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All Records Tagged: Early and Periodic Screening, Diagnosis, and Testing (EPSDT)

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Details

U.S. Centers for Medicare & Medicaid Services. 2009. 2008 national dental summary. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, 54 pp.

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

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

This report reviews survey results from 16 states on oral health services provided to Medicaid beneficiaries to enhance national initiatives to improve oral health care in the United States. Contents include a review of the methodology for state review selection; the scope of the review; findings, recommendations, and other considerations; policy issues; promising and notable practices; and planned initiatives in response to state findings.


Details

U.S. Department of Health and Human Services. 2016. 2015 annual report on the quality of care for children in Medicaid and CHIP. Washington, DC: U.S. Department of Health and Human Services, 42 pp.

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

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

This report shows the progress made by the U.S. Department of Health and Human Services and states to systematically measure and report on the quality of care that children enrolled in Medicaid and the Children's Health Insurance Program (CHIP) receive. Contents include information about state-specific findings on quality and access in Medicaid and CHIP and monitoring and improving care for children enrolled in managed care. Topics include primary care access and preventive care, management of acute and chronic conditions, childhood obesity, oral health care, prenatal and postpartum care, and adolescent well care.


Details

U.S. Department of Health and Human Services. 2016. 2015 annual report on the quality of care for children in Medicaid and CHIP: Chart pack. Washington, DC: U.S. Department of Health and Human Services, 75 pp.

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

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

This document summarizes state reporting on the quality of health care service for children covered by Medicaid and the Children's Health Insurance Program (CHIP) during the fiscal year. which generally covers care delivered during the calendar year. Contents include detailed analyses of state performance on publicly reported measures. Topics include the child core set, primary care access and preventive care, perinatal care, care of acute and chronic conditions, behavioral health care, oral health services, and trends in state performance. Reference tables and additional resources are also included. The information presented is abstracted from the Annual Secretary's Report on the Quality of Care for Children in Medicaid and CHIP.


Details

Center for Health Care Strategies. 2010. A "high-touch" approach to improving oral health for Newark children. [Hamilton, NJ]: Center for Health Care Strategies, 4 pp.

Center for Health Care Strategies
200 American Metro Boulevard, Suite 119
Hamilton, NJ 08619

Telephone: (609) 528-8400
Fax: (609) 586-3679
E-mail:
Website: http://www.chcs.org
Available from the website.

This brief describes New Jersey’s Medicaid managed care program, NJ FamilyCare/Medicaid, which provides children from families with low incomes with oral health care as a covered benefit. Topics include program efforts to increase the number of preschool-age children who complete an annual dental visit in six cities (Atlantic City, Camden, Lakewood, New Brunswick, Newark, and Paterson) and to create a dental home for children enrolled in Head Start in Newark. Information on the program's successes and future challenges is also included.


Details

McManus P. 2012. A comparative review of essential health benefits pertinent to children in large federal, state, and small group health insurance plans: Implications for selecting state benchmark plans. Elk Grove Village, IL: American Academy of Pediatrics, 44 pp.

American Academy of Pediatrics
345 Park Boulevard
Itasca, IL 60143

Telephone: (630) 626-6000
Secondary Telephone: (847) 434-4000
Fax: (847) 434-8000
Website: https://www.aap.org
Available from the website.

This report examines essential health benefits (EHBs) for children required by the Affordable Care Act and coverage in federal and state benchmark plans. The report compares federal and state employee and small group insurance plans, as well as policies in separate Children's Health Insurance Programs (CHIPs) and Medicaid and Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) programs. The report also outlines the plans' strengths and weaknesses by EHB category, including pediatric preventive, diagnostic, and restorative oral health services.


Details

Washington Department of Social and Health Services and Delta Dental Washington Dental Service Foundation. 2011–. Access to baby and child dentistry. [Seattle, WA]: Delta Dental Washington Dental Service Foundation, multiple items.

Washington Dental Service Foundation
P.O. Box 75983
Seattle, WA 98175-0983

Telephone: (206) 528-2373
Fax:
E-mail: foundation@deltadentalwa.com
Website: http://www.kidsoralhealth.org
Available from the website.

This resource provides information on the Access to Baby and Child Dentistry program in Washington and discusses its focus on preventive and restorative oral health services for infants and children from birth to age 6 who are eligible for Medicaid, with emphasis on enrollment by age 1. The resource describes the purpose of the program and how it works; discusses partners and roles, services, and outcomes; and provides frequently asked questions.


Details

Williams B, Tolbert J. 2007. Aging out of EPSDT: Issues for young adults with disabilities. Washington, DC: Kaiser Commission on Medicaid and the Uninsured, 12 pp, (Issue paper).

Kaiser Program on Medicaid and the Uninsured
1330 G Street, N.W.
Washington, DC 20005

Telephone: (202) 347-5270
Fax: (202) 347-5274
E-mail: http://www.kff.org/about/contact.cfm
Website: http://kff.org/about-kaiser-commission-on-medicaid-and-the-uninsured/
Available from the website.

This issue paper discusses the challenges and implications for young adults with disabilities when they lose their eligibility for Early and Periodic Screening, Diagnosis, and Treatment program benefits. The brief discusses difficulties in qualifying for Medicaid and the reduced benefits for those who do qualify. The brief also discusses how changes to the Deficit Reduction Act give states an opportunity to increase the availability of Medicaid services that allow young adults with disabilities to lead lives that are as normal as possible as they move into adulthood. Individual case stories are highlighted.


Details

Nasseh K, Vujicic M. 2014. Are Medicaid and private dental insurance payment rates for pediatric dental care services keeping up with inflation?. Chicago, IL: American Dental Association, Health Policy Institute, 8 pp, (Research brief).

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

Telephone: (312) 440-2500
Website: http://www.ada.org/en/science-research/health-policy-institute
Available from the website.

This brief examines the extent to which Medicaid fee-for-service reimbursement and private dental insurance charges for children's oral health services kept up with inflation during the period 2003–2013. Contents include weighted average Medicaid fee-for-service reimbursement and private dental insurance charges for pediatric oral health services, adjusted for overall inflation and for dental services inflation, by state.


Details

U.S. Centers for Medicare & Medicaid Services, Region VI. 2008. Arkansas EPSDT review report, dental services—March 11-13, 2008, site visit: Final report. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, Region VI, 12 pp.

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

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

This report addresses key areas of the Arkansas Early and Periodic Screening, Diagnosis, and Treatment program, including informing, periodicity schedules, accessibility, diagnosis and treatment services, support services, coordination of care, utilization, and data collection, analysis, and reporting. Contents include background on the evaluation process; the scope of the review; an introduction to the state's dental services for children; and a review of descriptions, concerns, and recommendations and responses.


Details

Schneider D, Rossetti J, Crall, J. 2007. Assuring comprehensive dental services in Medicaid and Head Start programs: Planning and implementation considerations. Los Angeles, CA: National Oral Health Policy Center, 16 pp, (Technical issue brief).

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.


Details

Iowa Department of Public Health, Bureau of Oral and Health Delivery Systems. 2013. Be the difference in a child's smile!. Des Moines, IA: Iowa Department of Public Health, Bureau of Oral and Health Delivery Systems, 1 p.

Iowa Department of Public Health, Bureau of Oral and Health Delivery Systems
Lucas State Office Building 321 East 12th Street
Des Moines, IA 50319-0075

Telephone: (515) 242-6383
Secondary Telephone: (866) 528-4020
Fax: (515) 242-6384
Website: http://www.idph.iowa.gov/ohds
Available from the website.

This fact sheet for primary care health professionals provides information about tooth decay in infants and young children from birth to age 3 and the recommended first dental examination by age 1. The fact sheet also describes opportunities for training and discusses reimbursement for applying fluoride varnish in conjunction with Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) screening.


Details

Child Health Investment Partnership of Roanoke Valley. 2013. [Begin With a Grin]: Final report and abstract. Roanoke, VA: Child Health Investment Partnership of Roanoke Valley, 15 pp.

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

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

This report describes a program to prevent oral disease and address barriers to early oral health care for infants and young children from families with low incomes in Roanoke Valley, Virginia, by conducting in-home education and screening, applying fluoride varnish, and providing referrals. The report discusses the program’s goals and objectives, methodology, evaluation, outcomes, product dissemination and use, and sustainability. [Funded by the Maternal and Child Health Bureau]


Details

Howle EM. 2014. California Department of Health Care Services: Weaknesses In Its Medi-Cal Dental Program limit children's access to dental care. Sacramento, CA: California State Auditor, 86 pp, (Report 2013-125).

California State Auditor
621 Capitol Mall, Suite 1200
Sacramento, CA 95814

Telephone: (916) 445-0255
Secondary Telephone: (916) 445-0033
Website: http://www.auditor.ca.gov
Available from the website.

This report presents findings on how the Medi-Cal Dental Program is fulfilling its mandate to ensure that child beneficiaries receive oral health care. Contents include data from California's Medi-Cal and Healthy Families dental programs, recommendations for action, and a response from the Department of Health Care Services.


Details

U.S. Centers for Medicare & Medicaid Services, Region IX. 2008. California EPSDT review report, dental services—February 13-15, 2008, site visit: [Final report]. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, Region IX, 17 pp.

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

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

This report describes efforts California has made to address the rate of children's utilization of oral health services in the state and to make recommendations on actions that the state can take to increase these rates. Contents include background on the evaluation process; the scope of the review; an introduction to the state's oral health services for children; and review descriptions, concerns, and recommendations and responses.


Details

Byrum L. [2004]. Cavity free in Tennessee: Early childhood caries prevention—A fluoride varnish program for public health nurses. Nashville, TN: Tennessee Department of Health, Oral Health Services Section, 4 pp.

