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Strengthening the evidence for maternal and child health programs

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Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.


Displaying records 1 through 20 (112 total).

Gupta N, Yarbrough C, Vujicic M, Blatz A, Harrison B. 2017. Medicaid fee-for-service reimbursement rates for child and adult dental care services for all states, 2016. Chicago, IL: American Dental Association, Health Policy Institute, 15 pp.

Annotation: This brief presents findings from an analysis of Medicaid reimbursement rates for oral health care in all states and the District of Columbia. The brief discusses Medicaid fee-for-service (FFS) reimbursement for child and adult services relative to dentists’ fees and private dental insurance reimbursement, as well as other aspects of Medic- aid FFS reimbursement, including reimbursement for adult services in states with extensive adult benefits within their Medicaid programs.

Contact: American Dental Association, Health Policy Institute, 211 East Chicago Avenue, Chicago, IL 60611-2678, Telephone: (312) 440-2500 Web Site: http://www.ada.org/en/science-research/health-policy-institute Available from the website.

Keywords: Dental care, Dentists, Health care costs, Health insurance, Low income groups, Medicaid, Oral health, Physicians, Provider participation, Reimbursement, State programs

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.

Annotation: 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.

Contact: 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 Web Site: https://www.aapd.org/research/policy-center/ Available from the website.

Keywords: Children, Dental care, EPSDT, Medicaid, Oral health, Pediatric care, Pediatric dentistry, Pediatric dentists, Provider participation, Reimbursement, Resources for professionals, Screening

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.

Annotation: 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.

Contact: 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 Web Site: http://www.nashp.org Available from the website.

Keywords: Access to health care, Children, Dental care, Dental insurance, Kentucky, Medicaid managed care, Oral health, Policy development, Pregnant women, Program improvement, Provider participation, Quality assurance, State programs

University of Iowa, Public Policy Center. 2016. Dental Wellness Plan evaluation. Iowa City, IA: University of Iowa, Public Policy Center, multiple items.

Annotation: These reports analyze administrative, health professional, and member survey data from a dental insurance plan for adults ages 19–64 with low incomes in Iowa. Contents include information about the plan's benefit structure and member and health professional incentives, the study populations and methodology, and interim outcomes. Topics include access to care, quality of care, cost, earned benefits, health-professional-network adequacy, health professional attitudes, and member outreach.

Contact: University of Iowa, Public Policy Center, 310 South Grand Avenue, 209 South Quadrangle, Iowa City, IA 52242, Telephone: (319) 335-6800 Fax: (319) 335-6801 Web Site: http://ppc.uiowa.edu Available from the website.

Keywords: Access to health care, Adults, Client satisfaction, Dental insurance, Dentists, Iowa, Low income groups, Medicaid, Model programs, Oral health, Program evaluation, Provider networks, Provider participation, State programs

Michigan Public Health Institute, Center for Child and Family Health. 2016. Varnish! Michigan Babies Too! Program evaluation report. Lansing, MI: Michigan Department of Health and Human Services, Oral Health, 33 pp.

Annotation: This report presents findings and recommendations from an evaluation of a program to increase awareness of oral health among health professionals, facilitate the incorporation of oral health into well-child visits, and increase access to preventive services among young children at high risk for dental caries. Contents include an overview of the project; the purpose, key questions, and evaluation methods; and findings on health professionals reached, training, confidence in program delivery, program fidelity, health professional satisfaction, supply of fluoride varnish, children reached, and benefits and barriers.

Contact: Michigan Department of Health and Human Services, Oral Health, 201 Townsend Street, Box 30195, Lansing, MI 48913, Telephone: (517) 373-3740 Web Site: http://www.michigan.gov/mdch/0,1607,7-132-2942_4911_4912_6226---,00.html Available from the website.

Keywords: Dental care, Dental caries, Disease prevention, Fluorides, Infants, Medicaid, Michigan, Oral health, Parent education, Preventive health services, Primary care, Program descriptions, Program evaluation, Provider participation, Reimbursement, Screening, State programs, Training, Work force, Young children

U.S. Government Accountability Office. 2016. Medicaid-fee-for-service: State resources vary for helping beneficiaries find providers. Washington, DC: U.S. Government Accountability Office, 29 pp.

