74.09.340  <<  74.09.390 >>   74.09.395

Access to baby and child dentistry programCoverage for eligible childrenAuthority's dutiesReport to legislature.

(1) Subject to the availability of amounts appropriated for this specific purpose, the authority shall expand the access to baby and child dentistry (ABCD) program to include eligible children as clients.
(2) Once enrolled in the program, eligible children must be covered until their thirteenth birthday.
(3) Eligible children enrolled in the program shall receive all services and benefits received by program clients.
(4) The authority shall pay enhanced fees for program services provided to eligible children enrolled in the program to dentists, primary care providers, and dental hygienists certified to provide program services. To receive certification to provide program services to eligible children, a dentist, primary care provider, or dental hygienist must:
(a) Be licensed under Title 18 RCW; and
(b) Complete a course on treating eligible children as defined by the authority in rule.
(5) On or before December 15, 2020, and on or before December 15, 2021, the authority, in consultation with any organizations administering the program, shall provide a report, in compliance with RCW 43.01.036, to the health care and fiscal committees of the legislature, to include:
(a) The number of dentists, primary care providers, and dental hygienists participating in the program; and
(b) The number of eligible children who received treatment through the program.
(6) For purposes of this section:
(a) "Eligible children" means all individuals who meet clinical criteria established by the authority, who are under the age of thirteen with a disability attributable to intellectual disability, cerebral palsy, epilepsy, autism, or another neurological condition closely related to an intellectual disability or that requires treatment similar to that required for persons with intellectual disabilities, which has continued or can be expected to continue indefinitely, and which constitutes a substantial limitation to such individual, who are eligible for one of the following medical assistance programs:
(i) Categorically needy program;
(ii) Limited casualty program-medically needy program;
(iii) Children's health program; or
(iv) State children's health insurance program.
(b) "Program" means the access to baby and child dentistry program as established by WAC 182-535-1245 or successor rule.
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