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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 21 through 40 (488 total).

Center for Health Care Strategies. 2018. Medicaid adult dental benefits: An overview [upd.]. [Hamilton, NJ]: Center for Health Care Strategies, 2 pp.

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.

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

Centers for Medicaid & Medicare Services. 2018. Aligning dental payment policies and periodicity schedules in the Medicaid and CHIP programs. Baltimore, MD: Centers for Medicare & Medicare Services, 4 pp.

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.

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

Fish-Parcham C. 2018. Treating pain is not enough: Why states' emergency dental benefits fall short. Washington, DC: Families USA, 12 pp. (Issue brief)

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.

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

Phipps K. 2018. MI Head Start Smiles 2017-2018: The oral health of Michigan's Head Start children. Lansing, MI: Michigan Department of Health and Human Services, 25 pp.

Ohio Department of Health, Oral Health Program. 2018. Oral health screening survey of third grade schoolchildren in Ohio, 2017-18. Columbus, OH: Ohio Department of Health, Oral Health Program, 11 pp.

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]

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

2018. Washington's Title V CYSHCN program: Using the national standards as a framework to sustain statewide systems improvements. Washington, DC: Association of Maternal and Child Health Programs; [Portland, ME; Washington, DC]: National Academy for State Health Policy, 2 pp.

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.

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

MaineHealth. [2017]. Perinatal oral health assessment. Portland, ME: Before the First Tooth, 2 pp.

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]

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

Rosenthal J, Henderson M, Dolatshahi J, Hess C, Tobias C, Bachman S, Comeau M. 2017. Public insurance programs and children with special health care needs: A tutorial on the basics of Medicaid and the Children's Health Insurance Program (CHIP) (upd.). Boston, MA: Catalyst Center; Portland, ME: National Academy for State Health Policy, 55 pp.

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]

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

Georgetown University Health Policy Institute, Center for Children and Families. 2017. State snapshots of children's coverage. Washington, DC: Georgetown University Health Policy Institute, Center for Children and Families,

Brooks T, Wagnerman K, Artiga S, Cornachione E, Ubri P. 2017. Medicaid and CHIP eligibility, enrollment, renewal, and cost sharing policies as of January 2017: Findings from a 50-state survey. Menlo Park, CA: Henry J. Kaiser Family Foundation, 66 pp.

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.

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

Courtemanche C, Marton J, Ukert B, Yelowitz A, Zapata D. 2017. Early effects of the Affordable Care Act on health care access, risky health behaviors, and self-assessed health. Cambridge, MA: National Bureau of Economic Research, 71 pp. (NBER working paper; no. 23269)

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.

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

Oregon Health Authority. 2017. Oral health in Oregon's CCOs: A metrics report. Salem, OR: Oregon Health Authority, 34 pp.

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.

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

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.

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

Association of Maternal and Child Health Programs. 2017. National Title V children and youth with special health care needs program profile. Washington, DC: Association of Maternal and Child Health Programs, 15 pp.

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.

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

Children's Dental Services. 2017. Dental care during infancy, early childhood, and pregnancy. Minneapolis, MN: Children's Dental Services, 2 pp.

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]

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

Catalyst Center. 2017. Leveraging Title V partnerships to advance National Performance Measure #15: Adequate health insurance. Boston, MA: Catalyst Center, 10 pp.

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.

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

U.S. Department of Health and Human Services. 2016. 2015 annual report on the quality of care for children in Medicaid and CHIP. Washington, DC: U.S. Department of Health and Human Services, 42 pp.

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.

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

Centers for Medicaid & Medicare Services. 2016. Dental and oral health services in Medicaid and CHIP. [Baltimore, MD: Centers for Medicaid & Medicare Services], 30 pp.

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.

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

Catalyst Center. 2016. TEFRA and FOA Medicaid buy-in programs: An educational worksheet from the Catalyst Center. Boston, MA: Catalyst Center, 2 pp., instructions (3 pp.).

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]

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

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
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The MCH Library is one of six special collections at Georgetown University, the nation's oldest Jesuit institution of higher education. The library is supported through foundation, private, university, state, and federal funding. This information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by Georgetown University or the U.S. Government. Note: web pages whose development was supported by federal government grants are being reviewed to comply with applicable Executive Orders.