Annotation: This report examines the proportion and characteristics of Medicaid beneficiaries served in fee-for-service arrangements and federal and state resources to help them find participating providers and report related challenges. A discussion of state actions to address access challenges is included. The report addresses medical care and specialty services such as behavioral/mental health care, oral health care, vision care, pharmacies, and ancillary services such as transportation and translation and sign language services.

Contact: U.S. Government Accountability Office, 441 G Street, N.W., Washington, DC 20548, Telephone: (202) 512-3000 Secondary Telephone: E-mail: contact@gao.gov Web Site: http://www.gao.gov Available at no charge. Document Number: GAO-16-809.

Keywords: Access to health care, Barriers, Consumer satisfaction, Family support services, Hotlines, Information sources, Low income groups, Medicaid, Oral health, Provider participation, Service delivery systems, State programs

American Dental Hygienists' Association. 2015. Direct access. Chicago, IL: American Dental Hygienists' Association, 15 pp.

Annotation: This document provides an overview of states with direct-access programs whereby a dental hygienist can initiate treatment based on his or her assessment of a client’s needs without the authorization of a dentist, provide treatment services without the presence of a dentist, and maintain a provider-client relationship. Each state entry includes an authorizing code section, a brief description of methods and services, and special requirements and notes. Maps depicting states that permit direct access to dental hygienists and the progression of direct access are also available.

Contact: American Dental Hygienists' Association, 444 North Michigan Avenue, Suite 3400, Chicago, IL 60611, Telephone: (312) 440-8900 Fax: (312) 440-1806 Web Site: http://www.adha.org Available from the website.

Keywords: Access to health care, Dental care, Dental hygienists, Dentistry, Oral health, Patient care, Provider participation, State initiatives

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.

Annotation: 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.

Contact: Connecticut Voices for Children, 33 Whitney Avenue, New Haven, CT 06510, Telephone: (203) 498-4240 Fax: (203) 498-4242 E-mail: voices@ctvoices.org Web Site: http://www.ctvoices.org Available from the website.

Keywords: Access to health care, Children's Health Insurance Program, Connecticut, Dental care, Dental insurance, Enrollment, Health care disparities, Health care reform, Health care utilization, Medicaid, Oral health, Preferred provider organizations, Pregnant women, Preventive health services, Provider participation, Reimbursement, School age children, State programs, Statistical data, Trends, Young children

Connecticut Department of Public Health, Office of Oral Health. 2014–. Smoking and oral health quit kit information. Hartford, CT: Connecticut Department of Public Health, Office of Oral Health, multiple items.

Annotation: These resources are designed to help oral health professionals in Connecticut screen and counsel their clients who use tobacco products. Contents include a letter that provides information about an evidence-based approach to eliminate tobacco use (the 5 A's), resources and tools, and cessation counseling reimbursement for professionals who participate in the state Medicaid/HUSKY Health programs. Additional contents include questions and answers about the state quit line, a quit line wallet card, information about treatment methods, a quit tips note sheet, and a poster with tips from former smokers. The wallet cards and posters are available in English and Spanish.

Contact: Connecticut Department of Public Health, Office of Oral Health, P.O. Box 340308, Hartford, CT 06134-0308, Telephone: (860) 509-7382 Fax: (860) 509-7853 E-mail: linda.ferraro@ct.gov Web Site: http://www.ct.gov/dph/cwp/view.asp?a=3125&q=388844&dphNav_GID=1601 Available from the website.

Keywords: Children's Health Insurance Program, Connecticut, Consumer education, Counseling, Medicaid, Oral health, Preventive health services, Provider participation, Referrals, Resources for professionals, Screening, Smoking cessation, Spanish language materials, State programs, Tobacco use

National Center for Family / Professional Partnerships. 2014. Partnering with your child's provider. Albuquerque, NM: National Center for Family / Professional Partnerships, 6 pp. (Tips: Caring for a child with special health care needs)

Annotation: This fact sheet explains how families of children with special health care needs (CSHCN) can develop partnerships with their child's doctors and providers to improve health outcomes. It explains how to prepare for an office visit and how to communicate effectively with health providers. Included are resources to help families gather information and make decisions concerning treatment options for their child. The fact sheet also suggests ways to encourage families and providers to become involved in advocacy efforts. The fact sheet is available in English and Spanish. [Funded by the Maternal and Child Health Bureau]

Contact: National Center for Family / Professional Partnerships, Family Voices, 3701 San Mateo Boulevard, N.W., Suite 103, Albuquerque, NM 87110, Telephone: (505) 872-4774 Secondary Telephone: (888) 835-5669 Fax: (505) 872-4780 Web Site: http://www.fv-ncfpp.org Available from the website.

