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National Maternal and Child Oral Health Resource Center, Georgetown University

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U.S. Maternal and Child Health Bureau. 2006. Improving the oral health of school-aged children: Strengthening school-based dental sealant program linkages with Medicaid/SCHIP and dental homes [participant folder]. [Rockville, MD]: U.S. Maternal and Child Health Bureau, 1 v.

National Maternal and Child Oral Health Resource Center
Georgetown University Box 571272
Washington, DC 20057-1272

Telephone: (202) 784-9771
Fax: (202) 784-9777
E-mail: OHRCinfo@georgetown.edu
Website: http://www.mchoralhealth.org
Single photocopies available at no charge.

This participant binder contains materials from the expert meeting held on May 11-12, 2006, in Washington, DC, to address approaches, issues, and challenges faced by school-based dental sealant programs in enrolling eligible children in Medicaid and the State Children's Health Insurance Program and linking them to a dental home. Also discussed are considerations and strategies for strengthening school-based dental sealant program linkages with community resources, including dental insurance and providers who can meet children's broader oral health care needs. Binder contents include background material on the role of school-based dental sealant programs in improving oral health, program descriptions of six state programs used as examples during the meeting, background information and research on dental sealants and sealant programs, and policies from several professional organizations on dental and medical homes. [Funded by the Maternal and Child Health Bureau]

    Keywords: Oral health, Dental sealants, School age children, Child health, Medical home, School based clinics, Health care financing, Medicaid, State Children's Health Insurance Program, State programs, Program descriptions, Meetings

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    U.S. Health Resources and Services Administration. 2000. Opportunities to use Medicaid in support of oral health services. Rockville, MD: U.S. Health Resources and Services Administration, 25 pp.

    National Maternal and Child Oral Health Resource Center
    Georgetown University Box 571272
    Washington, DC 20057-1272

    Telephone: (202) 784-9771
    Fax: (202) 784-9777
    E-mail: OHRCinfo@georgetown.edu
    Website: http://www.mchoralhealth.org
    Available at no charge.

    This document is intended to help state and local health officials understand how Medicaid works and how it can improve access to oral health services for low-income and underserved populations. Various strategies to expand access to oral health services are discussed, including ensuring adequate coverage and payment, improving dentists' participation, increasing the enrollment of individuals eligible, and improving eligibility standards for Medicaid and the State Children's Health Insurance Program.

      Keywords: Oral health, Medicaid, State Children's Health Insurance Program, Access to health care, Child health services, Children

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      U.S. Government Accountability Office. 2010. Oral health: Efforts underway to improve children's access to dental services, but sustained attention needed to address ongoing concerns. Washington, DC: U.S. Government Accountability Office, 76 pp.

      U.S. Government Accountability Office
      441 G Street, N.W.
      Washington, DC 20548

      Telephone: (202) 512-3000
      Secondary Telephone:
      E-mail: contact@gao.gov
      Website: http://www.gao.gov
      Available from the website. Document Number: GAO-11-96.

      This report examines aspects of children’s access to oral health services. Topics include (1) the extent to which dentists participate in Medicaid and the Children’s Health Insurance Program (CHIP) and federal efforts to help families find participating dentists; (2) differences among states in the provision of oral health services to children enrolled in Medicaid, CHIP, or managed care; (3) federal efforts to improve access for those living in underserved areas; and (4) how states and other countries have used mid-level professionals to improve access.

      Keywords: Oral health, Access to health care, Children, Low income groups, Health care financing, Medicaid, Children's Health Insurance Program, Provider participation, Case studies, Allied health personnel

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      U.S. Government Accountability Office. 2013. Dental services: Information on coverage, payments, and fee variation. Washington, DC: U.S. Government Accountability Office, 175 pp.

      U.S. Government Accountability Office
      441 G Street, N.W.
      Washington, DC 20548

      Telephone: (202) 512-3000
      Secondary Telephone:
      E-mail: contact@gao.gov
      Website: http://www.gao.gov
      Available from the web site. Document Number: GAO-13-754.

      This report examines oral health services in the United States. It describes trends in coverage for and use of services, trends in payments for services, and the extent to which fees vary between and within selected communities. Appendices contain information on national expenditures, urban and rural dental visit rates, scope and methodology, and fees charged for common procedures.

      Keywords: Oral health, Dental fees, Medicaid, Children's Health Insurance Program, Community health centers, Health care utilization, Statistical data, Trends

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      U.S. Department of Health and Human Services. 2012. The Department of Health and Human Services Children's Health Insurance Program Reauthorization Act annual report on the quality of care for children in Medicaid and CHIP. Washington, DC: U.S. Department of Health and Human Services, annual.

      U.S. Centers for Medicare and Medicaid Services
      7500 Security Boulevard
      Baltimore, MD 21244

      Telephone: (877) 267-2323
      Secondary Telephone: (410) 786-3000
      Fax:
      Website: http://cms.gov
      Available from the website.

      This annual report shows the progress the U.S. Department of Health and Human Services and states have made to systematically measure and report on the quality of care children receive in Medicaid and the Children's Health Insurance Programs (CHIP). Topics include state and federal efforts for quality measurement, reporting, and improvement; state-specific findings on quality and access in Medicaid and CHIP; and strengthening quality of care through demonstration grants and partnerships.

