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Children's Health Council. [1998]. Improving dental access under HUSKY Part A. Hartford, CT: Children's Health Council, 10 pp.

This report describes a proposal to reduce dental access barriers, increase dental care utilization, and encourage good oral health practices among children of families enrolled in Medicaid managed care in Connecticut. Section include information on evidence of a dental access problem, an outline of barriers to dental care access, and recommendations for improving access to dental care. References and two statistical tables are provided.


    Connecticut Department of Public Health, Office of Oral Health. 2014–. Smoking and oral health quit kit information. Hartford, CT: Connecticut Department of Public Health, Office of Oral Health, multiple items.

    Connecticut Department of Public Health, Office of Oral Health
    P.O. Box 340308
    Hartford, CT 06134-0308

    Telephone: (860) 509-7382
    Fax: (860) 509-7853
    E-mail: linda.ferraro@ct.gov
    Website: http://www.ct.gov/dph/cwp/view.asp?a=3125&q=388844&dphNav_GID=1601
    Available from the website.

    These resources are designed to help oral health professionals in Connecticut screen and counsel their clients who use tobacco products. Contents include a letter that provides information about an evidence-based approach to eliminate tobacco use (the 5 A's), resources and tools, and cessation counseling reimbursement for professionals who participate in the state Medicaid/HUSKY Health programs. Additional contents include questions and answers about the state quit line, a quit line wallet card, information about treatment methods, a quit tips note sheet, and a poster with tips from former smokers. The wallet cards and posters are available in English and Spanish.


    Coulter ID, Maida CA, Belloso R, Freed J, Petters K, Marcus M. 2003. Medicaid and dental care for children: A review of the literature. Chicago, IL: American Dental Association, Health Policy Resources Center, 26 pp, (Dental health policy analysis series).

    This report identifies factors that have contributed to children's lack of access to Medicaid and the State Children's Health Insurance Program (SCHIP), with particular attention to their lack of access to oral health care within these programs. Factors presented in this report include shifts in federal funding, changes in employer-based insurance, and declines in the level of specialist participation in Medicaid. The report discusses the impact of Medicaid coverage and other programs directed at the health of children (e.g., Early and Periodic Screening, Diagnostic and Treatment-EPSDT, Head Start, SCHIP), on children's access to health care. Other topics include managed care, school-based health centers, barriers to care among immigrants, inequities in children's oral health, program financing, and Medicaid oral health programs.


      Cousart C, Snyder A, Mention N. 2015. Dental benefits in health insurance marketplaces: An update on policy considerations. Portland, ME: National Academy for State Health Policy, 7 pp.

      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
      Website: http://www.nashp.org
      Available from the website.

      This brief examines the way the Affordable Care Act structures dental coverage and related implementation challenges. Topics include the impact of decisions to offer pediatric dental coverage through medical plans or stand-alone dental products on affordability and implementation of marketplace systems; state interest in offering optional adult dental coverage; enhancing data and reporting on access to and purchase of dental coverage; improving outreach, enrollment, and dental plan quality; and the impact of future state and federal decisions about coverage programs on dental coverage through marketplaces, including decisions about federal funding for the Children’s Health Insurance Program.


      Crall JJ, Edelstein BL. 2001. Elements of effective action to improve oral health and access to dental care for Connecticut's children and families. Farmington, CT: Connecticut Health Foundation; Hartford, CT: Children's Fund of Connecticut, 36 pp, plus 2 appendices.

      Connecticut Health Foundation
      100 Pearl Street
      Hartford, CT 06103

      Telephone: (860) 724-1580
      Fax: (860) 724-1589
      E-mail: info@cthealth.org
      Contact E-mail: nancy@cthealth.org
      Website: http://www.cthealth.org
      Available from the website.

