Updates for Medicaid Providers – Study Casts, Web Portal Claims Submissions, Billable Hygiene Codes

Molly Pereira Featured News

February 18, 2011

Colorado Medicaid recently published provider updates, which included several dental-specific changes. Medicaid clarified that no dental provider (including orthodontists) should submit diagnostic models or study casts with claims or prior authorization requests, unless specifically requested by the Medicaid program.

Medicaid also updated its online billing portal with two additional options for the place where service was provided. Ambulatory surgery centers and schools were added to the drop down list in the billing program.

Finally, Medicaid published a list of codes that may be billed by unsupervised dental hygienists. For a list of these codes, go to page five of the January 2011 Medicaid provider bulletin.