Resources

	2011 Symposium Agenda and presentations
	Webinars #1:Oral Health-Dentistry Presentation Presentation with audio #2: Medicaid and CHIP Presentation Presentation with audio #3: How Title V and Public Health Programs Can Leverage Medicaid and CHIP Resources Presentation Presentation with audio
CMS Releases Dental Action Plan Template
To assist states in improving preventive dental services for children, CMS will be working with states to develop Action Plans as part of its Oral Health Initiative. A Dental Action Plan Template has been developed by CMS to assist States in their planning.  Information about the Template was published in the Federal Register on December 23, 2011.  Public comments may be submitted until January 23, 2012.  A copy of the Template is available here.  MSDA will be hosting a webinar  in March that will provide the opportunity for technical assistance to states. CMS has not yet set a deadline for States to complete their Action Plans.  For more information, you may contact Laurie Norris, the Coordinator of the CMS Oral Health Initiative, at laurie.norris@cms.hhs.gov or Mary E. Foley, MSDA Executive Director at mfoley@medicaiddental.org.
Medicaid and CHIP Market Overview Mary Foley, R.D.H., M.P.H. May 25, 2011 Presentation Primary reference: Medicaid and CHIP  Payment and Access Commission (MACPAC) Report to the Congress  on  Medicaid and CHIP, March  2011
Other Resource Topics
Access to Dental Care CHIPRA Dental Legislation CMS and Medicaid Congressional Testimony	EPSDT Health-Care Reform State Information State Innovations

Access to Dental Care

• Borchgrevink A, Snyder A, Gehshan S. 2008. Increasing access to dental care in Medicaid: Does raising provider rates work? Oakland, CA: California HealthCare Foundation.
  

• Borchgrevink A, Snyder A, Gehshan S. 2008. The effects of Medicaid reimbursement rates on access to dental care. Portland, ME: National Academy for State Health Policy.

• Crall J, Schneider D, with American Dental Association (ed.). 2004. Increasing access to Medicaid dental services for children through collaborative partnerships.
  This brief discusses barriers to access to oral health services for children enrolled in Medicaid and presents a rationale for increasing access through collaborative partnerships. The brief identifies three areas of concern associated with Medicaid dental programs that discourage dentist participation and limit access to care. Also provided are examples from several states that have engaged in significant efforts to improve access to oral health services for individuals covered by Medicaid.

• Crall J, Schneider D, with American Dental Association (ed.). 2004. Medicaid program administration.
  This brief discusses the way Medicaid dental programs are administered and how simplifying administrative procedures could help increase access to oral health care for Medicaid enrollees. The brief focuses on how states administer Medicaid dental programs. Topics include single-vendor contracting, state reconsideration of managed care strategies, and state efforts to reduce administrative burdens. Single-vendor programs in Michigan and Tennessee are described. A list of notable Medicaid dental program administrative innovations is also included.

• Crall J, Schneider D, with American Dental Association (ed.). 2004. Medicaid reimbursement: Using marketplace principles to increase access to dental services.
  This brief discusses Medicaid reimbursement rates for oral health services and how these rates, which often fall well below dentists’ fees, contribute to dentists’ reluctance to participate in Medicaid. Topics include problems with current state Medicaid reimbursement rates; using percentile analysis to establish market-based Medicaid reimbursement rates; and state-by-state, regional, and national comparisons of Medicaid payment rates and market-based fees.

• Iritani K. 2010. Oral health: Efforts under way to improve children’s access to dental services, but sustained attention needed to address ongoing concerns. Washington, DC: U.S. Government Accountability Office.

• Schneider D, Rossetti J, Crall, J. 2007. Assuring comprehensive dental services in Medicaid and Head Start programs: Planning and implementation considerations. Los Angeles, CA: National Oral Health Policy Center.

CHIPRA Dental Legislation

• Booth M, Edelstein B. 2009. CHIP reauthorization: Renewed support for children's oral health. Washington, DC: Children's Dental Health Project.
  
  
• Kaiser Commission on Medicaid and the Uninsured. 2010. Children's oral health benefits. Washington, DC: Kaiser Commission on Medicaid and the Uninsured.
  
  
• Sullivan J. 2009. CHIPRA 101: Overview of the CHIP reauthorization legislation. Washington, DC: Families USA.

CMS and Medicaid

• EPSDT CMS-Form-416 published state and national data
  
  
• Form 416 and Instructions
  
  
• Medicaid Dental Expenditures Compared to Total Medicaid Expenditures, 2005 (Data from CMS-64 forms).
  
  
• Medicaid and SCHIP Quality Spring Teleconference
  On April 3, 2008, the CMS Center for Medicaid & State Operations, Division of Quality, Evaluations and Health Outcomes, conducted a national audioconference on pediatric oral health. There were presentations on innovative payment practices, state approaches to increasing provider participation and access to dental services, and state approaches to dental-performance and quality-improvement measures. Click here for handout materials from the conference.

• Schneider D, Hayes K, Crall J. 2005. The CMS Form-416 report: Understanding its use in assessing dental care utilization in Medicaid's Early Periodic Screening, Diagnostic and Treatment (EPSDT) Service for children. National Oral Health Policy Center.
  This technical issue brief provides an overview of Medicaid and the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program; Medicaid-eligible children's ability to access oral health services; data on children's utlization of oral health services in Medicaid; and the Centers for Medicare and Medicaid (CMS) Services Form-416 report, which is the most common source of such data.
  
