Search Results: MCHLine

Annotation: This fact sheet identifies key challenges related to oral health care access and utilization for adults with low incomes, including pregnant women, and outlines states’ coverage of dental benefits for adults who participate in Medicaid. It also suggests opportunities for states to increase oral health care coverage and access for this population. The fact sheet includes an overview of Medicaid adult dental benefits.

Contact: Center for Health Care Strategies, 200 American Metro Boulevard, Suite 119, Hamilton, NJ 08619, Telephone: (609) 528-8400 Fax: (609) 586-3679 E-mail: Web Site: http://www.chcs.org Available from the website.

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Keywords: , Access to health care, Health insurance, Health care utilization, Low income groups, Medicaid, Oral health, State programs

Annotation: This bulletin discusses the importance of state Medicaid programs and Children’s Health Insurance Programs (CHIPs) properly implementing dental periodicity schedules to ensure children’s access to dental coverage. Topics include background on tooth decay in children, dental coverage for children enrolled in Medicaid or CHIP, proper implementation of dental periodicity schedules, and state action to ensure dental periodicity and fee schedule alignment and flexibility.

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.

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

Annotation: This document presents information from a survey conducted by Families USA of 14 states that cover emergency-only oral health services. Selected topics include what can be learned from states that offer emergency-only coverage, how responding states’ dental benefits differ, states in which managed-care plans provide adults with extra offerings, costs to states of paying for emergency department visits when appropriate oral health services are not available, the limited availability of alternative oral health care resources for adults, and the inadequacy of emergency-only dental care for individuals with serious medical conditions.

Contact: Families USA, 1225 New York Avenue, N.W., Suite 800, Washington, DC 20005, Telephone: (202) 628-3030 Fax: (202) 347-2417 E-mail: info@familiesusa.org Web Site: http://www.familiesusa.org Available from the website.

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Keywords: Costs, Dental insurance, Emergency medical services, Low income groups, Medicaid, Oral health, Oral health care, State programs, Surveys

Annotation: This document discusses the oral health status of a representative sample of children enrolled in Head Start throughout Michigan. The document provides an overview of the importance of oral health for children and dental benefits available to children in the state who are Medicaid recipients. Key findings about children enrolled in Head Start in Michigan are presented in five topic areas: decay experience, untreated decay, need for urgent oral health care, dental sealants, and prevalence of tooth decay and of dental sealants among children ages 3–5 enrolled in Head Start in Michigan compared to all U.S. children in this age range.

Contact: Michigan Department of Health and Human Services, Capitol View Building, 201 Townsend Street, Lansing, MI 48913, Telephone: (517) 373-3740 Web Site: http://www.michigan.gov/mdhhs Available from the website.

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Keywords: Access to health care, Dental insurance, Head Start, Low income groups, Medicaid, Michigan, Oral health, State programs, Young children

Annotation: This document provides information for health professionals about how to administer a perinatal oral health assessment for pregnant women during the initial appointment. Topics include advising pregnant women about oral health care, oral health questions to ask pregnant women, and insurance status. The document also defines “dental caries” and “dental abscess” and provides signs to look for to determine whether pregnant women may have either or both. Photographs illustrating how to conduct a visual examination are included. [Funded by the Maternal and Child Health Bureau]

Contact: From the First Tooth / Before the First Tooth, c/o MaineHealth, 110 Free Street, Portland, ME 04101, Telephone: (207) 662-6296 E-mail: info@fromthefirsttooth.org Web Site: http://www.fromthefirsttooth.org Available from the website.

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Keywords: Dental care, Health insurance, Health screening, Maine, Oral health, Pregnant women, State programs

Annotation: This website provides information about the history and current status of the Children's Health Insurance Program (CHIP), including information about coverage for pregnant women. State examples and additional resources about federal and state CHIP policy are also included. [Funded by the Maternal and Child Health Bureau]

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.