Keywords: Children with special health care needs, Communication, Family centered care, Parent professional relations, Provider participation, Spanish language materials

Champany RA. 2014. Administrative barriers for private practice dentists to accepting AHCCCS-enrolled Native Americans into their practice: A report to the Arizona American Indian Oral Health Initiative. Phoenix, AZ: Arizona American Indian Oral Health Initiative, 9 pp.

Annotation: This report examines potential barriers to participation by private practice dentists in the Arizona Health Care Cost Containment System. Barriers discussed include those related to reimbursement, practice size, and registration and enrollment. The report also provides findings from stakeholder interviews.

Contact: Arizona American Indian Oral Health Initiative, 1740 West Adams Street, Suite 409, Phoenix, AZ 85007, Telephone: (602) 542-5725 E-mail: hfrias@aaiohi.org Web Site: http://www.aaiohi.org Available from the website.

Keywords: , Access to health care, Administration, American Indians, Arizona, Barriers, Dental care, Dentists, Medicaid, Oral health, Program management, Provider participation, Reimbursement, Service delivery systems, State programs

American Dental Association. [2013]. Action for Dental Health: 10-step plans to improve oral health in underserved communities. Chicago, IL: American Dental Association, 12 files.

Annotation: These plans for oral health professionals outline steps in a comprehensive approach to caring for individuals with untreated oral disease, strengthening and enhancing the oral health care safety net, and providing disease-prevention and health-promotion services in underserved communities. Topics include authorizing and piloting a community oral health coordinator, collaborating with other health professionals and community-based programs such as Head Start, contracting with a health center, establishing an emergency department oral health referral program, participating in Medicaid, streamlining and promoting reimbursement, and creating a college- or university-based training program.

Contact: American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611-2678, Telephone: (312) 440-2500 Fax: (312) 440-7494 E-mail: info@ada.org Web Site: http://www.ada.org Available from the website.

Keywords: Collaboration, Community health services, Comprehensive health care, Head Start, Medicaid, Oral health, Provider participation, Public private partnerships, Reimbursement, Training, Underserved communities

Washington State Health Care Authoritys. 2013. Medicaid provider guide: Dental-related services. [Olympia, WA]: Washington State Health Care Authority, 87 pp.

Annotation: This manual contains instructions for providers participating in Medicaid's oral health program in Washington. Topics include eligibility, coverage, authorization, and billing and claim forms. Fee schedules are also available.

Contact: Washington State Health Care Authority, Medicaid, P.O. Box 45502, Olympia, WA 98504-2682, Telephone: (800) 562-3022 E-mail: ASKMEDICAID@hca.wa.gov Web Site: http://www.hca.wa.gov Available from the website.

Keywords: Children, Adolescents, Dental care, Medicaid, Oral health, Pregnant women, Provider participation, Reimbursement, Special health care needs, State programs, Washington

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

Annotation: 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.

Contact: Washington State Health Care Authority, Medicaid, P.O. Box 45502, Olympia, WA 98504-2682, Telephone: (800) 562-3022 E-mail: ASKMEDICAID@hca.wa.gov Web Site: http://www.hca.wa.gov Available from the website.

Keywords: Dental care, Infants, Medicaid, Oral health, Provider participation, Reimbursement, State programs, Washington, Young children

Kattlove J. 2013. Fix Medi-Cal dental coverage: Half of California kids depend on it—An issue brief and action plan. Santa Monica, CA: The Children's Partnership, 15 pp.

Annotation: This brief discusses the oral health care needs of children enrolled in Medi-Cal (the state health insurance program in California) and offers strategies to improve children’s access to care through the program. Contents include an overview of the oral health needs of children in the state, a discussion of the importance of oral health to overall health and cost savings to state taxpayers, a discussion of missed opportunities to ensure that children enrolled in Medi-Cal receive needed oral health care, an action plan outline, and a brief review of opportunities to improve oral health care for children in California.

Contact: Children's Partnership, 1351 Third Street Promenade, Suite 206, Santa Monica, CA 90401-1321, Telephone: (310) 260-1220 Fax: (310) 260-1921 E-mail: frontdoor@childrenspartnership.org Web Site: http://www.childrenspartnership.org Available from the website.

