Effective May 1, 2025
Traditional Medicaid will eliminate “fiscal authorizations” — the process of reserving funds before service — for most dental codes.
What This Means:
- All prior authorizations for codes up to 6000 will be removed
- Oral surgery and orthodontics will still require prior authorization
- Only applies to Traditional/Straight Medicaid, processed by Acentra (KEPRO/Atrezzo)
- MCOs will still require prior authorizations for now
WV Medicaid will post official updates and host provider workshops soon.
Note: This does not begin until May 1, 2025 — please continue submitting all required authorizations until then.
Your WVDA has advocated for this for over 3 years — persistence pays off!
