National Maternal and Child Oral Health Resource Center
Oral Health Alert: Focus on Head Start

April 2010

Children's Oral Health Benefits

This brief describes state requirements and options in the Children's Health Insurance Program Reauthorization Act (CHIPRA) aimed at improving the oral health of children in Medicaid and CHIP. Topics include (1) providing dental benefits through a state-defined benefit package or adopting dental benefits equal to those in a dental benchmark plan and (2) providing supplemental dental coverage to children who have other health insurance through an employer-sponsored or other group health plan but have inadequate or no dental benefits under that coverage. Other dental provisions in CHIPRA are briefly addressed.

Kaiser Commission on Medicaid and the Uninsured. 2010. Washington, DC: Kaiser Commission on Medicaid and the Uninsured. 4 pp. The brief is available online.

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Maryland’s Mouths Matter: Fluoride Varnish and Oral Health Screening Programs for Kids—Training for EPSDT Providers in Maryland

This curriculum is designed to provide Early and Periodic Screening, Diagnosis, and Treatment medical providers (i.e., physicians, nurse practitioners) and other health professionals in Maryland with knowledge and skills to reduce the incidence of dental caries among children ages 3 and under and to contribute to the establishment of a dental home. The series of four modules provides information on the role of medical providers in children’s oral health. Also included is a description of the dental caries process and instructions on how to conduct a dental caries risk assessment. Finally, the modules address the provision of anticipatory guidance, application of fluoride varnish, and importance of referring young children to a dentist. [Partially funded by the Maternal and Child Health Bureau]

Tinanoff N, Lowe E, Holt K, Goodman H. 2010. Washington, DC: National Maternal and Child Oral Health Resource Center; Baltimore, MD: Maryland Department of Health and Mental Hygiene, Office of Oral Health. The curriculum is available online.

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Oral Health Resource Bulletin: Volume XXIII—March 2010

This document lists selected oral health resources that are available for health professionals, program administrators, policymakers, and educators in the maternal and child health community. It includes sections on data; meetings; national programs; policy; professional education, tools, and training; public education; and state and local programs. The bulletin supplements previous volumes. [Funded by the Maternal and Child Health Bureau]

National Maternal and Child Oral Health Resource Center. 2010. Washington, DC: National Maternal and Child Oral Health Resource Center. 28 pp. The document is available online. Past issues are also available online.

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Increasing Dental Care Utilization by Medicaid-Eligible Children: A Dental Care Coordinator Intervention

This journal article presents the findings of a study conducted to assess the effects of an oral health care coordinator intervention on increasing oral health service use among children in Medicaid who had not been receiving routine care. The specific aims were to provide children and caregivers with education and support in obtaining care, determine whether children with certain preexisting characteristics would benefit more than others from the intervention, and determine which intervention activities were more or less influential in getting children to the dentist. The authors found that the intervention was especially beneficial for children from families with incomes well below the federal poverty level. Regardless of whether the coordinator met families in person or interacted with them via telephone and mail, the intervention was effective in increasing the use of oral health care.

Binkley CJ, Garrett B, Johnson KW. 2010. Journal of Public Health Dentistry 70(1):76-84. The abstract is available onlne.

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Preventive Dental Utilization for Medicaid-Enrolled Children in Iowa Identified with Intellectual and/or Developmental Disability

This journal article presents the findings of a study that analyzed Iowa Medicaid dental claims and compared the use of preventive oral health services among children ages 3-17 with intellectual or developmental disability (IDD) and those without IDD. The analysis also identified factors associated with use. The authors found no statistically significant difference between the two groups. Factors such as older age, not residing in a dental Health Professional Shortage Area, interaction with the medical system, and family characteristics increased the likelihood of receiving preventive oral health care.

Chi DL, Momany ET, Kuthy RA, Chalmers JM, Damiano PC. 2010. Journal of Public Health Dentistry 70(1):35-44. The abstract is available online.

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