Keywords: Access to health care, California, Children, Medicaid, Oral health, Provider participation, State health insurance programs

Buchmueller TC, Orzol S, Shore-Sheppard LD. 2013. The effect of Medicaid payment rates on access to dental care among children. Cambridge, MA: National Bureau of Economic Research, 48 pp. (NBER working paper series no. 19218)

Annotation: This paper examines the effect of Medicaid reimbursement on access to oral health care among children from families with low incomes. The analysis is based on data from three panels of the nationally representative Survey of Income and Program Participation spanning the period 2001–2010, combined with hand-collected state-level data on Medical payment rates for 15 common procedures. The authors estimate the relationship between Medicaid fees and three measures of oral health care use: whether a child has had at least one dental visit over a 12-month period, total number of visits during that period, and whether a child has had dental sealants applied.

Contact: National Bureau of Economic Research, 1050 Massachusetts Avenue, Cambridge, MA 02138-5398, Telephone: (617) 868-3900 Fax: (617) 868-2742 E-mail: info@nber.org Web Site: http://www.nber.org Available from the website.

Keywords: Access to health care, Children, Dental care, Economic factors, Health care utilization, Medicaid, Oral health, Provider participation, Reimbursement

Beazoglou T, Doublass J, Bailit H, Myne-Joslin V. 2013. Impact of increased dental reimbursement rates on HUSKY A-insured children: 2006-2011. Hartford, CT: Connecticut Health Foundation, 6 pp. (Health issues)

Annotation: This brief provides an overview of the impact of higher reimbursement rates on oral health care in Connecticut’s Husky A program for children from families with low incomes in the state. Topics include changes in utilization rates, private dentist participation, and relative contributions of private practices and dental safety net providers.

Contact: Connecticut Health Foundation, 100 Pearl Street, Hartford, CT 06103, Telephone: (860) 724-1580 Fax: (860) 724-1589 E-mail: info@cthealth.org Web Site: http://www.cthealth.org Available from the website.

Keywords: Health care utilization, Access to health care, Children, Connecticut, Low income groups, Oral health, Provider participation, Reimbursement, State programs

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.

Annotation: 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.

Contact: U.S. Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244, Telephone: (877) 267-2323 Secondary Telephone: (410) 786-3000 Fax: Web Site: https://www.cms.gov Available from the website.

Keywords: EPSDT, Adolescents, Children, Consumer education, Health promotion, Medicaid, Oral health, Policy development, Program improvement, Provider participation, State initiatives

McKernan SC, Reynolds JC, Kuthy R, Kateeb ET, Adrianse NB, Damiano PC. 2013. Factors affecting Iowa dentist participation in Medicaid: Capacity of the private oral health safety net. Iowa City, IA: University of Iowa, Public Policy Center, 32 pp.

Annotation: This report describes findings from a survey of private practice dentists in Iowa to assess their attitudes about Medicaid and vulnerable populations. Contents include information about the survey process, data analysis, and response rate; and dentists' demographic characteristics, participation in Medicaid, use of computers, and comments about Medicaid. The appendices contain the survey materials, all dentists' comments, and categorization of comments by survey question.

Contact: University of Iowa, Public Policy Center, 310 South Grand Avenue, 209 South Quadrangle, Iowa City, IA 52242, Telephone: (319) 335-6800 Fax: (319) 335-6801 Web Site: http://ppc.uiowa.edu Available from the website.

Keywords: Attitudes, Dentists, Iowa, Medicaid, Oral health, Provider participation, State surveys, Work force

Comlossy M. 2013. Oral health overview: Health care safety-net toolkit for legislators. Denver, CO: National Conference of State Legislatures, 11 pp.

Annotation: This brief for legislators provides information about the role of state policy in improving access to oral health care. Topics include oral health disparities, barriers to good oral health, the oral health safety net, work force, state policy options, and federal action. State examples related to oral health literacy, water fluoridation, insurance coverage and provider participation, and addressing work force shortages are included.

Contact: National Conference of State Legislatures, 7700 East First Place, Denver, CO 80230, Telephone: (303) 364-7700 Fax: (303) 364-7800 Web Site: http://www.ncsl.org Available from the website.

Keywords: Access to health care, Barriers, Dental insurance, Federal initiatives, Financing, Fluorides, Health care disparities, Health literacy, Health policy, Oral health, Policy development, Provider participation, State legislation, Water, Work force

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This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.