      Keywords: High risk children, Child health services, Medicaid, Children's Health Insurance Program, Quality assurance, Access to health care

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      U.S. Department of Health and Human Services. 2013. Use of dental services in Medicaid and CHIP. Washington, DC: U.S. Department of Health and Human Services, 6 pp, (In The Department of Health and Human Services Children's Health Insurance Program Reauthorization Act 2011 annual report on the quality of care for children in Medicaid and CHIP).

      U.S. Centers for Medicare and Medicaid Services
      7500 Security Boulevard
      Baltimore, MD 21244

      Telephone: (877) 267-2323
      Secondary Telephone: (410) 786-3000
      Fax:
      Website: http://cms.gov
      Available from the website.

      This report provides a summary of and data on access to and use of preventive pediatric oral health services or treatment from 2007 to 2011. It discusses progress toward the goal of increasing children’s use of services and increasing the application of dental sealants by 10 percent by 2015. Tables present state-by-state data on children receiving preventive oral health services, as well as geographic variations.

      Keywords: Oral health, Children, Dental caries, Dental sealants, Pediatric dentistry, Health care utilization, Medicaid, Children’s Health Insurance Program

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      U.S. Centers for Medicare and Medicaid Services, Center for Medicaid and State Operations. 2006. Value-based...Results-driven...Healthcare: The Medicaid/CHIP Quality Initiative. [Baltimore, MD]: U.S. Centers for Medicare and Medicaid Services, 7 pp.

      U.S. Centers for Medicare and Medicaid Services
      7500 Security Boulevard
      Baltimore, MD 21244

      Telephone: (877) 267-2323
      Secondary Telephone: (410) 786-3000
      Fax:
      Website: http://cms.gov
      Available from the website.

      This document describes the purpose and vision of the Center for Medicaid and State Operations (CMSO) and its strategies to support and improve state Medicaid and State Children’s Health Insurance Programs (CHIP) in their efforts to achieve safe, effective, efficient, patient-centered, timely and equitable care. It discusses strategies to improve evidenced-based care and quality measurement, pay-for-performance, health information technology, partnerships, information dissemination and technical assistance, and health care disparities.

        Keywords: Medicaid, State programs, State Children's Health Insurance Programs, Health services delivery, Service delivery systems, Oral Health, Children

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        U.S. Centers for Medicare and Medicaid Services. 2003. Medicaid school-based administrative claiming guide. Baltimore, MD: U.S. Centers for Medicare and Medicaid Services, 57 pp.

        U.S. Centers for Medicare and Medicaid Services
        7500 Security Boulevard
        Baltimore, MD 21244

        Telephone: (877) 267-2323
        Secondary Telephone: (410) 786-3000
        Fax:
        Website: http://cms.gov
        Available from the website.

        This guide informs schools, state Medicaid agencies, and other interested parties on the appropriate methods for claiming federal reimbursement for the costs of Medicaid administrative activities performed in the school setting. Contents include Medicaid in the school setting, interagency agreements, principles of administrative claiming, and claiming issues. Appendices include a report on Medicaid's role in school-based health services programs; information on the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Program and the State Children's Health Insurance Program (SCHIP); and information on the Individuals with Disabilities Education Act (IDEA).

        Keywords: Financing, Administration, Manuals, Medicaid, EPSDT, State Children's Health Insurance Program, School age children, School health services

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        U.S. Centers for Medicare and Medicaid Services. 2010. State/federal oral health collaborative workshops. [Baltimore, MD]: U.S. Centers for Medicare and Medicaid Services.

        National Maternal and Child Oral Health Resource Center
        Georgetown University Box 571272
        Washington, DC 20057-1272

        Telephone: (202) 784-9771
        Fax: (202) 784-9777
        E-mail: OHRCinfo@georgetown.edu
        Website: http://www.mchoralhealth.org
        Available from the website.

        This website contains the agenda, presentation materials, and supporting documents from two meetings to discuss strategies for improving access to and use of oral health services for children enrolled in Medicaid and the Children’s Health Insurance Program. The meetings were held on October 7, 2010, in New Orleans, Louisiana, and on November 10, 2010, in Arlington, Virginia. Topics include developing messages for parents with low and moderate incomes from focus groups that were held in four cities around the country to inform state policymakers about family perceptions of oral health care, the importance parents place on having dental coverage for their children, parents’ knowledge of oral health, and reactions to oral health facts and messages.

        Keywords: Oral health, Children, Access to health care, Medicaid, Children's Health Insurance Program, Health care financing, Low income groups, Health care utilization

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        Sullivan J. 2009. CHIPRA 101: Overview of the CHIP reauthorization legislation. Washington, DC: Families USA, 9 pp.

        Families USA
        1201 New York Avenue, N.W., Suite 1100
        Washington, DC 20005-6100

        Telephone: (202) 628-3030
        Fax: (202) 347-2417
        E-mail: info@familiesusa.org
        Website: http://www.familiesusa.org
        Available from the website.

        This brief examines federal legislation enacted in 2009 to renew and expand the scope of the Children's Health Insurance Program and describes how the new provisions will affect implementation. Topics include funding, eligibility, getting more children enrolled (express lane eligibility/auto-enrollment, outreach grants, interpretation and translation services), and improving children's health (oral health benefits, mental health parity, and quality improvements).

        Keywords: Health insurance, Children's Health Insurance Program, Health care financing, Low income groups, Oral health, Children

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        National Maternal and Child Oral Health Resource Center Georgetown University