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Keywords: Children's Health Insurance Program, Federal initiatives, Legislation, Policy development, Pregnant women, State programs

Annotation: This website provides information about Medicaid's Early and Periodic Screening, Diagnostic, and Treatment Program (EPSDT), including a clickakable map of state EPSDT information, videos with basic introduction to Medicaid's Early Periodic Screening, Diagnostic, and Treatment benefit and how it can interact with the Individuals with Disabilities Education Act to cover services provided in schools, and publications on the topic from NHELP,

Contact: National Health Law Program, 1441 I Street, N.W., Suite 1105, Washington, DC 20005, Telephone: (202) 289-7724 E-mail: nhelp@healthlaw.org Web Site: http://www.healthlaw.org Available from the website.

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Keywords: Access to health care, Barriers, Child health insurance, EPSDT, Health care utilization, Health services delivery, Medicaid managed care, Provider networks, Regulations, Standards, State programs, Third party payers

Annotation: This website offers fact sheets for the nation and each state about health insurance coverage for children from Medicaid, the Child Health Insurance Program (CHIP), and the Affordable Care Act.

Contact: 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 Web Site: http://ccf.georgetown.edu

Keywords: Child Health Insurance Program, Child health insurance, Federal programs, Medicaid, Patient Protection and Affordable Care Act, State programs

Annotation: This report provides data on Medicaid and Children's Health Insurance Program (CHIP) eligibility, enrollment, renewal, and cost sharing policies as of January 2017, and identifies changes in these policies in the past year. It documents the role Medicaid and CHIP play for children and families with low incomes and the evolution of these programs under the Affordable Care Act. Topics include Medicaid and CHIP eligibility, Medicaid and CHIP enrollment and renewal processes, and premiums and cost sharing. Trend and state-by-state tables are included.

Contact: Henry J. Kaiser Family Foundation, 2400 Sand Hill Road, Menlo Park, CA 94025, Telephone: (650) 854-9400 Secondary Telephone: (202) 347-5270 Fax: (650) 854-4800 Web Site: http://www.kff.org Available from the website.

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Keywords: Children's Health Insurance Program, Health care reform, Health insurance, Health policy, Medicaid, Patient Protection and Affordable Care Act, State programs, State surveys, Trends

Annotation: This paper analyzes data from the Behavioral Risk Factor Surveillance System on the impact of the Affordable Care Act's (ACA's) 2014 provisions on a variety of outcomes related to health care access, risky health behaviors, and self-assessed health. The paper provides estimates of the overall effect of the ACA on these outcomes and examines differential impacts resulting from state heterogeneity with respect to the choice to expand Medicaid via the ACA.

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.

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Keywords: Access to health, Adults, Health behavior, Health care reform, Health insurance, Health status, Medicaid, Patient Protection and Affordable Care Act, Population surveillance, State programs

Annotation: This report examines oral health care data in the context of Oregon’s health system transformation, including the launch of coordinated care organizations and expansion of the state Medicaid program, Oregon Health Plan, through the Affordable Care Act. Topics include provider distribution, utilization, patient experience, care coordination, and oral health integration. Information about stakeholder groups, technical specifications, and a measure dashboard are included.

Contact: Oregon Health Authority, 500 Summer Street, N.E., E-20, Salem, OR 97301-1097, Telephone: (503) 947-2340 Secondary Telephone: (877) 398-9238 Fax: (503) 947-2341 E-mail: OHPBinfo@state.or.us Web Site: http://www.oregon.gov/oha Available from the website.

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Keywords: Coordination, Data analysis, Health care reform, Health care systems, Health insurance, Measures, Medicaid, Oral health, Oregon, Patient Protection and Affordable Care Act, Service integration, State programs, Statewide planning, Trends

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.

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• State-by-state Anaysis

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

Annotation: This report provides a snapshot of Title V Children and Youth with Special Health Care Needs (CYSHCN) programs across the United States. Contents include background and history of CYSHCN programs, recent changes affecting CYSHCN programs, and methods and results from an electronic survey of Title V CYSHCN directors to assess key characteristics of each state's CYSHCN program. Topics include program structure and strengths, roles in systems of care, CYSHCN program partnerships, financing of care for CYSHCN populations and emerging issues for CYSHCN programs.

