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Henry J. Kaiser Family Foundation
2400 Sand Hill Road
Menlo Park, CA 94025

Telephone: (650) 854-9400
Secondary Telephone: (202) 347-5270
Fax: (650) 854-4800
Website: http://www.kff.org
Available from the website.

This issue module looks at some of the contributing factors to low use of oral health care including the difficulty of purchasing affordable dental insurance and other cost concerns. The module also examines factors contributing to the dental workforce shortage and its impact on access to care. Links to key data, policy research, and organizations are provided.

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Keywords: Oral health, Dental care, Dental insurance, Financing, Work force, Access to health care, Data, Health policy, Research, Children, Adults

National Academies Press
500 Fifth Street, N.W., Keck 360
Washington, DC 20001

Telephone: (202) 334-3313
Secondary Telephone: (888) 624-8373
Fax: (202) 334-2451
E-mail: customer_service@nap.edu
Website: http://www.nap.edu
Available from the website.

This report describes alternatives for including oral health care, particularly care for children, under national health insurance plans and recommendations for oral health policy. Topics include the need for and use of oral health services, epidemiology and oral disease, the effectiveness of preventive services, oral health care expenditures, and characteristics of oral health insurance. The report concludes with a discussion of benefit priorites and their estimated costs.

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Keywords: Oral health, Children, Dental insurance, Needs assessment, Utilization review, Preventive health services, Costs

National Center for Health Statistics
3311 Toledo Road
Hyattsville, MD 20782

Telephone: (301) 458-4000
Secondary Telephone: (800) 232-4636
Fax: (301) 458-4020
E-mail: nchsquery@cdc.gov
Website: http://www.cdc.gov/nchs
Available from the website. Document Number: DHHS pub. no. 88-1593.

This report includes estimates on volume of dental visits, time interval since last dental visit, reason for last dental visit, private dental health insurance, use of fluoride products, dental sealants, and dentition status. Estimates are based on data collection in the National health Interview Survey of 1986.

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Keywords: Oral health, Health care utilization, Health insurance, Fluorides, Dental sealants, Statistical data, Adults, Families, Young Children

National Center for Health Statistics
3311 Toledo Road
Hyattsville, MD 20782

Telephone: (301) 458-4000
Secondary Telephone: (800) 232-4636
Fax: (301) 458-4020
E-mail: nchsquery@cdc.gov
Website: http://www.cdc.gov/nchs
$6.00. Document Number: DHHS (PHS) 93-1511.

This report contains national estimates of the number and timing of dental visits, the oral health practices of and the use of fluoride products and dental sealants by children, private dental insurance coverage, and the use of dental services by persons with and without private dental insurance.

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Keywords: Oral health, Child health, Insurance, Dental care, Families, Young Children

American Dental Association
211 East Chicago Avenue
Chicago, IL 60611-2678

Telephone: (312) 440-2500
Fax: (312) 440-7494
E-mail: info@ada.org
Website: http://www.ada.org
Contact for cost information.

This supplement contains the proceedings of a symposium convened to explore issues pertaining to the emerging field of oral pharmaceuticals and its impact on the dental profession. The symposium was held April 23, 1993 at the Copley Plaza Hotel in Boston, MA. The supplement contains nine papers, each written by a different author. The papers discuss topics such as the emerging field of oral pharmaceuticals, trends in the health sciences, the medical management of dental caries, pharmaceuticals and periodontal disease, insurance issues and new treatments, and oral pharmaceuticals and adult patients. Some of the papers include tables, figures, and/or illustrations.

Keywords: Oral health, Pharmaceutical research, Dental care, Dental caries, Periodontal diseases, Insurance, Dental insurance, Trends, Conferences

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 for loan.

This issue of Special Care in Dentistry contains three papers: The Costs and Consequences of Neglected Medically Necessary Oral Care, What is Currently Available in Terms of Medically Necessary Oral Care, and Consensus Conference on Medically Necessary Oral Health Care: Legal Issues. This issue also presents recommendations of the consensus conference, and contains position statements from the American Academy of Pediatric Dentistry, the Cleft Palate Foundation, the American Dental Association, and the Federation of Special Care Organizations.

Keywords: Oral health, Dental care, Dental insurance, Health insurance, Costs, Treatment outcome, Outcome evaluation, Disease prevention, Access to health care

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 for loan.

This report presents the results of the Annual Survey of Dental Programs in Medicaid, which collects data on the dental component of state Medicaid programs. The survey is composed of four sections: dental benefits and expenditures, changes in dental services, Medicaid providers, and program administration. The report includes a table listing results by state.

Keywords: Oral health, State health insurance programs, Medicaid, Dental care, Statistics

This paper addresses access to health care from an ethical perspective. The author presents a case study of a child with special health needs denied standards of care for his condition by a primary care pediatrician with decision making authority in a managed care environment. The second part of the paper examines allocation of health resources to children as a part of public policy.

Keywords: Managed care, Ethics, Health insurance, Resource allocation, Chronic illnesses and disabilities, Children with special health care needs, Decision making, Craniofacial abnormalities, Primary care, Standards, Patient care teams, Multidisciplinary teams, Pediatrics

LeAnn Dooley
Multnomah County Health Department, Dental Services
426 SW Stark Street, Ninth Floor
Portland, OR 97204

Telephone: (503) 988-3674
Fax: (503) 988-5605
Contact E-mail: leann.l.dooley@co.multnomah.or.us
Single copies available at no charge.

This report presents the results of a survey of the 50 states and Puerto Rico concerning the status of each state's Medicaid dental managed care program. Of the 31 respondents, 14 states indicated having some or all individuals eligible for Medicaid covered under a dental managed care program; 9 other states are studying the feasibility of such a program. The survey addressed eligibility requirements, utilization, covered services for children and for adults, types of providers, reimbursement methods, and capitation fees of Medicaid dental managed care programs.

Keywords: Oral health, Health services delivery, Provider surveys, Dental care, Dental fees, Dental insurance, Dentistry, Medicaid managed care, Access to health care, Reimbursement, Health care delivery, Arizona, California, Hawaii, Minnesota, Mississippi, Missouri, Nebraska, New Jersey, Ohio, Oregon, South Dakota, Tennessee, Puerto Rico, Utah, 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