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Module 4: Anticipatory Guidance, Fluoride Varnish, and Referral

4.6 Referral to a Dentist

child with dentist

A medical provider should refer a child to a dentist immediately if

The Maryland Department of Health, Office of Oral Health, has developed a referral form, which EPSDT medical providers can provide to parents to take to their child’s dental appointment.

The ultimate goal of making a referral to a dentist is to establish a dental home for children at moderate or high risk for dental caries. A dental home is the ongoing relationship between the dentist and the patient, inclusive of all aspects of oral health delivered in a comprehensive, continuously accessible, coordinated, and family-centered way.6

Sometimes it may be difficult to locate a local dental practice, clinic, or federally qualified health center that accepts children enrolled in Medicaid. In situations where it is difficult or impossible for EPSDT medical providers to identify a dentist, parents should be referred to Scion, the contractual agent under the Maryland Medicaid Program, which will help parents locate and access a dentist.