Tennessee Department of Health, Oral Health Services Section
710 James Robertson Parkway Andrew Johnson Tower
Nashville, TN 37243

Telephone: (615) 741-3111
E-mail: tn.health@tn.us
Website: https://tn.gov/health/section/oralhealth
Available from the website.

This resource provides an overview of Tennessee's early childhood caries (ECC) prevention program for public health nurses. The program targets regular Early and Periodic Screening, Diagnosis, and Treatment visits with children at risk for ECC and is available to children and adolescents in all rural regions of Tennessee. The visits provide an opportunity for children to receive screenings, the application of fluoride varnish, and early dental referrals.


Details

Wisconsin Oral Health Coalition. 2019. Check-up on oral health: A call to action. Milwaukee, WI: Children's Health Alliance of Wisconsin, Wisconsin Oral Health Coalition, 5 pp.

Children's Health Alliance of Wisconsin
620 South 76th Street, Suite 120
Milwaukee, WI 53214

Telephone: (414) 292-4000
Secondary Telephone: (414) 337-4561
Fax: (414) 231-4972
Website: http://www.chawisconsin.org/oral-health.php?pg=13
Available from the website.

This document provides information about the importance of oral health throughout the lifespan, the economic costs of oral disease and oral health disparities, and efforts to improve access to preventive oral health services in Michigan. Topics include gains made in increasing access statewide through the expansion of Healthy Kids Dental, a public-private partnership between the Michigan Department of Community Health and Delta Dental; maintenance of dental benefits for adults enrolled in Medicaid; community water fluoridation; and dental sealants.


Details

U.S. Department of Health and Human Services, Office of Inspector General. 1996. Children's dental services under Medicaid: Access and utilization. [San Francisco, CA]: U.S. Department of Health and Human Services, Office of Inspector General, 48 pp, (Hiscock Collection; related).

U.S. Department of Health and Human Services, Office of Inspector General, Office of Evaluation and Inspections
1100 Commerce Street, Room 4B5
Dallas, TX 75242

Telephone: (800) 848-8960
Secondary Telephone: (214) 767-3310
Fax: (214) 767-2039
Available from the website. Document Number: DHHS OEI-09-93-00240.

This report presents the results of an assessment of the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) dental services program. The report indicates reasons why many children are not receiving the oral health care they need and reviews various state initiatives to improve access and utilization. Included in the report is background information on EPSDT and the goals of Oral Health 2000, a component of Healthy People 2000. The report describes the evaluation methodology, presents its findings, and includes recommendations for future modifications.


Details

U.S. Congress, Office of Technology Assessment. 1990. Children's dental services under the Medicaid program. [Washington, DC]: U.S. Congress, Office of Technology Assessment; Washington, DC: for sale by U.S. Government Printing Office, 125 pp, (Hiscock Collection; related).

U.S. Government Publishing Office
732 North Capitol Street, N.W.
Washington, DC 20401

Telephone: (202) 512-1800
Secondary Telephone: (866) 512-1800
Fax: (202) 512-2104
E-mail: contactcenter@gpo.gov
Website: http://www.gpo.gov
Available from the website. Document Number: GPO 052-003-01218-9; OTA-BP-H-78.

This report is the study of the oral health care component of Medicaid programs in a sample of seven states to answer whether basic oral health services are provided and whether programs impose barriers that restrict eligible children's access to these services. The scope of this study is purposely narrow, focusing on only a small part of the health care system and only a handful of the population it serves. The report presents two topics of concern, which are Medicaid and the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) programs and barriers to oral health care under Medicaid and EPSDT.


Details

Rudowitz R, Artiga S, Arguello R. 2014. Children's health coverage: Medicaid, CHIP and the ACA. Washington, DC: Kaiser Commission on Medicaid and the Uninsured, 7 pp.

Kaiser Program on Medicaid and the Uninsured
1330 G Street, N.W.
Washington, DC 20005

Telephone: (202) 347-5270
Fax: (202) 347-5274
E-mail: http://www.kff.org/about/contact.cfm
Website: http://kff.org/about-kaiser-commission-on-medicaid-and-the-uninsured/
Available from the website.

This brief provides an overview of children’s coverage leading up to the implementation of the Affordable Care Act (ACA), a review of changes for children included in the ACA, and a look at issues leading up to the reauthorization of the Children's Health Insurance (CHIP) program.


Details

Steinmetz E, Bruen B, Ku L. 2014. Children's use of dental care in Medicaid: Federal fiscal years 2000–2012. Washington, DC: George Washington University Milken Institute School of Public Health, Department of Health Policy, 28 pp.

George Washington University Milken Institute School of Public Health, Department of Health Policy
950 New Hampshire Avenue, N.W., Sixth Floor
Washington, DC 20052

Telephone: (202) 994-4100
Website: http://publichealth.gwu.edu/departments/health-policy
Available from the website.

This report presents national- and state-specific analyses about oral health services received by children and adolescents ages 1–20 under Medicaid's Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit in federal fiscal years (FFY) 2000–2012. The report focuses on the number of children and adolescents who received any service, any preventive service, and any treatment service. Contents include national trends for children and adolescents over the 12–year period and state-specific data for FFY 2012.


Details

Dolatshahi J, Basini LO. 2011. CHIP dental coverage: An examination of state oral health benefit changes as a result of CHIPRA. Washington, DC: National Maternal and Child Oral Health Policy Center, 10 pp, (Issue brief).

This issue brief examines the benefit and coverage limits of states that have voluntarily sought and received federal approval for their Children’s Health Insurance Program dental benefit. In addition to examining changes in benefits and coverage limitations, the brief reviews states’ procedures for allowing children to obtain services beyond any stated benefit maximums. [Funded by the Maternal and Child Health Bureau]


Details

Center for Medicaid and CHIP Services. 2012–2015. CMS learning lab: Improving oral health through access. Baltimore, MD: U.S. Centers for Medicare & Medicaid Services, multiple items.

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

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

This webinar series provides information for states and their collaborative partners to improve access to oral health services for children enrolled in Medicaid and the Children’s Health Insurance Program. Topics include developing state oral health action plan using state data, successful beneficiary outreach strategies, quality improvement processes, engaging more dentists to care for young children, dental sealants, and promoting oral health through the Medicaid benefit for children and adolescents. An informational bulletin about the series, presentation slides, audiorecordings, and related resources are available.


Details

U.S. Maternal and Child Health Bureau. 2011. Collaboration and action to improve child health systems: Toolkit for state leaders. Rockville, MD: U.S. Maternal and Child Health Bureau, 52 pp.

U.S. Maternal and Child Health Bureau
Health Resources and Services Administration 5600 Fishers Lane
Rockville, MD 20857

Telephone: (301) 443-2170
Website: https://mchb.hrsa.gov

This toolkit provides an approach to mapping (i.e., drawing) the child health system in a state so state leaders can better envision the flow of services and funding that support access to care for children and families and identify opportunities for improvement. It contains system diagrams and discussion questions on the following topics: the Title V agency role in ensuring child health; Early and Periodic Screening, Diagnosis, and Treatment Program (EPSDT) mandates on collaboration and outreach to families; medical and dental homes; EPSDT screening visits; linkages, case management, and care coordination; care for children with special health care needs; Medicaid managed care; and public-private and interagency collaboration. Sample scenarios are provided to guide discussion, and tips on designing and facilitating a state leadership workshop are included. [Funded by the Maternal and Child Health Bureau]


Details

U.S. Centers for Medicare & Medicaid Services. 2010. Commonwealth of Virginia Medicaid dental program review. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, 7 pp.

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

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

This report summarizes a review of Virginia’s Medicaid dental program conducted on January 25 to February 1, 2010, to identify practices and program innovations leading to a higher level of oral-health-service use among children in Virginia compared to the national average. The report describes efforts to increase provider reimbursement rates; establish a single contractor to administer Smiles for Children; enhance support from the state governor, legislature, dental association, and medical director and other stakeholder initiatives; and increase the number of participating dentists.


Details

Lee MA, Feder K, Langer S. 2015. Coverage continuity in the HUSKY program increases children's preventive medical and dental care utilization. New Haven, CT: Connecticut Voices for Children, 5 pp.

Connecticut Voices for Children
33 Whitney Avenue
New Haven, CT 06510

Telephone: (203) 498-4240
Fax: (203) 498-4242
E-mail: voices@ctvoices.org
Website: http://www.ctvoices.org
Available from the website.

This report examines how the length of time that children are enrolled in the Medicaid program in Connecticut affects their access to preventive well-child and preventive oral health care. Topics include care use by months enrolled and recommendations for ensuring ongoing coverage for children.


Details

Alaska Medical Assistance Program. 2012. Coverage for dental fluoride varnish provided by physicians, nurse practitioners, and physician assistants. [Juneau, AK]: Alaska Medical Assistance Program, 1 p.

Alaska Department of Health and Social Services, Division of Public Assistance
350 Main Street, Room 304 P.O. Box 110640
Juneau, AK 99811-0640

Telephone: (907) 465-5154
Secondary Telephone: (907) 465-3347
Fax: (907) 465-5154
Website: http://dhss.alaska.gov/dpa/Pages/medicaid/default.aspx
Available from the website.

This document provides information about reimbursement for topical fluoride-varnish applications and oral evaluations performed by physicians, nurse practitioners, and physician assistants who have successfully completed training requirements. Topics include credentials, limitations of coverage, and billing.


Details

Minnesota Oral Health Project. 2015–. Crush Cavities!. Minneapolis, MN: Minnesota Oral Health Project, multiple items.

