 388-535-1200, filed 12/6/95, effective 1/6/96.]  Repealed by 07-06-042, filed 3/1/07, effective 4/1/07. Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520
388-535-1230 Crowns for children. [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. 03-19-078, § 388-535-1230, filed 9/12/03, effective 10/13/03. Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.500, 74.09.520, 42 U.S.C. 1396d(a), 42 C.F.R. 440.100 and 440.225. 02-13-074, § 388-535-1230, filed 6/14/02, effective 7/15/02. Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.500, 74.09.520. 01-07-077, § 388-535-1230, filed 3/20/01, effective 4/20/01. Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.520 and 74.09.700, 42 USC 1396d(a), CFR 440.100 and 440.225. 99-07-023, § 388-535-1230, filed 3/10/99, effective 4/10/99.]  Repealed by 07-06-042, filed 3/1/07, effective 4/1/07. Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520
388-535-1240 Dentures, partial dentures, and overdentures for children. [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. 03-19-079, § 388-535-1240, filed 9/12/03, effective 10/13/03. Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.500, 74.09.520, 42 U.S.C. 1396d(a), 42 C.F.R. 440.100 and 440.225. 02-13-074, § 388-535-1240, filed 6/14/02, effective 7/15/02. Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.520 and 74.09.700, 42 USC 1396d(a), CFR 440.100 and 440.225. 99-07-023, § 388-535-1240, filed 3/10/99, effective 4/10/99.]  Repealed by 07-06-042, filed 3/1/07, effective 4/1/07. Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520
388-535-1250 Orthodontic coverage for DSHS children. [Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.520 and 74.09.700, 42 USC 1396d(a), CFR 440.100 and 440.225. 99-07-023, § 388-535-1250, filed 3/10/99, effective 4/10/99. Statutory Authority: Initiative 607, 1995 c 18 2nd sp.s. and 74.08.090. 96-01-006 (Order 3931), § 388-535-1250, filed 12/6/95, effective 1/6/96.]  Repealed by 02-01-050, filed 12/11/01, effective 1/11/02. Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.520, 74.09.500, 42 U.S.C. 1396d(a), C.F.R. 440.100 and 225. 
388-535-1260 Dental-related limits of state-only funded programs. [Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.520 and 74.09.700, 42 USC 1396d(a), CFR 440.100 and 440.225. 99-07-023, § 388-535-1260, filed 3/10/99, effective 4/10/99.]  Repealed by 02-13-074, filed 6/14/02, effective 7/15/02. Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.500, 74.09.520, 42 U.S.C. 1396d(a), 42 C.F.R. 440.100 and 440.225. 
388-535-1265 Dental-related services not covered -- Adults. [Statutory Authority: RCW 74.04.050, 74.08.090, 74.09.530, and 74.09.700. 06-24-036, § 388-535-1265, filed 11/30/06, effective 1/1/07. 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. 03-19-079, § 388-535-1265, filed 9/12/03, effective 10/13/03.]  Repealed by 07-14-031, filed 6/26/07, effective 7/27/07. Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520. Later promulgation, see WAC 388-535-1271
388-535-1270 Dental-related services requiring prior authorization -- Adults. [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. 03-19-080, § 388-535-1270, filed 9/12/03, effective 10/13/03.]  Repealed by 07-06-041, filed 3/1/07, effective 4/1/07. Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520
388-535-1290 Dentures and partial dentures for adults. [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. 03-19-080, § 388-535-1290, filed 9/12/03, effective 10/13/03.]  Repealed by 07-06-041, filed 3/1/07, effective 4/1/07. Statutory Authority: RCW 74.08.090, 74.09.500, 74.09.520
388-535-1300 Access to baby and child dentistry (ABCD) program. [Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.520 and 74.09.700, 42 USC 1396d(a), CFR 440.100 and 440.225. 99-07-023, § 388-535-1300, filed 3/10/99, effective 4/10/99. Statutory Authority: Initiative 607, 1995 c 18 2nd sp.s. and 74.08.090. 96-01-006 (Order 3931), § 388-535-1300, filed 12/6/95, effective 1/6/96.]  Repealed by 02-11-136, filed 5/21/02, effective 6/21/02. Statutory Authority: RCW 74.08.090, 74.09.035, 74.09.500, 42 U.S.C. 1396d(a), 42 C.F.R. 440.100 and .225. Later promulgation, see WAC 388-535-1245