Search Results: MCHLine

Annotation: This report presents the results of a 1989 survey of state Title V maternal and child health (MCH) programs and children with special health needs (CSHN) programs with respect to their roles in serving adolescents. The publication brings together the results of adolescent health initiatives from both MCH and CSHN perspectives in order to examine how these programs might be better coordinated and strengthened. The survey revealed that most Title V-supported programs routinely bill Medicaid (and, to a lesser extent, private insurance) for some services. Limited revenues are received from insurance due to inadequate billing capacity, the type of services offered by Title V programs, and low reimbursement from Medicaid. [Funded by the Maternal and Child Health Bureau]

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Keywords: Access to health care, Adolescents, Child health, Insurance, Maternal health, Medicaid, Social Security Act, Special health care needs, Title V

Annotation: This project was designed to improve the ability of State Maternal and Child Health Programs to: (1) effectively implement Title V of the Social Security Act; (2) coordinate with other related Federal programs; and (3) develop creative approaches for utilizing other such programs to meet the needs of mothers, children, adolescents, children with special health care needs, and families. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, Coordination of Health Care, Data Collection, Information Dissemination, Medicaid, PL 99-457, Social Security Act, Title V, State MCH directors, WIC Program

Annotation: This toolkit provides resources for providers supporting pregnant and postpartum women, infants, and families related to doula care. It includes a description of doulas as non-medical professionals providing emotional, physical, and informational support before, during, and after childbirth. The toolkit outlines documentation and service recommendation requirements for doula services to be covered by Kansas Medicaid, including the types of licensed healthcare providers who can recommend doula services and acceptable methods for providing those recommendations. It also contains links to additional resources in English and Spanish aimed at reducing maternal and infant health inequities by increasing access to doula care.

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Keywords: Access to health care, Doulas, Kansas, Medicaid, Postpartum women, Pregnant women, Resources for professionals, State initiatives

Annotation: This brief offers lessons from six states on how federal Medicaid cuts result in reductions in access to oral health care for people with low incomes. Examples are provided about how cuts have restricted access to care, shifted costs from one part of the health care system to others (e.g, hospital emergency departments), and led oral health professionals to leave the Medicaid network. Information is presented on how cuts have affected California, Maryland, Massachusetts, Missouri, Oregon, and Pennsylvania.

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Keywords: Access to health care, California, Costs, Low income groups, Maryland, Massachusetts, Medicaid, Missouri, Oral health, Oregon, Pennsylvania, State information

Annotation: This report provides information about the quality of oral health care for infants and children from birth through age 6 enrolled in Medicaid in New Jersey. The report includes information on the importance of oral health. Data on the oral health status of infants and children living in the state, including those enrolled in Head Start, and about receipt of oral health care among these infants and children is presented. The report also describes a "secret shopper" survey used to assess quality and provides the quality measures used, methods, and results.

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Keywords: School age children, Disease prevention, Access to heath care, Infant health, Low income groups, Medicaid, New Jersey, Oral health, Quality assurance, State information, Surveys:, Young children

Annotation: This article from Grantmakers In Health (GIH) describes a collaborative effort by funders to address gaps in postpartum care following the extension of Medicaid coverage from 60 days to 12 months after birth. The piece discusses how a workgroup of funders—including Pritzker Children's Initiative, Merck for Mothers, and Community Health Acceleration Partnership—formed in 2023 to identify opportunities for improving postpartum care systems. The article includes a visual diagram that illustrates the multi-layered challenges in postpartum care on three levels: individual, community, and system. This concentric circle diagram shows how issues such as standards of care, access to quality care, care fragmentation, and policy misalignment (at the system level) interact with community-level challenges like administrative burden and workforce shortages, as well as individual-level factors including awareness of needs, social and economic barriers, and fear of medical debt. Through stakeholder interviews, the workgroup discovered significant fragmentation of services and the absence of comprehensive care standards beyond the traditional six-week postpartum period. In response, the funders issued a request for proposals aimed at creating a centralized hub to catalog and connect postpartum care initiatives, with the goal of developing comprehensive standards and addressing what they term the "postpartum cliff."