  
• U.S. Centers for Medicare and Medicaid Services. 2004. Guide to children's dental care in Medicaid. Baltimore, MD: U.S. Centers for Medicare and Medicaid Services.
  
  
• U.S. Centers for Medicare and Medicaid Services. 2009. Town hall forum on access to dental care for Medicaid-eligible children. Baltimore, MD: U.S. Centers for Medicare and Medicaid Services.

• U.S. Department of Health and Human Services, Office of Inspector General. 2007. Improper payments for Medicaid pediatric dental services. Washington, DC: U.S. Department of Health and Human Services, Office of Inspector General.

Congressional Testimony

• One Year Later: Medicaid’s Response to Systemic Problems Revealed by the Death of Deamonte Driver. Testimony before the U.S. Congressional Committee on Oversight and Government Reform, Subcommittee on Domestic Policy: Tuesday, February 14, 2008.
  
  
• Concerns Remain About Sufficiency of Data for Oversight of Children's Dental Services—Testimony Before the Subcommittee on Domestic Policy, Committee on Oversight and Government Reform, House of Representatives—GAO Report # GAO-07-826T
• Highlights
• Entire report
  
  
• Insuring Bright Futures: Improving Access to Dental Care and Providing a Healthy Start for Children. Testimony before the U.S. House of Representatives, Committee on Energy and Commerce, Subcommittee on Health; March 27, 2007.
  Archived video webcast of hearing available at http://boss.streamos.com/download/energycommerce/032707.he.hrg.dental.wmv.
  • Jack M. Chapman, M.D., President, Health Access Initiative
  • Christine Farrell, R.D.H., M.P.A., Medicaid Policy Specialist, Medical Services Administration, Michigan Department of Community Health
  • Stephen Corbin, D.D.S., M.P.H., Senior Vice President for Constituent Services and Support, Special Olympics International
  • Burton L. Edelstein, D.D.S., M.P.H., Board Chair, Children’s Dental Health Project, Washington, DC, Professor of Dentistry and Health Policy, Columbia University
  • Chris Koyanagi, Policy Director, Bazelon Center for Mental Health Law
  • David M. Krol, M.D., M.P.H., F.A.A.P., Chair, Department of Pediatrics, University of Toledo College of Medicine
  • Nicholas G. Mosca, D.D.S., University of Mississippi, School of Dentistry
  • Kathleen Roth, D.D.S., President, American Dental Association
  • Raymond C. Scheppach, Ph.D., Executive Director, National Governors Association

• Oversight Adequacy of the Pediatric Dental Program for Medicaid Eligible Children. Testimony before the U.S. House of Representatives, Committee on Oversight and Government Reform, Subcommittee on Domestic Policy; May 2, 2007. Links include:
  • Chairman Kucinich's opening statement and testimony from Frederick Clark, Dennis Smith, Norman Tinanoff, Allen Finkelstein, Jane Perkins, Susan Tucker, Laurie Norris, and James Cosgrove.
  • Video of the hearing.

EPSDT

• American Academy of Pediatric Dentistry: State Dental Periodicity Schedules
  
  
• MSDA letter to state Medicaid directors
  This letter was developed by the board of MSDA in response to a letter that the American Association of Pediatric Dentistry sent to state Medicaid directors about EPSDT and the dental periodicity schedule.

• Schneider D, Crall J. 2005. EPSDT periodicity schedules and their relation to pediatric oral health standards in Head Start and Early Head Start. Los Angeles, CA: National Oral Health Policy Center.
  This technical brief discusses the relationship between Early Head Start (EHS) and Head Start (HS) and EPSDT.

Health-Care Reform

• Children's Dental Health Project Healthcare Reform Center
  
  
• HealthReform.gov

State Information

• State Children's Health Insurance Program Fact Sheets. 2010.
  
  
• State Dental Periodicity Schedules
  
  
• State survey of American Dental Association claim form use. 2007.
  

State Innovations

• American Dental Association. 2008. State innovations to improve access to oral health: A compendium update 2008.
  This compendium identifies and summarizes successful state interventions to improve access to oral health services for children enrolled in Medicaid or the State Children's Health Insurance Program.
  • 2008 Medicaid Dental Reimbursement Chart is a state-by-state listing of Medicaid dental program fees for 20 common dental procedures derived from the compendium
    
    
• Crall J, Schneider D, with American Dental Association (ed.). 2004. Enhancing dental Medicaid outreach and care coordination.
  This brief discusses ways to increase awareness of the importance of oral health and to improve care coordination for Medicaid participants, thereby decreasing the rate of no-show appointments and increasing compliance with oral health instructions. The brief focuses on innovative strategies and approaches that some states are using
  
  
• Dental Medicaid Reform: Core Principles and Policy.
  
  
• Gehshan S, Wyatt M. 2007. Improving Oral Health Care for Young Children. Portland, ME: National Academy for State Health Policy.
  
  
• Report on the June 23, 2008, Medicaid Provider Symposium. 2008.
  
  
• Understanding the Impacts of Florida's Medicaid Pre-Paid Dental Pilot.