Minnesota Oral Health Project
c/o University of Minnesota Minneapolis, MN 55455

E-mail: MNOralHealthProject@gmail.com
Website: http://www.minnesotaoralhealthproject.com
Available from the website.

These resources are designed to help primary care health professionals and others understand the etiology of dental caries and caregivers’ role in preventing caries in infants, children, and adolescents from birth to age 21. Contents include information and resources on finding a physician or dentist, getting care when the first tooth erupts, applying fluoride varnish as part of well-child care, practicing good oral hygiene, and consuming healthy foods and drinks. Additional contents include a press release and a governor’s proclamation; public service announcements in English, Hmong, Karen, Lao, Portuguese, Somali, Spanish, and Vietnamese; and frequently asked questions. A video for parents about fluoride varnish is also available.


Details

American Academy of Pediatric Dentistry. 2016. Definitions, oral health policies, and clinical guidelines. Chicago, IL: American Academy of Pediatric Dentistry, multiple items.

American Academy of Pediatric Dentistry
211 East Chicago Avenue, Suite 1600
Chicago, IL 60611-2637

Telephone: (312) 337-2169
Fax: (312) 337-6329
Website: http://www.aapd.org
Available from the website.

This resource comprises definitions, policies, and clinical guidelines of the American Academy of Pediatric Dentistry. New, revised, and reaffirmed policies and guidelines address topics such as medically necessary care, work force issues and delivery of oral health services in a dental home, use of fluoride, use of dental bleaching, infection control, caries-risk assessment and management, restorative dentistry, oral surgery, and informed consent.


Details

U.S. Centers for Medicare & Medicaid Services, Region III. 2008. Delaware EPSDT review report, dental services: March 2008, site visit—Final report. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, Region III, 11 pp.

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

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

This report describes efforts Delaware has made to address the rate of children's utilization of oral health services in the state and to make recommendations on actions that the state can take to increase these rates. Contents include background on the evaluation process; the scope of the review; an introduction to the state's oral health services for children; and review descriptions, concerns, and recommendations and responses.


Details

Minnesota Department of Health, Child and Teen Checkups Program. 2016. Dental check-ups: Child and Teen Checkups (C&TC) fact sheet for dental providers (rev.). St. Paul, MN: Minnesota Department of Health, Child and Teen Checkups Program, 2 pp.

Minnesota Department of Health, Child and Teen Checkups Program
P.O. Box 64882
St. Paul, MN 55164-0882

Telephone: (651) 201-3760
E-mail: health.childandteencheckups@state.mn.us
Website: http://www.health.state.mn.us/divs/cfh/program/ctc
Available from the website.

This fact sheet provides information for physicians, nurse practitioners, physician assistants, and nurses about their role in and responsibility for supporting the oral health of infants, children, and adolescents from birth to age 20 who are eligible for Minnesota’s Early and Periodic Screening, Diagnostic, and Treatment program. Topics include requirements for the visit, personnel training, and documentation of counseling and referral; recommendations for oral health risk assessment and fluoride-varnish application; why preventive oral health care is important; anticipatory guidance; professional recommendations; and resources.


Details

Lee MA, Feder K. 2015. Dental services for children and parents in HUSKY program in 2013: Utilization is improved over 2008 but unchanged from 2012. New Haven, CT: Connecticut Voices for Children, 13 pp.

Connecticut Voices for Children
33 Whitney Avenue
New Haven, CT 06510

Telephone: (203) 498-4240
Fax: (203) 498-4242
E-mail: voices@ctvoices.org
Website: http://www.ctvoices.org
Available from the website.

This report provides information about coverage continuity and oral health care use over time by young children under age 3, school-age children and adolescents (ages 6 to 14), and pregnant women enrolled in the HUSKY program in Connecticut. Topics include provider reimbursement for oral health services in the HUSKY program, program enrollment, and oral health services received (any care, preventive care, treatment, dental sealants). The report also compares service use rates among children and pregnant women enrolled in HUSKY A (Medicaid) vs. HUSKY B (Children's Health Insurance Program) and describes the relationship between race or ethnicity and use of care.


Details

Tein N. 2009. Developing an oral health Medicaid portability model for migrant and seasonal Head Start children: An expert meeting—Meeting summary report. Washington, DC: Altarum Institute, 16 pp, plus appendices.

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

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

This summary reports on a meeting held on March 10–11, 2008, in Washington, DC, on opportunities and challenges in addressing Medicaid eligibility and enrollment for children of migrant and seasonal farmworkers enrolled in Head Start. The report examines Medicaid portability (the ability of Medicaid services to “follow the child” from one state to another). The analysis presents an overview of Medicaid eligibility and enrollment and approaches to increasing Medicaid enrollment and portability for children in Migrant and Seasonal Head Start programs and using Head Start programs as a mechanism for identifying and enrolling children in Medicaid. A companion presentation is also available. [Funded by the Maternal and Child Health Bureau]


Details

Lorenzo SB. 2003–. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services in Medicaid: Knowledge path (4th ed., upd.). Washington, DC: National Center for Education in Maternal and Child Health, (Hiscock Collection; related).

National Center for Education in Maternal and Child Health
Georgetown University Box 571272
Washington, DC 20057-1272

Telephone: (202) 784-9770
E-mail: mchgroup@georgetown.edu
Website: https://www.ncemch.org
Available from the website.

This knowledge path is a guide to resources about providing and strengthening Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services in Medicaid. Contents include guidelines for the frequency, timing, and content of health-promotion and disease-prevention services for infants, children, and adolescents. Separate sections present resources for professionals (health professionals, program administrators, policymakers, researchers) and for families. A special topics area lists resources about oral health services as part of the EPSDT benefit. [Funded by the Maternal and Child Health Bureau]


Details

New York City Department of Health and Mental Hygiene. 2010. Early childhood oral health: Primary care providers—What you need to know about fluoride varnish and how you can promote early childhood oral health. New York, NY: New York City Department of Health and Mental Hygiene, 5 pp.

New York City Department of Health and Mental Hygiene
2 Lafayette Street, 20th Floor, CN-65
New York, NY 10007

Telephone: (212) 676-2188
E-mail: http://www.nyc.gov/html/mail/html/maildoh.html
Website: http://www1.nyc.gov/site/doh/index.page
Available from the website.

This brochure is designed to raise awareness among pediatric primary care health professionals about Medicaid reimbursement for the application of fluoride varnish to children’s teeth in New York. The brochure contains figures, photographs, and tables showing the eruption patterns of primary teeth, signs of early childhood caries, a caries risk assessment tool, and how to apply varnish. Other resources such as varnish suppliers and training are also provided.


Details

[Iowa Department of Public Health, Oral Health Bureau]. 1999-2015. EPSDT dental services reports. [Des Moines, IA: Iowa Department of Public Health, Oral Health Bureau], annual.

Iowa Department of Public Health, Bureau of Oral and Health Delivery Systems
Lucas State Office Building 321 East 12th Street
Des Moines, IA 50319-0075

Telephone: (515) 242-6383
Secondary Telephone: (866) 528-4020
Fax: (515) 242-6384
Website: http://www.idph.iowa.gov/ohds
Available from the website.

These annual reports present county-level data on oral health services provided to children eligible for Iowa’s Early and Periodic Screening, Diagnosis, and Treatment program. Each report provides information on the number of children enrolled in Medicaid who received any oral health services (for covered procedures); those who received preventive services (cleanings, fluoride treatments, dental sealants); and those who received restorative treatment (fillings, crowns, extractions, root canals) within a federal fiscal year (October 1 through September 30). A statewide registry of dentists who see individuals enrolled in Iowa’s Medicaid program, infants and children ages 3 and under, and children with developmental disabilities is also available.


Details

Schneider D, Crall JJ. 2005. EPSDT periodicity schedules and their relation to pediatric oral health standards in Head Start and Early Head Start. Los Angeles, CA: National Oral Health Policy Center, 12 pp, (Technical issue brief).

This issue brief discusses the relationship between Early Head Start (EHS) and Head Start (HS) and Medicaid's Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program. The brief, which includes an executive summary, discusses (1) oral health services in EHS and HS, (2) the role of Medicaid and its relationship to EHS and HS, (3) EHS and HS performance standards for oral health services, (4) linkages to EPSDT and the need for suitable oral health periodicity schedules, and (5) periodicity considerations for EHS and HS oral health services. Strategic recommendations are included. The brief includes two exhibits:(1) the Code of Federal Regulations, Title 45, Volume 4 and (2) the Omnibus Budget Reconciliation Act of 1989 provisions. [Funded by the Maternal and Child Health Bureau]


Details

Alaska Division of Medical Assistance. [2002]. EPSDT program administration agreement between the Divisions of Medical Assistance and Public Health. [Anchorage, AK: Alaska Division of Medical Assistance], 7 pp.

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

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

This document defines the terms and conditions of the provider relationship between the Alaska Divisions of Medical Assistance and Public Health for the provision of Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) services for children eligible for Medicaid in Alaska. It gives an overview of the EPSDT program requirements; outlining deliverables and documentation for outreach and information; ensuring available and accessible services; EPSDT services; and general program administration, evaluation, and reporting.


Details

[Iowa Department of Public Health, Oral Health Bureau]. 2005. EPSDT registry: 2005 update. [Des Moines, IA: Iowa Department of Public Health, Oral Health Bureau], 32 pp.

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

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

This report presents results of a periodic statewide survey of dentists conducted by the University of Iowa Department of Pediatric Dentistry asking whether they were willing to provide services to individuals enrolled in Iowa's Medicaid program, children ages 3 and younger, and children with developmental disabilities. The report includes data collected only from those dentists who were willing to have their information included in a statewide registry.


