Advanced Search For: Keyword: Compliance

Connecticut Department of Public Health
410 Capitol Avenue
Hartford, CT 06134-0308

Telephone: (860) 509-8000
E-mail: webmaster.dph@po.state.ct.us
Website: http://www.ct.gov/dph
Single copies available at no charge.

This report describes a survey of the oral health of three groups of school children (2nd grade, 7th grade, and 11th grade) in Connecticut. The survey sought information on the children's decayed, missing, and filled teeth, deciduous and permanent. The survey sample involved schools within each of the state's five geographic regions; the schools were stratified into three income levels (using the number of children participating in the free or reduced-cost lunch program as a proxy for economic status). The report presents survey methods, results, and recommendations.

Keywords: Oral health, Dentistry, Connecticut, Dental care, Dental caries, Mouth diseases, Health surveys, Child health, Compliance, Statistics, Needs assessment

Connecticut Department of Public Health, Office of Oral Health
P.O. Box 340308
Hartford, CT 06134-0308

Telephone: (860) 509-7382
Fax: (860) 509-7853
E-mail: linda.ferraro@ct.gov
Website: http://www.ct.gov/dph/cwp/view.asp?a=3125&q=388844&dphNav_GID=1601
Single copies available at no charge.

This report describes a survey of Connecticut general practice and pediatric dentists concerning their participation in Medicaid managed care programs for children. Tables and charts illustrate the data.

Keywords: Oral health, Dentistry, Medicaid managed care, Access to health care, Health care delivery, Provider surveys, Reimbursement, Compliance, Administration, Dental fees, Dental insurance, Health care delivery, Connecticut, Statistics

National Health Law Program, North Carolina Office
101 East Weaver Street, Suite G-7
Carrboro, NC 27510

Telephone: (919) 968-6308
Fax: (919) 968-8855
E-mail: nhelpnc@healthlaw.org
Website: http://www.healthlaw.org
Available from the website.

This document contains testimony presented at the U.S. House of Representatives hearing on the oversight of oral health programs for children eligible for Medicaid held on May 2, 2007, in Washington, DC. The testimony addresses the performance of states in ensuring that children obtain oral health care services through the Medicaid Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program. A discussion of the role of managed care organizations in the provision of EPSDT oral health services and oversight by the Centers for Medicare and Medicaid Services in ensuring that states operate their programs in compliance with the Medicaid Act and implementing rules is included. References are provided.

• PDF

Keywords: Oral health, Access to health care, Health care utilization, Utilization review, Program improvement, EPSDT, Medicaid managed care, State programs, Compliance, Regulations, Children

Anna Orlova
Public Health Data Standards Consortium
c/o Johns Hopkins Bloomberg School of Public Health 624 North Broadyway, Room 382
Baltimore, MD 21205

Telephone: (410) 614-3463
Fax: (410) 614-3097
E-mail: aorlova@jhsph.edu
Website: http://www.phdsc.org/default.asp
Available from the website.

This toolkit provides direction for government health entities in applying Health Insurance Portability and Accountability Act privacy regulations to their programs and functions and also in complying with state and federal requirements. The toolkit identifies and defines the baseline conditions and requirements that a state or local government health program must follow when using and disclosing specific types of health information. A series of tables outlines different types and purposes of information use and disclosure and the general legal requirements relevant to each type of use or disclosure. An introduction to the PRISM privacy tool, a glossary containing key definitions and terms related to the disclosure of privacy information, and additional resources are provided.

• Materials

Keywords: Regulations, Compliance, Patient data privacy, Informed consent, Data collection, Data linkage, Resources for professionals, Oral health, Adults

UCLA Center for Healthier Children, Families and Communities
University of California, Los Angeles 10990 Wilshire Boulevard, Suite 900
Los Angeles, CA 90024

Telephone: (310) 794-2583
Fax: (310) 312-9210
E-mail: chcfc@ucla.edu
Website: http://www.healthychild.ucla.edu
Available from the website.

This brief presents and discusses alternative delivery models for improving access to required dental services for children enrolled in Medicaid and Head Start. Topics include the relationships between these models or arrangements and federal regulations and policies requiring comprehensive services, the consequences that may arise as a result of implementation of these models, and approaches for ameliorating adverse consequences and securing children’s access to a full range of services.

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Keywords: Oral health, Dental care, Access to health care, Medicaid, Head Start, EPSDT, Compliance, Program improvement, Children

New York State Oral Health Technical Assistance Center
Regional Primary Care Network 259 Monroe Avenue, Level B
Rochester, NY 14607

Telephone: (585) 325-2280, ext. 7315
Fax: (585) 325-2993
E-mail: oralhealthTAC@rpcn.org
Website: http://www.oralhealthtac.org
Available from the website.

This document is intended to help school-based health center dental program (SBHC-D) staff define program quality and effectiveness and assure that requirements for a SBHC-D in New York State are being met. Contents include the purpose and process of the Performance Effectiveness Review Tool (PERT) and directions for completing it. Topics include the administrative review, physical and environmental requirements, the clinical record review, and the comprehensive site review.

• PDF

Keywords: Oral health, School based clinics, Performance measurement, Cost effectiveness, Quality assurance, Compliance, Outcome and process assessment, State programs, New York

Ohio Department of Health
246 North High Street
Columbus, OH 43215

Telephone: (614) 466-3543
Website: http://www.odh.ohio.gov
Available from the website.

This manual provides professional recommendations and states’ expectations for school-based dental sealant programs (SBSPs) funded by the Ohio Department of Health (ODH). Contents include local program operations, regulatory compliance, compliance with ODH policies, sealant program eligibility, sample program forms, clinical materials and methods, retention checks, Medicaid billing and collection, reimbursement guidelines, health professional enrollment, filing claims, performance benchmarks and performance standards, reporting, ODH program reviews, and compliance with other ODH requirements. The appendices contain sample forms, records, letters, and other practice-related materials.

• 2012 Manual
• 2010 Manual

Keywords: Oral health, Dental sealants, School based clinics, Compliance, State programs, Ohio, Manuals, Forms, Resources for professionals, Parents, Children