Contact: Association of Maternal and Child Health Programs, 1825 K Street, N.W., Suite 250, Washington, DC 20006-1202, Telephone: (202) 775-0436 Fax: (202) 478-5120 E-mail: info@amchp.org Web Site: http://www.amchp.org Available from the website.

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Keywords: Advocacy, Children with special health care needs, Community based services, Consultation, Cultural competency, Data, Family centered care, Financing, Health care delivery, Health care reform, Health care systems, Health insurance, Leadership, Medicaid managed care, Models, Networking, Pediatric care, Policy development, Program coordination, Program development, Public health infrastructure, Public private partnerships, Quality assurance, Reimbursement, Role, Standards, State MCH programs, Title V programs

Annotation: This handout provides information about services offered by Children’s Dental Services (CDS), a program that offers full-spectrum preventive and restorative oral health care to families at Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) centers and 500 other locations across Minnesota. The handout also discusses why oral health care during infancy, early childhood, and pregnancy is important and the safety of receiving oral health care during pregnancy. [Funded by the Maternal and Child Health Bureau]

Contact: Children's Dental Services, 636 Broadway Street, N.E., Minneapolis, MN 55413, Telephone: (612) 746-1530 Secondary Telephone: (866) 543-6009 Fax: (612) 746-1531 Web Site: http://childrensdentalservices.org Available from the website.

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Keywords: Dental care, Families, Health insurance, Infants, Low income groups, Minnesota, Oral health, Pregnant women, State programs, WIC program, Young children

Annotation: This brief highlights collaborative Title V partnerships that hold promise for advancing the Title V National Performance Measure #15, adequate health insurance, focusing on ways Title V/Children and Youth with Special Health Care Needs (CYSHCN) programs can leverage their ability to partner with families, in particular with their state Family to Family program, to improve their capacity to contribute meaningfully to the challenges of financing and overseeing the quality of care for CYSHCN.

Contact: Catalyst Center, the National Center for Health Insurance and Financing for Children and Youth with Special Health Care Needs, Boston University School of Public Health, Center for Advancing Health Policy and Practice, 801 Massachusetts Avenue, Boston, MA 02218-2526, Telephone: (617) 638-1930 E-mail: mcomeau@bu.edu Web Site: http://cahpp.org/project/the-catalyst-center Available from the website.

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Keywords: Access to care, Adolescents with special health care needs, Children with special health care needs, Health insurance, State programs, Title V programs, Youth with special health care needs

Annotation: 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.

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.

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Keywords: Access to health care, Adolescent health, Child health, Children's Health Insurance Program, Federal programs, High risk children, Managed care, Measures, Medicaid, Nutrition, Oral health, Perinatal health, Preventive health services, Primary care, Program improvement, Progress reports, Quality assurance, State programs

Annotation: This report provides state-specific findings on children's use of dental services in Medicaid and the Children's Health Insurance Program. It includes state-specific performance data for two measures: preventive dental services and dental treatment services. The report also summarizes information on managed care quality-monitoring and qaulity-improvement efforts related to oral health care that were reported in states' external quality review technical reports.

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.

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Keywords: Children, Children’s Health Insurance Program, Health care utilization, Managed care, Medicaid, Oral health, Preventive health services, Program improvement, Quality assurance, State programs, Statistical data, Trends

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.

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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

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.

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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

Annotation: This form is designed to help families with low incomes understand and apply for dental benefits for their infant, child, or adolescent from birth to age 19 in Wyoming who is not covered by Medicaid or the Children's Health Insurance Program. Contents include a description of program eligibility and benefits, including information about co-payments and coverage for dental sealants.

Contact: Wyoming Department of Health, Oral Health Program, 6101 Yellowstone Road, Suite 420, Cheyenne, WY 82002, Telephone: (307) 777-6921 Web Site: https://health.wyo.gov/publichealth/mch/oralhealth Available from the website.

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Keywords: Adolescents, Applications, Children, Dental care, Dental insurance, Dental sealants, Eligibility, Forms, Low income groups, Oral health, Program descriptions, State programs, Third party payers, Wyoming