Details

National Academy for State Health Policy. 2013. EPSDT resources to improve Medicaid for children and adolescents. Portland, ME: National Academy for State Health Policy, multiple items.

National Academy for State Health Policy
10 Free Street, Second Floor
Portland, ME 04101

Telephone: (207) 874-6524
Secondary Telephone: (202) 903-0101
Fax: (207) 874-6527
E-mail: info@nashp.org
Website: http://www.nashp.org
Available from the website.

This resource provides state policymakers, Medicaid officials, and other interested parties with state-specific information about strategies for delivering the Medicaid benefit for children and adolescents in states around the country. Topics include general and specific definitions of medical necessity used by states, initiatives to improve access to preventive and treatment services for children, reporting and data-collection strategies related to children’s services, approaches to behavioral health screening and service delivery, resources developed to support health professionals and families, initiatives to improve care coordination for children, and oral health service delivery for children.


Details

U.S. Centers for Medicaid & Medicare Services. 2014. EPSDT: A guide for states–Coverage in the Medicaid benefit for children and adolescents. Baltimore, MD: U.S. Centers for Medicaid & Medicare Services, 38 pp.

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

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

This guide is intended to help states, health professionals, and others understand the scope of services covered under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program. The guide provides information about periodic and interperiodic screenings, diagnostic services, the scope of treatment services, permissible limitations on coverage of EPSDT services, services available under other federal authorities, access to services, and notice and hearing requirements.


Details

Knipper S. 2004. EPSDT: Supporting children with disabilities. Tualatin, OR: National Center for Family Support, 37 pp.

This booklet is designed to help parents who have a child with special health care needs better understand the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program and Medicaid in general. The booklet explains what EPSDT is and discusses service delivery, limits on services, eligibility, Medicaid and immigration, the EPSDT process, grievances and appeals, and typical areas of confusion. Some information is presented in tables and figures. The booklet includes two appendices: the Michigan age periodicity scale and additional resources.


Details

U.S. House of Representatives, Subcommittee on Domestic Policy of the Committee on Oversight and Government Reform . 2007. Evaluating pediatric dental care under Medicaid. Washington, DC: U.S. House of Representatives, Subcommittee on Domestic Policy of the Committee on Oversight and Government Reform , 231 pp.

U.S. Government Publishing Office
732 North Capitol Street, N.W.
Washington, DC 20401

Telephone: (202) 512-1800
Secondary Telephone: (866) 512-1800
Fax: (202) 512-2104
E-mail: contactcenter@gpo.gov
Website: http://www.gpo.gov
Available from the website.

This document describes the hearing held before the House of Representatives Subcommittee on May 2, 2007 to focus on the adequacy of oversight of pediatric dental care and Medicaid as brought to national attention in the circumstances that led to the death of Deamonte Driver, a 12 year old Medicaid eligible boy in Maryland who died of a brain infection caused by untreated tooth decay. Contents include statements of testimony and letters and other statements submitted for the record before the Subcommittee.


Details

U.S. Centers for Medicare & Medicaid Services, Region IV. 2008. Florida EPSDT review report, dental services: Site visit February 26-27, 2008—[Final report]. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, Region IV, 13 pp.

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

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

This report describes efforts Florida has made to address the rate of children's utilization of oral health services in the state and to make recommendations on actions that the state can take to increase these rates. Contents include background on the evaluation process; the scope of the review; an introduction to the state's oral health services for children; and review descriptions, concerns, and recommendations and responses.


Details

Maryland's Mouths Matter Fluoride Varnish and Oral Health Screening Program for Kids. [2009]. Fluoride varnish and oral health screening training program manual for Early and Periodic Screening, Diagnosis and Treatment (EPSDT) medical providers in Maryland: Procedures, policies, and protocols. Baltimore, MD: Maryland Department of Health and Mental Hygiene, Office of Oral Health, 26 pp.

Maryland Department of Health and Mental Hygiene, Office of Oral Health
201 West Preston Street, Third Floor
Baltimore, MD 21201

Telephone: (410) 767-5300
Secondary Telephone: (800) 735-2258
Fax: (410) 333-7392
E-mail: https://health.maryland.gov/Pages/contactus.aspx
Website: http://phpa.dhmh.maryland.gov/oralhealth/Pages/home.aspx
Available from the website.

This manual outlines aspects of Maryland’s fluoride varnish program. Topics include the target population for fluoride varnish and the protocol and procedures for the application of fluoride varnish. Information on billing, provider training, and the fluoride varnish registry is included. The appendix contains sample forms for assessment, referral, and consent; Maryland’s preventive health care periodicity schedule; fluoride varnish ordering information and an application checklist; and a sample EPSDT medical provider standing order. Additional information for program participants is available from the program’s website, including training presentation slides, a brochure for parents and caregivers, a brochure for EPSDT medical providers, a printed materials order form, and other resources.


Details

Minnesota Department of Health, Child and Teen Checkups Program. [2014–]. Fluoride varnish in the Child and Teen Checkups (C&TC) setting. St. Paul, MN: Minnesota Department of Health, Child and Teen Checkups Program, multiple items.

Minnesota Department of Health, Child and Teen Checkups Program
P.O. Box 64882
St. Paul, MN 55164-0882

Telephone: (651) 201-3760
E-mail: health.childandteencheckups@state.mn.us
Website: http://www.health.state.mn.us/divs/cfh/program/ctc
Available from the website.

These resources are designed to help primary care health professionals improve the oral health of infants, children, and adolescents from birth to age 20 who are eligible for Minnesota’s Early and Periodic Screening, Diagnosis, and Treatment program by offering fluoride-varnish applications (FVAs). Contents include recommendations for FVAs, requirements for a complete visit, support for FVAs by primary care health professionals, and resources for implementing FVAs.


Details

Reusch C, Alker J. 2016. Fulfilling the promise of children's dental coverage. Washington, DC: Children's Dental Health Project and Georgetown University Health Policy Institute, Center for Children and Families, 10 pp.

Georgetown University Health Policy Institute, Center for Children and Families
3300 Whitehaven Street, N.W., Suite 5000, Box 571444
Washington, DC 20057-1485

Telephone: (202) 687-0880
Fax: (202) 687-3110
E-mail: childhealth@georgetown.edu
Website: http://ccf.georgetown.edu
Available from the website.

This issue brief focuses on dental insurance coverage for children and adolescents and ways to improve children’s and adolescents’ oral health. The brief describes marketplace coverage under the Affordable Care Act and coverage financed through the Children’s Health Insurance Program and Medicaid. Topics include affordability and consumer protection, child-focused benefits, and data and evaluation. The brief concludes with a list of 12 recommendations for policymakers at the state and federal levels to strengthen dental coverage and ensure that children and adolescents receive needed oral health care.


Details

U.S. Centers for Medicare & Medicaid Services, Region VII. 2008. Georgia EPSDT review report, dental services: Site visit May 20-30, 2008—[Final report]. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, Region VII, 15 pp.

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

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

This report describes efforts Georgia has made to address the rate of children's utilization of oral health services in the state and makes recommendations on actions that the state can take to increase these rates. Contents include background on the evaluation process; the scope of the review; an introduction to the state's oral health services for children; and review descriptions, concerns, and recommendations and responses.


Details

Iowa Department of Public Health, Oral Health Bureau. 2010. I-Smile oral health coordinator handbook (rev.). Des Moines, IA: Iowa Department of Public Health, Oral Health Bureau, 1 v.

Iowa Department of Public Health, Bureau of Oral and Health Delivery Systems
Lucas State Office Building 321 East 12th Street
Des Moines, IA 50319-0075

Telephone: (515) 242-6383
Secondary Telephone: (866) 528-4020
Fax: (515) 242-6384
Website: http://www.idph.iowa.gov/ohds
Available from the website.

This handbook is intended to assist the oral health coordinator (dental hygienist) in providing primary prevention and care-coordination services for young children and their families in Iowa. Topics include the dental home and dental caries screening and treatment services. The handbook contains an overview of Iowa's I-Smile project, oral health service guidelines including a fluoride varnish protocol, oral-health-education guidelines, sample forms, and other resources.


Details

Chickering S, Meister S. 2016. I-Smile™ @ School: 2015 Report on the Iowa Department of Public Health’s School-Based Sealant Program. Des Moines, IA: Iowa Department of Public Health, Bureau of Oral and Health Delivery Systems, 4 pp.

Iowa Department of Public Health, Bureau of Oral and Health Delivery Systems
Lucas State Office Building 321 East 12th Street
Des Moines, IA 50319-0075

Telephone: (515) 242-6383
Secondary Telephone: (866) 528-4020
Fax: (515) 242-6384
Website: http://www.idph.iowa.gov/ohds
Available from the website.

This report describes the services and impact of a school-based dental sealant program to pre- vent oral disease and improve the oral health of children in Iowa. The program provides students with onsite screening, sealants, fluoride varnish, education, and care-coordination services. Topics include trends in the number of children who were screened, the number of children who received sealants, the number of sealants placed, and the number of counties served. The report also documents the number of cavities averted due to program services and gives an example of a success story.


Details

Iowa Department of Public Health, Oral Health Bureau. 2011. I-Smile™ dental home initiative. Des Moines, IA: Iowa Department of Public Health, Oral Health Bureau, 2 pp.

Iowa Department of Public Health, Bureau of Oral and Health Delivery Systems
Lucas State Office Building 321 East 12th Street
Des Moines, IA 50319-0075

Telephone: (515) 242-6383
Secondary Telephone: (866) 528-4020
Fax: (515) 242-6384
Website: http://www.idph.iowa.gov/ohds
Available from the website.