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Keywords: Access to healthcare, Barriers, Collaboration, Funding, Health care reform, Library collection development, Medicaid, Policy, Postpartum care, Requests for proposals, Service delivery systems, Standards

Annotation: This report presents findings from the Expanding School Dental Services and Medicaid Billing in Pennsylvania project. The project aims to assess the scope of oral health care provided in public schools in the state, identify barriers to implementation and sustainability, support schools in serving as access points for preventive oral health care, and advocate for policy changes that would allow Medicaid reimbursement for oral health care delivered in schools.

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Keywords: Access to health care, Medicaid, Oral health, Pennsylvania, Prevention, Public policy, Reimbursement, School health programs, State information

Annotation: This report provides information on the cost and prevalence of emergency department (ED) visits for non-traumatic oral conditions (NTOCs). It offers an overview of problems associated with using the ED for oral health care. It presents statistical information on topics including the number of people who visited the ED for NTOCs in 2019, 2021, and 2022; the estimated total cost of visits; the rates of ED visits; the rate of visits by age groups; and the rate of visits by people living in different types of rural and urban areas.

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Keywords: Access to health care, Age factors, Costs, Data, Emergency medicine, Emergency room data, Income factors, Medicaid, Oral health, Rural population, Trends, Urban population

Annotation: This brief provides information on how having access to a full range of oral health care, including minimally invasive care (MIC), can improve people’s oral health and overall health, their oral health care experience, and their ability to choose the care that is right for them. It discussing the importance for oral health integration for advancing equity, effective strategies for medical-dental integration that promote MIC, and ways that leaders can advance integrated care that employs MIC to support community health.

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Keywords: Access to health care, Health care delivery, Low income groups, Medicaid, Oral health, Oral health equity, Reimbursement, Service integration

Annotation: This report describes the framework that the 2023 Medicaid and CHIP Oral Health Initiative (OHI) Workgroup used to set priorities for improving oral health care access, quality, and outcomes and advancing health equity in Medicaid and the Children’s Health Insurance Program. The report also summarizes workgroup input for the following focus areas: strategic priorities, strategies, and measures for monitoring progress for the next phase of the OHI. It provides background on why good oral health is important and about what the Centers for Medicare & Medicaid Services has done to achieve the goal of improving oral health care for Americans, as well as about the workgroup’s charge.

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Keywords: Access to oral health care, Medicaid: Children's Health Insurance Program, Oral health, Quality improvement

Annotation: This brief provides an overview of state-level policies that can support community-level actions to help ensure that communities have access to comprehensive oral health care, as well as federal policies that support the availability of minimally invasive care (MIC). State-level policy considerations discussed include maximizing Medicaid coverage for MIC (coverage of fluoride treatments, reimbursement for teledentistry, and risk management and individualized care); improving private coverage of MIC; and workforce considerations. Federal-level policy considerations discussed include mandatory Medicaid adult benefits, federal standardization of essential health benefits, and comprehensive Medicare dental benefits.

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Keywords: Access to health care, Community health, Dental insurance, Medicaid, Medicare, Oral health, Public policy

Annotation: This brief describes Medicaid dental coverage, examines use of dental services among children and adult Medicaid beneficiaries, and discusses current challenges and policy changes that impact access to dental services for beneficiaries. Selected topics include Medicaid coverage of dental services, variations in use of dental services by type of service and other characteristics, variations in use of dental services across states, variations by state in the share of children under age 21 who are Medicaid or Children’s Health Insurance Program beneficiaries who use any dental services, and current challenges to and strategies for expanding access to dental services.

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Keywords: Access to health care, Adult health, Health care utilization, Health insurance, Medicaid, Oral health

Annotation: This brief summarizes results from surveys of Medicaid participants and dentists in eight states conducted to improve understanding of barriers to accessing oral health care among participants. The brief provides background and discusses methods. It also provides percentages by survey results and claims data on adults' utilization of oral care and dentists' participation in Medicaid, reasons for not visiting a dentist more frequently among adult Medicaid participants, and the relative importance of factors that prevent dentists from treating more participants. Policy implications are also discussed.

