Search Results: MCHLine

Annotation: This brief examines how Medicaid can help schools better serve children and families and how schools can help students get the health care they need. It offers four recommendations to state and school district officials seeking closer linkages between health and education: (1) Ensure every eligible student has health coverage; (20 Help schools support and prioritize the comprehensive health needs of students as a pivotal factor in their ability to learn; (3). Increase access to school-based or school-linked preventive health care; and (4) Help schools serve as resource “hubs” for families and caregivers especially in underserved or remote areas.

Contact: Georgetown University McCourt School of Public Policy , Center for Children and Families, 600 New Jersey Avenue , Washington, DC 20001, Telephone: (202) 687-0880 Fax: (202) 687-3110 E-mail: [email protected] Web Site: http://ccf.georgetown.edu

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Keywords: Children', Families, Medicaid, Outreach, School age children, School health programs, School linked programs, s Health Insurance Program

Annotation: This document describes the modified adjusted gross income (MAGI) methodology for evaluating eligibility for health care affordability program applicants and enrollees. It also provides guidance on implementing and governing the methodology. Topics include Medicaid and Children's Health Insurance Program (CHIP) populations and eligibility categories subject or exempted from MAGI, determination of countable income, household composition in the marketplace vs. Medicaid/CHIP, household scenarios, MAGI conversion for Medicaid and CHIP, state options for the transition to MAGI-based eligibility systems, and MAGI and the single streamlined application. An accompanying webinar, The World According to MAGI, covers the ins-and-outs of the rules by working through hypothetical family scenarios.

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

• 2018 Update

Keywords: Applications, Children, Eligibility determination, Families, Family income, Federal initiatives, Health care reform, Health insurance, Patient Protection and Affordable Care Act, State programs

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

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Keywords: , Access to health care, Health care utilization, Health insurance, 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', State programs, s Health Insurance Program

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: [email protected] 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 report discusses the oral health status of a sample of children enrolled in Head Start in Michigan. It provides an overview of the importance of oral health for children and of dental benefits for children in the state who are Medicaid recipients. Key findings about children enrolled in Head Start in Michigan are presented.

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 data brief reports results of an oral health screening survey of children in third grade conducted by the Ohio Department of Health during school year 2017–2018. The brief presents overall findings and discusses disparities in oral health; access to oral health care; impact on access to oral health care and insurance status on oral health status; percentage of children with a history of tooth decay, untreated tooth decay, and dental sealants in Ohio vs. in the nation as a whole; and survey results compared with Healthy People 2020 objectives. The significance of the findings is also discussed. Statistical data is provided, and a description of study methods is included. [Funded by the Maternal and Child Health Bureau]

Contact: Ohio Department of Health, Oral Health Program, 246 North High Street, Columbus, OH 43215, E-mail: [email protected] Web Site: https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/oral-health-program/welcome-to Available from the website.

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Keywords: Access to health care, Dental caries, Dental sealants, Health insurance, Ohio, Oral health, School age children, State programs, Statistical data, Surveillance

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: [email protected] 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 tutorial provides an overview of Medicaid and the Children’s Health Insurance Program (CHIP), populations these programs serve, changes the programs are undergoing under health care transformation, and opportunities to improve services for children with special health care needs (CSHCN) through communication and collaboration with Medicaid and CHIP staff. The tutorial begins with an overview of how definitions of CSHCN may vary by agency or program, followed by major topic areas, including recommendations for Title V programs to build successful partnerships with public insurance programs. [Funded by the Maternal and Child Health Bureau]

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: [email protected] Web Site: https://ciswh.org/project/the-catalyst-center/ Available from the website.

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Keywords: Access to health care, Children, Children with special health care needs, Children', EPSDT, Financing, Health care reform, Medicaid, Oral health, Program improvement, Resources for professionals, Title V programs, s Health Insurance Program

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 McCourt School of Public Policy , Center for Children and Families, 600 New Jersey Avenue , Washington, DC 20001, Telephone: (202) 687-0880 Fax: (202) 687-3110 E-mail: [email protected] 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', Health care reform, Health insurance, Health policy, Medicaid, Patient Protection and Affordable Care Act, State programs, State surveys, Trends, s Health Insurance Program

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: [email protected] 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. 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, Public Health Division , 800 NE Oregon Street, Portland , OR 97232, Telephone: 971-673-0252 Secondary Telephone: Fax: (503) 947-2341 E-mail: [email protected] Web Site: https://www.oregon.gov/OHA/PH/Pages/index.aspx 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.

• Analysis For All States

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: [email protected] 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 national performance measure focusing on adequate health insurance. The brief focuses 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 ensuring the availability of quality 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: [email protected] Web Site: https://ciswh.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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• Earlier Editions

Keywords: Access to health care, Adolescent health, Child health, Children', 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, s Health Insurance Program

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 worksheet is designed to help families learn about two Medicaid policy options to help address medical debt and financial hardship among families with children with disabilities. Contents include information about the Tax Equity and Fiscal Responsibility Act (TEFRA) and the Family Opportunity Act (FOA) Medicaid buy-in program, two options that states can offer to help families with private insurance obtain assistance to pay for care for a child with disabilities through Medicaid. Information about the implications of TEFRA and FOA for children with disabilities and their families is also included. The accompanying instructions provide guidance on filling out the worksheet. [Funded by the Maternal and Child Health Bureau]

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: [email protected] Web Site: https://ciswh.org/project/the-catalyst-center/ Available from the website.

• Worksheet And Instructions

Keywords: Barriers, Children, Families, Financing, Health insurance, Medicaid, Special health care needs, State programs