This document describes a statewide initiative to provide preventive oral health services and coordinate oral health care for infants and children (from birth to age 12) at risk for dental caries in Iowa. Topics include families’ oral health concerns, prevention services and treatment costs, successful interventions, and policy recommendations for maintaining and improving oral health in Iowa. The recommendations address systems of care, reimbursement, and work force models.


Details

U.S. Department of Health and Human Services, Office of Inspector General. 2007. Improper payments for Medicaid pediatric dental services. Washington, DC: U.S. Department of Health and Human Services, Office of Inspector General, 35 pp.

U.S. Department of Health and Human Services, Office of Inspector General
c/o U.S. Department of Health and Human Services, Office of Public Affairs Cohen Building, Room 5541 330 Independence Avenue, S.W.
Washington, DC 20201

Telephone: (202) 619-1343
Fax: (202) 260-8512
E-mail: paffairs@oig.hhs.gov
Website: http://oig.hhs.gov
Available at no charge; also available from the website. Document Number: OEI-04-04-00210.

This report presents findings from an assessment of the appropriateness of Medicaid payments for pediatric dental services. The authors examined a stratified random sample of Medicaid pediatric dental services in five states during 2003 to determine whether the services met requirements for proper documentation, billing, and medical necessity. Contents include an executive summary, which presents the objective and background and a summary of the findings, recommendations, comments from the Centers for Medicare and Medicaid Services, and a response from the Office of the Inspector General.


Details

Johnson K, Kaye N, Cullen A, May J. 2009. Improving EPSDT periodicity schedules to promote healthy development. Portland, ME: National Academy for State Health Policy, 5 pp, (State health policy briefing).

National Academy for State Health Policy
10 Free Street, Second Floor
Portland, ME 04101

Telephone: (207) 874-6524
Secondary Telephone: (202) 903-0101
Fax: (207) 874-6527
E-mail: info@nashp.org
Website: http://www.nashp.org
Available from the website.

This policy brief summarizes findings from a review of state Web sites and from an informal survey of state Early and Periodic Screening, Diagnosis, and Treatment program (EPSDT) coordinators to identify the extent to which states were changing Medicaid policies to incorporate the Bright Futures guidelines published in 2007 into their programs, with a specific focus on the 30-month well-child visit (EPSDT screen). Information on how state Medicaid agencies can facilitate adoption of improved standards of care, including oral health care, and opportunities for improvement are included.


Details

Insure Kids Now. 2016. Improving oral health. Baltimore, MD: U.S. Centers for Medicare & Medicaid Services, multiple items.

Insure Kids Now
Centers for Medicare and Medicaid Services 7500 Security Boulevard
Baltimore, MD 21244

Website: https://www.insurekidsnow.gov
Available from the website.

These resources are designed to help health professionals promote oral health coverage in Medicaid and the Children’s Health Insurance Program (CHIP) and educate pregnant women and parents and other caregivers about good oral health habits. Contents include links to Medicaid and CHIP benefits for children by state and a tool to help families find a dentist. Additional contents include a fact sheet, a flyer, a poster, tear pads, web banners and buttons, social media messages, images for Facebook and Twitter, and newsletter templates in English and Spanish.


Details

Gehshan S, Wyatt M. 2007. Improving oral health care for young children. Portland, ME: National Academy for State Health Policy, 36 pp.

National Academy for State Health Policy
10 Free Street, Second Floor
Portland, ME 04101

Telephone: (207) 874-6524
Secondary Telephone: (202) 903-0101
Fax: (207) 874-6527
E-mail: info@nashp.org
Website: http://www.nashp.org
Available from the website.

This report focuses on financing and work force challenges, describes promising models of care, and discusses options for policymakers seeking to improve access to oral health care for young children. Selected topics include the need for care for young children; Early and Periodic Screening, Diagnosis, and Treatment Medicaid dental services for children; public health measures; and examples of promising models of care in Washington, Michigan, and North Carolina. The report concludes with a discussion of policy options at the federal, state, community, and organization levels for improving oral health for young children. A state-by-state table of dental benefits in non-Medicaid State Children's Health Insurance Programs is included as an appendix. [Funded by the Maternal and Child Health Bureau]


Details

Centers for Medicare & Medicaid Services, Center for Consumer Information and Insurance Oversight. 2015–. Information on essential health benefits (EHB) benchmark plans. Baltimore, MD: U.S. Centers for Medicare & Medicaid Services, Center for Consumer Information and Insurance Oversight, multiple items.

Centers for Medicare & Medicaid Services, Center for Consumer Information & Insurance Oversight
7500 Security Boulevard
Baltimore, MD 21244

Website: https://www.cms.gov/CCIIO
Available from the website.

This resource provides state summaries of health plans in the individual and small group markets that cover the essential health benefits (EHBs) required by the Affordable Care Act (EHB benchmark plans). Benefit categories include ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder services including behavioral health treatment, prescription drugs, rehabilitative and habilitative services and devices, laboratory services, preventive and wellness services and chronic disease management, and pediatric services including oral and vision care. Information about state-required benefits is included.


Details

Rodgers T, Schowalter B, Meister S. 2018. Inside I-Smile™. Des Moines, IA: Iowa Department of Public Health, Bureau of Oral and Health Delivery Systems, annual.

Iowa Department of Public Health, Bureau of Oral and Health Delivery Systems
Lucas State Office Building 321 East 12th Street
Des Moines, IA 50319-0075

Telephone: (515) 242-6383
Secondary Telephone: (866) 528-4020
Fax: (515) 242-6384
Website: http://www.idph.iowa.gov/ohds
Available from the website.

This report provides information about I-Smile, Iowa’s oral health program initiative for children. The report offers background information and includes information on I-Smile results; the number of children from birth through age 12 who are Medicaid recipients and who received oral health services in 2005, 2011, and 2016; and additional statistical information related to Medicaid and children’s receipt of oral health services in Iowa.


Details

North Carolina Early Childhood Oral Health Collaborative. 2013. Into the Mouths of Babes/Connecting the Docs toolkit. Raleigh, NC: North Carolina Division of Public Health, Oral Health Section, multiple items.

North Carolina Division of Public Health, Oral Health Section
2001 Mail Service Center 5505 Six Forks Road
Raleigh, NC 27699-2001

Telephone: (919) 855-4800
Fax: (919) 870-4805
Website: http://www.ncdhhs.gov/dph/oralhealth
Available at no charge (program participants only); also available from the website.

This toolkit is for health professionals trained to deliver preventive oral health services (oral evaluation and risk assessment, parent or caregiver education, fluoride-varnish application, and dental home referral) to infants and young children from birth to age 42 months enrolled in Medicaid in North Carolina. Contents include videos on preventive oral health procedures and the Priority Oral Health Risk Assessment and Referral Tool (PORRT). Additional contents include steps for fluoride-varnish application that can be posted in the exam room, information on Medicaid reimbursement, the PORRT and referral guidelines, a supply list, parent-education materials in English and Spanish, training guidelines, and a certificate.


Details

U.S. Centers for Medicare & Medicaid Services. 2013. Keep kids smiling: Promoting oral health through the Medicaid benefit for children and adolescents. Baltimore, MD: U.S. Centers for Medicare & Medicaid Services, 40 pp.

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

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

This guide provides examples of successful approaches to improving oral health care access and use for children and adolescents enrolled in Medicaid. Contents include facts on oral health and why it is important, strategies for promoting oral health, and resources. Strategies include improving state Medicaid program performance through policy changes; maximizing provider participation; directly addressing children, adolescents, and their families; and partnering with stakeholders.


Details

DC Action for Children, Children's Advocacy Roundtable. 2007. KidBits: Using data to drive better outcomes for children and youth. Washington, DC: DC Action for Children, Children's Advocacy Roundtable, 28 pp.

DC Action for Children
1616 P Street, N.W., Suite 420
Washington, DC 20036

Telephone: (202) 234-9404
Fax: (202) 234-9108
E-mail: dcaction@dckids.org
Website: http://www.dcactionforchildren.org/
Available from the website.

This report presents findings from the first annual assessment of indicators in each of the District of Columbia's six citywide goals for children and youth to provide officials and the general public with an objective look at how well the city is (or, in some cases, is not) meeting the needs of children, youth, and their families. The snapshot presents basic data, brief assessments, and recommendations in the following areas: school readiness, school success, healthy children and youth, youth opportunity, stable families, and transitioning to adulthood.


Details

U.S. Centers for Medicare & Medicaid Services, Region VI. 2008. Louisiana EPSDT review, dental services: April 8-10, 2008, site visit—Final report. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, Region VI, 14 pp.

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

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

This report describes efforts Louisiana has made to address the rate of children's utilization of oral health services in the state and makes recommendations on actions that the state can take to increase these rates. Contents include background on the evaluation process; the scope of the review; an introduction to the state's oral health services for children; and review descriptions, concerns, and recommendations and responses.


Details

Snyder A, Kaye N, Mention N. 2016. Managed care for Medicaid dental services: Insights from Kentucky. Portland, ME: National Academy for State Health Policy, 18 pp.

National Academy for State Health Policy
10 Free Street, Second Floor
Portland, ME 04101

Telephone: (207) 874-6524
Secondary Telephone: (202) 903-0101
Fax: (207) 874-6527
E-mail: info@nashp.org
Website: http://www.nashp.org
Available from the website.

This brief describes Kentucky’s experience administering a dental benefit through its managed care contract. The brief outlines the evolution of the state’s approach to dental benefits; highlights practices that state officials and managed care plans are taking to ensure health professional network adequacy and enrollee access to care; discusses challenges that the state, managed care organizations, and health professionals have encountered; and suggests potential options that the state could explore as it pursues future improvement.


