Rep. Caldier’s bill seeking improvements to the prior authorization system for dental providers signed into law

A bill sponsored by Rep. Michelle Caldier to improve the prior authorization process for patients and dental providers in medical assistance programs was signed into law Thursday by Gov. Jay Inslee. Caldier's House Bill 2498 establishes a work group that will streamline the prior authorization process for dental Medicaid patients.

Caldier, R-Port Orchard, says her bill was inspired by a mother in Bremerton who spent months advocating on behalf of her daughter who needed dental surgery. After finding a dentist who accepted Medicaid, the prior authorization sat on the Health Care Authority's desk for months while her daughter's face began swelling from a cyst. Her mother made several phone calls to get help, but did not receive any assistance until she contacted her 26th District representatives. Her daughter was then able to get the prior authorization approved and the surgery performed.

“The work group established by this bill is going to be helpful in looking for ways to address the challenges dental providers currently face when confronted with burdensome and unnecessary regulations like the prior authorization process,” said Caldier. “I look forward to hearing their recommendations and continuing to work to make the process more efficient for dental providers and patients alike.”

House Bill 2498 was unanimously approved by the House and Senate before being signed into law by the governor. It will go into effect later this year.

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Washington State House Republican Communications
houserepublicans.wa.gov