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National Maternal and Child Oral Health Resource Center, Georgetown University

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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. 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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      Spisak S, Holt K, Mayer R, Rossetti J. 1998. Improving children's access to oral health services: The oral health initiative. Maternal and Child Health Journal 2(4):261-264, 4 pp.

      Springer
      233 Spring Street
      New York, NY 10013

      Telephone: (212) 460-1572
      Fax: (212) 620-8442
      E-mail: victoria.enever@springer.com
      Website: http://www.springer.com
      Contact for cost information.

      This journal article describes activities of the federal Oral Health Initiative to strengthen service-delivery systems, enhance collaboration among federal agencies, and provide states with the resources needed to improve the oral health of children from minority groups and those from families with low incomes, including children with special health care needs. Activities to enhance programs, services, and training are discussed. Topics include expanding the number of direct-service dental programs, establishing or enhancing graduate training programs in pediatric and general dentistry and in dental public health, and funding training programs in dentistry to train dental public health leaders.

        Keywords: Oral health, Children, Access to health care, Service delivery systems, State Children's Health Insurance Program, Medicaid managed care, Federal initiatives

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        Smith VK. 2001. Access to health care and provider participation in the Alaska Medicaid program. [Juneau, AK]: [Alaska] Department of Health and Social Services, Division of Medical Assistance, 25 pp.

        This report identifies policy options for improving access to medical and oral health care for persons enrolled in the Alaska Medicaid program, including children in the Denali KidCare program. Topics include barriers to access, coverage of services, eligibility, and transportation. Additional topics include audits of medical and oral health professionals, billing issues and the business relationship with the fiscal agent, and patient responsibility and education. [Funded by the Maternal and Child Health Bureau]

          Keywords: Oral health, Access to health care, Dental care, Medicaid, State children's health insurance programs, Alaska, Provider participation, State programs

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          Shulman S, Kell M, Rosenbach M. 2004. SCHIP takes a bite out of the dental access gap for low-income children: Final report. Cambridge, MA: Mathematica Policy Research, 20 pp.

          Mathematica Policy Research
          P.O. Box 2393
          Princeton, NJ 08543-2393

          Telephone: (609) 799-3535
          Fax: (609) 799-0005
          E-mail: info@mathematica-mpr.com
          Website: http://www.mathematica-mpr.com
          Available from the website.

          This report explores the link between State Children's Health Insurance Program (SCHIP) insurance coverage and access to oral health care. The report examines the barriers that still exist to improving access to and utilization of oral health care among low-income children enrolled in SCHIP, as well as how states are working to reduce these barriers. Statistical data are presented in figures and tables throughout the report.

          Keywords: Access to health care, State children’s health insurance program, Oral health, Dental care, Barriers, Low income groups, Health care utilization, Enrollment, Children

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          Rhode Island Kids Count. 2004. Access to dental care for children in Rhode Island [upd. ed.]. Providence, RI: Rhode Island Kids Count, 15 pp, (Issue brief).

          Rhode Island Kids Count
          One Union Station
          Providence, RI 02903

          Telephone: (401) 351-9400
          Fax: (401) 351-1758
          E-mail: rikids@rikidscount.org
          Website: http://www.rikidscount.org/matriarch
          Available at no charge.

          This issue brief covers issues related to access to oral health care for children in Rhode Island. It includes information on (1) why oral health is important, (2) children at greatest risk for unmet oral health needs, (3) the Special Senate Commission on oral health; (4) the Rhode Island Oral Health Access Project, (4) availability of oral health services for children receiving medical assistance, (5) oral health services for Rhode Island children, and (6) strategies to improve access to oral health services for low-income children in Rhode Island. Recommendations for program goals and measuring success are also included.

          Keywords: Oral health, Dental care, Child health promotion, Dental caries, Access to health care, Medicaid, State children's health insurance program, Rhode Island, Low income groups, Children

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          Reforming States Group and Milbank Memorial Fund. 1999. Pediatric dental care in CHIP and Medicaid: Paying for what kids need, getting value for state payments. New York, NY: Milbank Memorial Fund, 1 v.

          Milbank Memorial Fund
          645 Madison Avenue, 15th Floor
          New York, NY 10022-1095

          Telephone: (212) 355-8400
          Fax: (212) 355-8599
          E-mail: mmf@milbank.org
          Website: http://www.milbank.org
          Available from the website. Document Number: ISBN 1-887748-28-8.

          This report proposes a new approach to policy for state financing of oral health care for the 20 million children who lack access to preventive and reparative services. It explores the opportunity that the State Children's Health Insurance Program (SCHIP) presents to legislators and state policymakers to develop effective new pediatric oral health programs, reform ineffective pediatric dental Medicaid programs, and maximize the impact of public health approaches to improve the oral health of children who suffer the most oral disease.

          Keywords: Pediatric dentistry, Dental insurance, Low income groups, Oral health, State Children's Health Insurance Program, Medicaid, State health insurance programs, State legislatures, Reports, Children

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          Perkins J, Short J. 2001. State initiatives to improve access to dental care (upd. ed.). Los Angeles, CA: National Health Law Program, 1 v.

          National Health Law Program
          1441 I Street, N.W., Suite 1105
          Washington, DC 20005

          Telephone: (202) 289-7724
          E-mail: nhelp@healthlaw.org
          Website: http://www.healthlaw.org
          Available from the website.

          This memorandum lists actions states have considered to improve access to oral health care, particularly for individuals insured through Medicaid. It includes actions taken, considered but rejected, and pending. The activities are listed under four broad headings: reports, legislation, initiatives/projects, and Title V agency. Resource lists are included after each state.

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

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          Parisi L, Bruno R. 2010. Dental and mental health benefit: Improvements in CHIPRA. Washington, DC: Families USA, 7 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 describes provisions in the Children’s Health Insurance Program Reauthorization Act of 2009, explains what states must do to comply with the law, and discusses the options that states have to expand access to oral health and mental health care for children from families with low incomes. Topics include mandatory and optional dental benefits, optional wraparound coverage, quality and access to oral health care, and mental health parity. Action steps for states are included.

          Keywords: Access to health care, Benefits, Children's Health Insurance Program, Quality assurance, Child health, Dental care, Mental health services, Oral health, State programs, Federal legislation, Children

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          National Maternal and Child Oral Health Resource Center Georgetown University