Search Results: MCHLine

Annotation: This report is a compilation of research, survey data, and best practices that outlines the landscape for children's vision and eye health in the United States. Contents include information about the prevalence and impact of vision disorders in U.S. children, receipt of vision screening for infants and children from birth through age 17, and state approaches to ensuring children's vision and eye health. Additional topics include vision screening rates and requirements by state, pediatric vision benefits available under the Affordable Care Act, what is included in a strong vision health system of care, and model children's vision legislation. [Funded by the Maternal and Child Health Bureau]

Contact: Prevent Blindness America, 211 West Wacker Drive, Suite 1700, Chicago, IL 60606, Telephone: (800) 331-2020 E-mail: [email protected] Web Site: http://www.preventblindness.org Available from the website.

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Keywords: Access to health care, Adolescents, Children, Costs, Health care reform, Health insurance, Health status, Policy development, Prevalence, Preventive health services, Primary care, Reimbursement, Research, Screening, Service integration, Standards, State programs, State surveys, Statistical data, Systems development, Vision, Vision disorders

Annotation: This report provides information on steps Connecticut has taken to promote oral health equity in the state, including by ensuring that the majority of its residents have access to community fluoridated water, offering dental benefits to children and adults through the HUSKY health insurance program, and providing oral health care in schools. Information is included on the status of oral health in Connecticut as well as on oral health among children, children and adolescents with special health care needs, children and adolescents from families with low incomes, adolescents, adults, pregnant women, and older adults. A discussion of Connecticut’s oral health infrastructure is also provided.

Contact: Connecticut Department of Public Health, Office of Oral Health, P.O. Box 340308, Hartford, CT 06134-0308, Telephone: (860) 509-8251 Fax: (860) 509-7855 E-mail: [email protected] Web Site: https://portal.ct.gov/dph/Oral-Health/oral-health/Office-of-Oral-Health Available from the website.

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Keywords: Access to health care, Connecticut, Health insurance, Low income groups, Oral health, Public health infrastructure, School health, State programs

Annotation: parents and pregnant women about the importance of fluoride for keeping teeth healthy. The brochure includes links to resources that can help parents and pregnant women learn more about fluoride, how to get dental coverage in Maryland, and how to find a dentist for a child. Information about Maryland’s Medicaid Dental Program is included. The poster emphasizes that drinking fluoridated water helps prevent tooth decay in children. The brochure and the poster are available in English and in Spanish.

Contact: Maryland Dental Action Coalition, 10015 Old Columbia Road, Suite B-215, Columbia, MD 21046, Telephone: (410) 312-5456 E-mail: [email protected] Web Site: http://www.mdac.us Available from the website.

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Keywords: Brochures, Fluoride, Health insurance, Maryland, Oral health, Parents, Posters, Pregnant women, Prevention, Spanish language materials, State programs

Annotation: This report describes efforts to measure and address Children's Health Insurance Program (CHIP) "crowd-out," when families who apply for public CHIP benefits have access to private health insurance. For the report, the Centers for Medicare & Medicaid Services (CMS) asked 42 states that have separate CHIP programs to report on two separate crowd-out indicators: (1) the percent of individuals who are enrolled in CHIP that have access to private health insurance and (2) the percent of CHIP applicants who cannot be enrolled because they have private health insurance. Included is a description of procedures that CMS and states use to address crowd-out, together with statistics on income eligibility, enrollment in public vs. private insurance, and other relevant data extracted from the American Community Survey (ACS) and the Medical Expenditure Panel Survey (MEPS).

Contact: U.S. Government Accountability Office, 441 G Street, N.W., Washington, DC 20548, Telephone: (202) 512-3000 E-mail: [email protected] Web Site: http://www.gao.gov Available from the website.

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Keywords: Children, Children', Data, Eligibility, Enrollment expansion, Federal programs, National surveys, State Health insurance programs, s Health insurance Program

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, 300 American Metro Boulevard, Suite 125, 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: (800) 633-4227 Secondary Telephone: (877) 267-2323 Fax: Web Site: https://www.cms.gov Available from the website.

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Keywords: Access to health care, Dental insurance, Medicaid, Oral health, Oral health care, 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 case study examines how Washington State's Title V Children and Youth with Special Health Care Needs (CYSHCN) program utilized the National Standards for Systems of Care as a framework to improve healthcare systems and policies. Operating through the Office of Family and Community Health Improvement, Washington's program strategically aligned its action plan with the National Standards to address barriers in healthcare access and service delivery. The program demonstrated significant influence on policy development despite lacking direct decision-making authority, primarily by fostering partnerships, providing technical assistance, and advocating for policy improvements. The case study highlights how the National Standards served as an effective educational tool for partners and new staff, providing accountability for the Title V action plan and helping identify necessary system improvements. Moving forward, Washington plans to continue using the Standards to address coverage gaps, enhance insurance authorization processes, and strengthen partnerships with family-led organizations, while maintaining a focus on leveraging Medicaid resources effectively.

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

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Keywords: Title V Programs, CHSCN programs, Health Insurance, Washington, Standards

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: Health insurance, Health screening, Maine, Oral health, Oral health care, 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: Dentists, Health care costs, Health insurance, Low income groups, Medicaid, Oral health, Oral health care, 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