Details

Tinanoff N, Lowe E, Holt K, Goodman H. 2010. Maryland's Mouths Matter: Fluoride varnish and oral health screening programs for kids—Training for EPSDT medical providers in Maryland. Washington, DC: National Maternal and Child Oral Health Resource Center; Baltimore, MD: Maryland Department of Health, Office of Oral Health, 1 v.

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

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

This curriculum is designed to provide Early and Periodic Screening, Diagnosis, and Treatment medical providers (i.e., physicians, nurse practitioners) and other health professionals in Maryland with knowledge and skills to reduce the incidence of dental caries among children ages 3 and under and to contribute to the establishment of a dental home. The series of four modules provides information on the role of medical providers in children's oral health. Also included are a description of the dental caries process and instructions on how to conduct a dental caries risk assessment. The modules also address the provision of anticipatory guidance, the application of fluoride varnish, and the importance of referring young children to a dentist. [Funded in part by the Maternal and Child Health Bureau]


Details

Iowa Department of Public Health, Bureau of Family Health. 2014. [Maternal and child health services administrative manual section 700]. [Des Moines, IA]: Iowa Department of Public Health, Bureau of Family Health, 40 pp.

Iowa Department of Public Health, Bureau of Family Health
Lucas State Office Building 321 East 12th Street
Des Moines, IA 50319

Telephone: (800) 383-3826
Secondary Telephone: (800) 443-8336
Fax: (515) 725-1760
Website: http://www.idph.iowa.gov/family-health
Available from the website.

This document describes maternal and child health contract agency responsibilities for ensuring access to oral health services in Iowa. Topics include an overview of maternal and child oral health services and funding sources; a description of I-Smile™ program requirements and strategies; oral health infrastructure building; population-based, enabling, and direct care services provided by agency staff; screening and risk assessment, including school-based screening; referrals; fluoride varnish, dental sealants, prophylaxes, and radiographs; oral-health-education guidelines; service documentation; Medicaid-billable services; and supervision of dental hygienists and dental treatment provided by dentists.


Details

Perkins J. 2008. Medicaid Early and Periodic Screening, Diagnosis and Treatment: Fact sheet. Chapel Hill, NC: National Health Law Program, 10 pp.

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 fact sheet answers some commonly asked questions about the Early and Periodic Screening, Diagnosis, and Treatment Program (EPSDT), including (1) why EPSDT, (2) how does EPSDT address screening, (3) how does EPSDT address treatment services, (4) how does the Deficit Reduction Act of 2005 affect EPSDT, (5) how should children and families find out about EPSDT, (6) how can EPSDT program performance be measured and how can programs be held accountable, and (7) how to learn more about EPSDT.


Details

[Perkins J]. 2006. Medicaid Early and Periodic Screening, Diagnosis and Treatment: State innovation leads to improved oral health participation rates. Chapel Hill, NC: National Health Law Program.

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 report provides an overview of child oral health screening rates and summarizes initiatives to increase children's utilization of oral health care through the Medicaid Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program in six states -- Alabama, Indiana, North Carolina, South Carolina, Vermont, and Washington. Data are drawn from states' reports of participation rates on the uniform EPSDT reporting form (CMS Form-416) and presented in tables. The data include the percentage of children who received a well-child screen and who received oral health services in 2004 and 2005. Steps that states have taken to implement programs and initiatives designed to increase access to oral health care for children eligible for Medicaid are presented.


Details

Pew Center on the States and National Academy for State Health Policy. 2012. Medicaid financing of early childhood home visiting programs: Options, opportunities, and challenges. Philadelphia, PA: Pew Charitable Trusts, 62 pp.

Pew Charitable Trusts
One Commerce Square 2005 Market Street, Suite 1700
Philadelphia, PA 19103-7077

Telephone: (215) 575-9050
Fax: (215) 575-4939
E-mail: info@pewtrusts.org
Website: http://www.pewtrusts.org
Available from the website.

This report examines how states are using (or could use) Medicaid to finance home visiting services. The report discusses findings from a literature review, a scan of state policies and practices, and an expert panel meeting on mechanisms through which Medicaid could pay for home visiting. Six case studies illustrating states' experiences are included.


Details

Rosenbaum S. 2008. Medicaid portability in the context of oral health care for Head Start-enrolled children in migrant farmworker families. Washington, DC: George Washington University, School of Public Health and Health Services, 10 pp.

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

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

This analysis examines opportunities and challenges in addressing Medicaid eligibility and enrollment for children of migrant and seasonal farmworkers. It examines Medicaid portability, that is, the ability of Medicaid to follow children from one state to another. The analysis presents an overview of Medicaid eligibility and enrollment and approaches to increasing Medicaid enrollment and portability for children in Migrant and Seasonal Head Start programs, using Head Start programs as a mechanism for identifying and enrolling children in Medicaid. [Funded by the Maternal and Child Health Bureau]


Details

Washington State Health Care Authority. 2013. Medicaid provider guide: Access to Baby and Child Dentistry. [Olympia, WA]: Washington State Health Care Authority, 14 pp.

Washington State Health Care Authority, Medicaid
P.O. Box 45502
Olympia, WA 98504-2682

Telephone: (800) 562-3022
E-mail: ASKMEDICAID@hca.wa.gov
Website: http://www.hca.wa.gov
Available from the website.

This manual contains instructions for participating in Access to Baby and Child Dentistry, a program to increase access to oral health services for Medicaid-eligible infants and children from birth through age 5 in Washington. Topics include eligibility, coverage, authorization, and billing and claim forms. Fee schedules are also available.


Details

U.S. Government Accountability Office. 2007. Medicaid: Concerns remain about sufficiency of data for oversight of children's dental services—Testimony. Washington, DC: U.S. Government Accountability Office, 17 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-07-826T.

This testimony examines the Centers for Medicare and Medicaid Services' (CMS') oversight of oral health care for children from families with low incomes who are enrolled in Medicaid. The testimony is based on the following: (1) reports that the Government Accountability Office (GAO) issued from 2000 to 2003; (2) interviews conducted in April 2007 with officials from CMS, state Medicaid programs (California, Illinois, Minnesota, New York, and Washington), and national health associations; and (3) a review of literature provided by officials from CMS and other organizations. The testimony addresses the data that CMS requires states to submit on the provision of Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) oral health services and the extent to which the data are sufficient for CMS oversight of the provision of these services. Background information on EPSDT services and Medicaid delivery and financing, concluding observations, contacts, and related GAO products are included.


Details

Somers S. 2016. Medicaid's Early and Periodic, Screening, Diagnosis and Treatment in schools and the Free Care Rule. Health Advocate 46:1–3.

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 newsletter describes the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program and opportunities for school districts to significantly expand the range of health care services, including oral health services, available to students from families with low incomes. Topics include the importance of having sufficient numbers and types of health professionals participating in Medicaid programs in their area, how providing Medicaid services in schools can help to address children's and adolescents' unmet health care needs, and federal guidance on Medicaid reimbursement for services that are provided at no charge (previously known as the Free Care Rule).


Details

U.S. Centers for Medicare & Medicaid Services, Region V. 2008. Michigan's Early Periodic Screening Diagnosis and Treatment Program with a focus on dental services: Management review final report—March 17-20, 2008, site visit. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, Region V, 14 pp.

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

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

This report describes efforts Michigan has made to address the rate of children's utilization of oral health services in the state and makes recommendations on actions that the state can take to increase these rates. Contents include background on the evaluation process; the scope of the review; an introduction to the state's oral health services for children; and review descriptions, concerns, and recommendations and responses.


Details

U.S. Centers for Medicare & Medicaid Services, Region VII. 2008. Missouri's Early Periodic Screening and Diagnosis and Treatment Program dental services management review: March 31 - April 3, 2008, site visit—Final report. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, Region VII, 25 pp.

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

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

This report describes the efforts Missouri has made to address the rate of children's utilization of oral health services in the state and makes recommendations on actions that the state can take to increase utilization rates. Contents include background on the evaluation process; the scope of the review; an introduction to the state's oral health services for children; and review descriptions, concerns, and recommendations and responses.


Details

U.S. Centers for Medicare & Medicaid Services, Region VIII. 2008. Montana EPSDT review report, dental services: April 1-3 2008, site visit—Final report. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, Region VIII, 11 pp.

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

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

This report describes the efforts Montana has made to address the rate of children's utilization of oral health services in the state and makes recommendations on actions that the state can take to increase these rates. Contents include background on the evaluation process; the scope of the review; an introduction to the state's oral health services for children; and review descriptions, concerns, and recommendations and responses.


Details

U.S. Department of Health and Human Services, Office of Inspector General. 2016. Most children with Medicaid in four states are not receiving required dental services. Washington, DC: U.S. Department of Health and Human Services, Office of Inspector General, 29 pp.

U.S. Department of Health and Human Services, Office of Inspector General
c/o U.S. Department of Health and Human Services, Office of Public Affairs Cohen Building, Room 5541 330 Independence Avenue, S.W.
Washington, DC 20201

Telephone: (202) 619-1343
Fax: (202) 260-8512
E-mail: paffairs@oig.hhs.gov
Website: http://oig.hhs.gov
Available from the website. Document Number: OEI-02-14-00490.

This report describes the extent to which children enrolled in Medicaid in four states (California, Indiana, Louisiana, and Maryland) received pediatric oral health services in 2011 and 2012. The report also describes barriers and strategies to increase access in these states. Contents include background, methodology, findings, recommendations, and conclusions. Topics include the percentage of children who did not receive required oral health services and percentage of those who did not receive all required oral health services, policies that may limit children's ability to receive required services, shortages of dentists who participate in Medicaid, and challenges in educating families about the importance of oral health care.