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Keywords: Dentists, Health care utilization, Low income groups, Access to health care, Medicaid, Oral health, Public policy, Surveys

Annotation: This policy snapshot examines community-based doula policies across states as part of the 2024 Prenatal-to-3 State Policy Roadmap, identifying doulas as one of 12 evidence-based policies that impact the prenatal-to-3 system of care. The document explains that community-based doulas are trained social service professionals who provide non-clinical emotional, physical, and informational support to expectant parents from pregnancy through the postpartum period, and when integrated into larger support systems can improve child health outcomes, parenting behaviors, and birth outcomes. It identifies two key policy levers for states: expanding access through Medicaid coverage and reimbursement of doula services, and bolstering workforce sustainability through financial support for training and development. The snapshot shows which states cover and reimburse community-based doula services under Medicaid and which states provide financial support for doula training.

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Keywords: Access to health care, Community based services, Doulas, Medicaid, Policy development, Reimbursement, State policies, Statistics, Work force, trends

Annotation: This web page presents an interactive map and accompanying chart below that detail the status of state action to extend postpartum Medicaid coverage.

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Keywords: Access to health care, Interactive media, Maps , Medicaid, Policy development, Postpartum care, State legislation

Annotation: This report provides information, including data, on California's Medi-Cal Dental program, which offers free or low-cost care to beneficiaries. It outlines the program's efforts in the following areas: access to care, administrative rules and processes, and prevention. Reforms to the program over the last several years are discussed.

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Keywords: Access to health care, California, Low income groups, Medicaid, Oral health, Prevention, State programs

Annotation: This issue brief describes the role of the doula; explains how doula support can reduce maternal health disparities and improve birthing outcomes; and provides examples of state Medicaid programs that cover doula care. The brief also addresses policy considerations; funding challenges, barriers to doula coverage, and considerations for states seeking to expand doula care.

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Keywords: Access to care, Doulas, Financing, Health care disparities, Labor companions, Maternal health, Medicaid, Policy, State initiatives

Annotation: This tool library provides links to resources for promoting oral health and encouraging families to enroll children who are eligible for Medicaid or the Children’s Health Insurance Program (CHIP). Resources include videos, social media messages and images, web banners, web buttons, print materials, a Find a Dentist widget, posters, flyers, tear pads, templates, and fact sheets. A list of each state’s dental benefits for children is also available, along with information on a Centers for Medicare & Medicaid oral health initiative to help states ensure that children enrolled in Medicaid and CHIP have access to oral health care.

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

Annotation: This report provides information on the role of Medicaid adult dental benefits during pregnancy and postpartum. It discusses the importance of oral health during these periods, the safety and use of oral health care during pregnancy, and dental coverage for pregnant and postpartum women. A snapshot of dental benefits during pregnancy and postpartum in Virginia, which added an extensive benefit for adults enrolled in Medicaid during pregnancy and 60 days postpartum, is discussed. Information on Maryland and Tennessee, which have extended the Medicaid coverage period to 12 months postpartum, is also included.

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Keywords: Access to health care, Health care utilization, Medicaid, Oral health, Pregnant women, Safety

Annotation: This fact sheet provides information on the oral health of Medicaid and Children’s Oral Health Program (CHIP) beneficiaries. It presents statistical information on the following selected topics: Medicaid and CHIP oral health care expenditures for 2018–2021; children’s and adolescents’ receipt of oral health care, oral examinations, and topical fluoride treatments; and oral health professional participation by number of Medicaid-enrolled children and adolescents served. Also included is information on oral health and overall health of publicly insured children and adolescents, Medicaid coverage for adult oral health care, adults’ emergency department visits for nontraumatic oral health conditions, and oral-health-related opioid prescriptions.

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Keywords: Access to health care, Adolescent health, Adult health, Health care utilization, Health insurance, Low income groups, Medicaid: Costs, Oral health