Details

U.S. Centers for Medicare & Medicaid Services, Region IX. 2008. Nevada EPSDT review report, dental services: March 18-21, 2008, site visit—[Final report]. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, Region IX, 14 pp.

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

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

This report describes the efforts Nevada has made to address the rate of children's utilization of oral health services in the state and makes recommendations on actions that the state can take to increase these rates. Contents include background on the evaluation process; the scope of the review; an introduction to the state's oral health services for children; and review descriptions, concerns, and recommendations and responses.


Details

U.S. Centers for Medicare & Medicaid Services, Region II. 2008. New Jersey EPSDT review report, dental services: March 2008 site visit —Final report. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, Region II, 13 pp.

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

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

This report describes the efforts New Jersey has made to address the rate of children's utilization of oral health services in the state and to make recommendations on actions that the state can take to increase these rates. Contents include background on the evaluation process; the scope of the review; an introduction to the state's oral health services for children; and review descriptions, concerns, and recommendations and responses.


Details

U.S. Centers for Medicare & Medicaid Services, Region II. 2008. New York EPSDT review report, dental services: February 2008 site visit—Final report. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, Region II, 16 pp.

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

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

This report describes efforts New York has made to address the rate of children's utilization of oral health services in the state and to make recommendations on actions that the state can take to increase these rates. Contents include background on the evaluation process; the scope of the review; an introduction to the state's oral health services for children; and review descriptions, concerns, and recommendations and responses.


Details

U.S. Centers for Medicare & Medicaid Services, Region VIII. 2008. North Dakota EPSDT review report, dental services: March 18-20, 2008, site visit—Final report. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, Region VIII, 13 pp.

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

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

This report describes the efforts North Dakota has made to address the rate of children's utilization of oral health services in the state and to make recommendations on actions that the state can take to increase these rates. Contents include background on the evaluation process; the scope of the review; an introduction to the state's oral health services for children; and review descriptions, concerns, and recommendations and responses.


Details

Solloway M. [1995]. Oral health for low income children: Expanding access to dental services under EPSDT. Washington, DC: George Washington University, Child and Adolescent Health Policy Center, 26 pp, (Hiscock Collection; related).

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

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

This report explores the implications of changes mandated by the 1989 Omnibus Budget Reconciliation Act (OBRA '89) for expanding access to oral health services under Early and Periodic Screening, Diagnosis, and Testing (EPSDT). After providing a general overview of EPSDT and oral health for children from families with low incomes, the report examines the feasibility of using dentists and dental hygienists as primary care health professionals and recommends policy changes to increase the role of oral health professionals in primary care. [Funded by the Maternal and Child Health Bureau]


Details

National Maternal and Child Oral Health Resource Center. 2003–. Oral health resource bulletin. Washington, DC: National Maternal and Child Oral Health Resource Center, semi-annual.

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

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

This document lists selected oral health resources that are available for health professionals, program administrators, policymakers, and educators in the maternal and child health community. It includes sections on data and surveillance, Maternal and Child Health Bureau-funded project reports, policy, professional-client tools, professional education and practice, program development, public awareness and education, and quality assurance. Each bulletin supplements previous volumes. [Funded by the Maternal and Child Health Bureau]


Details

Minnesota Department of Health, Minnesota Department of Human Services. 2013. Oral health screening online module (rev.). [St. Paul, MN]: Minnesota Department of Health, Minnesota Department of Human Services, 1 v.

Minnesota Department of Health
P.O. Box 64975
St. Paul, MN 55164-0975

Telephone: (651) 201-5000
Secondary Telephone: (888) 345-0823
Website: http://www.health.state.mn.us
Available from the website.

This training module is designed to help health professionals improve the oral health of infants, children, and adolescents from birth to age 21 who are eligible for Minnesota's Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program by offering oral health screenings. The content is organized into 5 sections that describe the program and provide information about the importance of oral health screening, screening steps and tips, common oral health problems, and anticipatory guidance. Each section concludes with a quiz. The module includes resources and references and an evaluation form, and takes approximately 45 minutes to complete.


Details

Minnesota Department of Health, Child and Teen Checkups Program. 2016. Oral health: Child and Teen Checkups (C&TC) fact sheet for primary care providers. St. Paul, MN: Minnesota Department of Health, Child and Teen Checkups Program, 2 pp, (Child and teen checkups (C&TC) fact sheet for primary care providers).

Minnesota Department of Health, Child and Teen Checkups Program
P.O. Box 64882
St. Paul, MN 55164-0882

Telephone: (651) 201-3760
E-mail: health.childandteencheckups@state.mn.us
Website: http://www.health.state.mn.us/divs/cfh/program/ctc
Available from the website.

This fact sheet provides information for physicians, nurse practitioners, physician assistants, and nurses about their role in and responsibility for supporting the oral health of infants, children, and adolescents from birth to age 20 who are eligible for Minnesota’s Early and Periodic Screening, Diagnostic, and Treatment program. Topics include requirements for the visit, personnel training, and documentation of counseling and referral; recommendations for oral health risk assessment and fluoride-varnish application; why preventive oral health care is important; anticipatory guidance; professional recommendations; and resources.


Details

Meeske JA, Brickhouse TH, Casamassimo P, Wright R, Litch CS, Essling M. 2017. Pediatric dentist toolkit for seeing patients with Medicaid: Changing children's lives one smile at a time. Chicago, IL: American Academy of Pediatric Dentistry, Pediatric Oral Health Research and Policy Center, 19 pp.

American Academy of Pediatric Dentistry, Pediatric Oral Health Research and Policy Center
211 East Chicago Avenue, Suite 1600
Chicago, IL 60611-2637

Telephone: (312) 337-2169
Secondary Telephone: (800) 544-2174
Fax: (312) 337-6329
E-mail: pohrpc@aapd.org
Website: https://www.aapd.org/research/policy-center/
Available from the website.

This toolkit for pediatric dentists offers guidance on providing care to children enrolled in Medicaid within a practice setting. Topics include understanding Medicaid, Medicaid coverage for dental services, why dentists should consider participating in Medicaid, and how to become a Medicaid provider. Additional topics include how to prepare a pediatric dental team to work with the Medicaid system, how to schedule clients, how to find training opportunities for team members, how to administer Medicaid, and how to locate resources.


Details

U.S. Centers for Medicare & Medicaid Services, Region III. 2008. Pennsylvania EPSDT review report, dental services: April 2008 site visit—Final report. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, Region III, 16 pp.

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

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

This report describes the efforts Pennsylvania has made to address the rate of children's utilization of oral health services in the state and to make recommendations on actions that the state can take to increase these rates. Contents include background on the evaluation process; the scope of the review; an introduction to the state's oral health services for children; and review descriptions, concerns, and recommendations and responses.


Details

Washington Dental Service Foundation. 2011. Preventing dental disease in primary care medical settings. Seattle, WA: Washington Dental Service Foundation, 1 v.

Washington Dental Service Foundation
P.O. Box 75983
Seattle, WA 98175-0983

Telephone: (206) 528-2373
Fax:
E-mail: foundation@deltadentalwa.com
Website: http://www.kidsoralhealth.org
Available from the website.

This course is intended for primary care health professionals in practices that have received the Washington Dental Service Foundation's in-office training, Preventing Dental Disease in Primary Care Medical Settings. Professionals and staff who complete the course and pass an online assessment will receive continuing medical education credit and will be certified to provide oral health screenings, oral health education, and fluoride varnish services and to bill the Washington State Medicaid program for these services.


Details

American Academy of Pediatrics, Bright Futures. 2017. Recommendations for preventive pediatric health care [upd.]. Elk Grove Village, IL: American Academy of Pediatrics, 2 pp.

American Academy of Pediatrics
345 Park Boulevard
Itasca, IL 60143

Telephone: (630) 626-6000
Secondary Telephone: (847) 434-4000
Fax: (847) 434-8000
Website: https://www.aap.org
Available from the website.

These recommendations for health professionals represent a consensus by the American Academy of Pediatrics and Bright Futures about the periodicity of health care services for infants, children, and adolescents. The recommendations emphasize the importance of continuity of care in comprehensive health supervision, including oral health supervision, and the need to avoid fragmentation of care.


Details

[U.S. Centers for Medicare & Medicaid Services, Region III]. 2008. Report of the District of Columbia's Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Program with a focus on dental services for children: [Final report]. [Baltimore, MD: [U.S. Centers for Medicare & Medicaid Services, Region III], 12 pp.

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

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

This report describes the efforts the District of Columbia has made to address the rate of children's utilization of oral health services in the district and to make recommendations on actions the district can take to increase these rates. Contents include background on the evaluation process; the scope of the review; an introduction to the state's oral health services for children; and review descriptions, concerns, and recommendations and responses.


Details

Healthy Schools Campaign. 2015. Stakeholder's guide to implementing the change in the Free Care Policy. Chicago, IL: Healthy Schools Campaign, 9 pp.

Healthy Schools Campaign
175 N. Franklin, Suite 300
Chicago, IL 60606

Telephone: (312) 419-1810
Fax: (312) 419-1806
Website: http://www.healthyschoolscampaign.org
Available from the website.

This document provides a framework for developing and implementing a plan for leveraging Medicaid policy to support increased access to comprehensive and coordinated school health services. Contents include steps to understanding state regulatory and school health services environments, engaging decision makers and allies, and building for the long term. Topics include the importance of understanding the state Medicaid plan, the state legislative environment, and additional barriers or opportunities such as Medicaid managed care and third-party liability; assessing student health needs (including oral health needs) and the current school health infrastructure, and developing a school health services model; identifying key decision makers to engage, allies at the state and local levels, and new opportunities for partnerships; and evaluating impact, developing a plan for addressing additional student health needs, and leveraging opportunities presented by the broader transformation of the health care system.


Details

American Academy of Pediatric Dentistry, Pediatric Oral Health Research and Policy Center. 2011–. State dental periodicity schedules. Chicago, IL: American Academy of Pediatric Dentistry, Pediatric Oral Health Research and Policy Center.

American Academy of Pediatric Dentistry, Pediatric Oral Health Research and Policy Center
211 East Chicago Avenue, Suite 1600
Chicago, IL 60611-2637

Telephone: (312) 337-2169
Secondary Telephone: (800) 544-2174
Fax: (312) 337-6329
E-mail: pohrpc@aapd.org
Website: https://www.aapd.org/research/policy-center/
Available from the website.

The resource comprises a map and related materials on state dental periodicity schedules for infants, children, and adolescents from birth to age 18.The color-coded map links to information on (1) states that have no schedule, (2) states that use a schedule, and (3) states that use the American Academy of Pediatric Dentistry (AAPD) recommended schedule. Related materials include AAPD’s Guideline on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents.


Details

U.S. Centers for Medicare & Medicaid Services. 2010. State of Alabama Medicaid dental review. [Baltimore, MD: U.S. Centers for Medicare & Medicaid Services], 8 pp.

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

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

This report summarizes a review of Alabama's Medicaid dental program conducted on January 4-8, 2010, to discover practices and program innovations leading to a higher level of oral health service use among children in Alabama compared to the national average. The report describes the Smile Alabama initiative, the 1st Look program, Student/Resident Rotations in Community Health (SEARCH), the partnership with the University of Alabama School of Dentistry, and the loan repayment program.


Details

U.S. Centers for Medicare & Medicaid Services. 2010. State of Arizona Medicaid dental review. Baltimore, MD: U.S. Centers for Medicare & Medicaid Services, 7 pp.

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

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

This report summarizes a review of Arizona’s Medicaid dental program conducted on January 11–15, 2010, to identify practices and program innovations leading to a higher level of oral-health-service use among children in Arizona compared to the national average. The report describes state-level accountability, managed care organization performance transparency, the establishment of a state Medicaid dental director position, and the Special Needs Dental Clinic.


Details

U.S. Centers for Medicare & Medicaid Services. 2010. State of Maryland Medicaid dental program review. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, 11 pp.

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

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

This report summarizes a review of Maryland’s Medicaid dental program conducted on March 17–26, 2010, to identify practices and program innovations leading to a higher level of oral-health-service use among children in Maryland compared to the national average. The report describes an increase in reimbursement rates; the establishment of a single contractor to administer oral health services for children; payment to Early and Periodic Screening, Diagnostic, and Treatment Program (EPSDT)-trained providers for applying fluoride varnish to the teeth of infants and young children ages 9 to 36 months; involvement, leadership, and support of key stakeholders; the loan-assistance program to increase the number of dentists participating in Medicaid; and other public health initiatives.


Details

U.S. Centers for Medicare & Medicaid Services. 2010. State of Nebraska Medicaid dental review. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, 6 pp.

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

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

This report summarizes a review of Nebraska’s Medicaid dental program conducted during the week of January 18, 2010, to identify practices and program innovations leading to a higher level of oral-health-service use among children in Nebraska compared to the national average. The report describes initiatives to serve children from families with low incomes and increase the number of providers in underserved areas, efforts to enlist the help of dentists on local health department boards and public health nurses for missed appointment follow-up, and consultation between the state department of health and the state dental association to implement rate increases targeting specific recommended procedure codes.


Details

U.S. Centers for Medicare & Medicaid Services. 2010. State of North Carolina Medicaid dental review. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, 8 pp.

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

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

This report summarizes a review of North Carolina's Medicaid dental program conducted on February 22-26, 2010, to identify practices and program innovations leading to a higher level of oral health service use among children in North Carolina compared to the national average. The report describes the Task Force on Dental Care for Children, the Into the Mouths of Babes program, the North Carolina Dental Home Initiative, the Zero Out All Early Childhood Tooth Decay project, safety net dental clinics, and the loan repayment program.


Details

U.S. Centers for Medicare & Medicaid Services. 2010. State of Rhode Island Medicaid dental review. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, 8 pp.

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

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

This report summarizes a review of Rhode Island's Medicaid dental program conducted on November 30 to December 4, 2009, to identify practices and program innovations leading to a higher level of oral health service use among children in Rhode Island compared to the national average. The report describes the Medical Dental Advisory Committee, the RIte Smiles dental program, and affiliation with Head Start programs.


Details

U.S. Centers for Medicare & Medicaid Services. 2010. State of Texas Medicaid dental review. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, 10 pp.

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

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

This report summarizes a review of Texas' Medicaid dental program conducted on November 30 to December 4, 2009, to identify practices and program innovations leading to a higher level of oral health service use among children in Texas compared to the national average. The report describes efforts to increase reimbursement rates, a legislatively-supported initiative to provide preventive oral health care in the early months of life, a strategy to encourage pediatric primary care health professionals to provide oral health care in the medical home, a loan repayment program for dentists and physicians who treat Medicaid beneficiaries, and meetings to promote stakeholder ownership in the state's oral health program.


Details

National Health Law Program. 2007. Testimony of Jane Perkins, JD, MPH: May 2, 2007–Hearing on oversight of dental programs for Medicaid-eligible children . Chapel Hill, NC: National Health Law Program, 6 pp.

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.


Details

Schneider D, Hayes KL, Crall JJ. 2005. The CMS Form 416 report: Understanding its use in assessing dental care utilization in Medicaid's Early Periodic Screening, Diagnostic and Treatment (EPSDT) Service for children. Los Angeles, CA: National Oral Health Policy Center, 10 pp, (Technical issue brief).

This issue brief provides an overview of Medicaid and the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program; access to oral health services for children eligible for Medicaid; data on children's utilization of oral health services in Medicaid; and the Centers for Medicare and Medicaid Services (CMS) Form-416 report, which is the most common source of such data. The brief provides background on EPSDT and discusses EPSDT statutory enhancements, reporting of EPSDT oral health services utilization (CMS Form-416), rates of oral health services utilization derived from revised CMS Form-416 data, uses of EPSDT oral health utilization data, cautions in using Form-416 data and derived utilization rates, and proposals for additional adjustments to Form-416 data. [Funded by the Maternal and Child Health Bureau]


Details

Perkins J, Somers S. 2003. Toward a healthy future: Medicaid Early and Periodic Screening, Diagnostic and Treatment Services for poor children and youth. Los Angeles, CA: National Health Law Program, 196 pp, (Hiscock Collection; related).

National Health Law Program, Texas Rural Legal Aid
2639 South La Cienega Boulevard
Los Angeles, CA 90034

Telephone: (310) 204-6010
Fax: (310) 204-0891
E-mail: nhelp@healthlaw.org
Website: http://www.healthlaw.org
Available from the website.

This book discusses public third party coverage of preventive health services for children and adolescents from families with low incomes, primarily Medicaid's Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program. It also reviews managed care and non-Medicaid programs for children from families with low incomes. The first part of the book looks at the crisis in child health care and the need for screening. Part 2 reviews the background of Medicaid. Part 3, which provides the bulk of the book, outlines the legal requirements for EPSDT including outreach, informing, screening, periodicity, diagnosis and treatment, provider participation, coordination, and reporting. Part 4 looks at the problems of managed care and suggested solutions. Accompanying appendices provide a legislative history to EPSDT, age-appropriate screening forms, a comparison of American Academy of Pediatrics recommendations versus states' periodicity schedules (FY 1999), and an outline of the scope of Medicaid benefits.


Details

U.S. Centers for Medicare & Medicaid Services. 2015. [Web-based training on] form CMS-416 dental data reporting. Baltimore, MD: U.S. Centers for Medicare & Medicaid Services, multiple items.

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

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

These modules for state Medicaid and Children's Health Insurance Program (CHIP) staff and their contractors focus on collecting and reporting data related to preventive dental service use by infants, children, and adolescents up to age 21 enrolled in Medicaid or CHIP. Contents include an overview of the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit; an overview of Form CMS-416; and how to use Form CMS-416 data.


Details

West Virginia Department of Health and Human Resources, Oral Health Program. 2014. West Virginia Cavity Free by Three: Fluoride varnish manual for health care providers. Charleston, WV: West Virginia Department of Health and Human Resources, Oral Health Program, 32 pp.

West Virginia Department of Health and Human Resources, Oral Health Program
350 Capitol Street, Room 427
Charleston, WV 25301

Telephone: (304) 558-5388
Website: http://www.wvdhhr.org/mcfh/ICAH/oral_health_program.asp
Available from the website.

This manual is designed to help primary care health professionals and others reduce the rate of dental caries in infants and young children ages 6 to 36 months in West Virginia. Contents include


Details

U.S. Centers for Medicare & Medicaid Services, Region IX. 2008. Wisconsin Early and Periodic Screening, Diagnostic and Treatment Program with a focus on dental services: Management review final report—March 3-5, 2008 site visit. [Baltimore, MD]: U.S. Centers for Medicare & Medicaid Services, Region IX, 20 pp.

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

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

This report describes the efforts Wisconsin has made to address the rate of children's utilization of oral health services in the state and to make recommendations on actions that the state can take to increase these rates. Contents include background on the evaluation process; the scope of the review; an introduction to the state's oral health services for children; and review descriptions, concerns, and recommendations and responses divided into key topic areas.

     

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