      This report evaluates HUSKY (Connecticut's State Children's Health Insurance Program [SCHIP] and Medicaid program) dental benefits for children from families with low and moderate incomes. The report includes an executive summary, a vision of oral health and care from conception to adulthood, and a discussion of strategies for improving oral health in Connecticut. Topics include quantifying access problems in oral health care; reaching those in need; and system reform goals, principles, elements, and strategies. There are two appendices, the first of which provides background materials on oral health policy, an environmental scan for the United States and Connecticut, a discussion of the burden of oral disease, a discussion of financing care through Medicaid and SCHIP, and examples and elements of state action plans. The second appendix focuses on strategic working documents for the workforce, systems capacity and integration, financing, and the various public health programs in Connecticut.


      Damiano PC, Momany ET, Flach SD, Carter K, Jones MP. 2005. Dental care: Access, use and cost of services for children in hawk-i—Report to the Iowa Department of Human Services. [Iowa City, IA]: University of Iowa, Health Policy Research Program, Public Policy Center, , 66 pp.

      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
      Website: http://ppc.uiowa.edu
      Available from the website.

      This report presents results from a study of Iowa's Medicaid and State Children's Health Insurance Program (hawk-i) child oral health services. Topics include the types of services children receive, how soon they receive them after enrollment, and the cost of the services. A discussion of policy implications and research limitations is also presented.


      Edelstein BL. 1998. Oral health services in the Child Health Insurance Program (CHIP). Washington, DC: Children's Dental Health Project, 13 pp.

      National Maternal and Child Oral Health Resource Center
      Georgetown University Box 571272
      Washington, DC 20057-1272

      Telephone: (202) 784-9771
      E-mail: OHRCinfo@georgetown.edu
      Website: http://www.mchoralhealth.org
      Available for loan.

      This fact sheet on children's oral health care in the Children's Health Insurance Program (CHIP) discusses what CHIP is, what the state options and responsibilities are, who is covered, what benefits are covered, whether oral health services are covered by CHIP, what Congress's intent regarding dental coverage was, why it is important to provide dental benefits to CHIP children, how much of the CHIP program should be devoted to oral health care, what oral health services should be covered, what the cost-sharing prohibitions are, and what's going on now. A list of talking points on CHIP is provided as well. [Funded by the Maternal and Child Health Bureau]


        Edelstein BL, Schneider D, De Biasi A. 2005. Dental benefits in the Medicaid/CHP+ streamlining HIFA waiver. Washington, DC: Children's Dental Health Project, 86 pp.

        Children's Dental Health Project
        1020 19th Street, N.W., Suite 400
        Washington, DC 20036

        Telephone: (202) 833-8288
        Fax: (202) 331-1432
        E-mail: info@cdhp.org
        Website: https://www.cdhp.org
        Available from the website.

        This document, prepared for the Colorado Department of Health Care Policy and Financing, proposes changes in the Medicaid and State Children's Health Insurance Programs that (1) respond to the oral health needs of low- and modest-income children, (2) comport with authoritative professional recommendations, and (3) align with all requirements for Early and Periodic Screening, Diagnostic and Testing (EPSDT) program oral health services. It describes how pediatric oral conditions (especially caries) shape program requirements, how past performance and lessons learned from state programs point the way toward useful reforms, what professional guidelines are available, and how earlier proposals to reform Medicaid inform efforts. Six appendices describe a model tiered pediatric benefit structure consistent with EPSDT requirements; background information on the Medicaid and EPSDT dental program; a model Medicaid benefit design from the Centers for Medicare and Medicaid Services' Guide to Children's Dental Care in Medicaid; increasing access through public-private partnerships; state options in contracting dental care in Medicaid; and cost-effectiveness of preventive dental services for children.


        Epstein CA. 2000. States' approaches to increasing Medicaid beneficiaries' access to dental services. Princeton, NJ: Center for Health Care Strategies, 25 pp, (Informed purchasing series).

        Center for Health Care Strategies
        200 American Metro Boulevard, Suite 119
        Hamilton, NJ 08619

        Telephone: (609) 528-8400
        Fax: (609) 586-3679
        Website: http://www.chcs.org
        Available at no charge.

        This report gives the results of a study that assesses states' efforts to increase access to dental care for children eligible for Medicaid. The report covers issues affecting access, states' approaches to increasing access, and states' supply of dentists. States' efforts to increase access to dental care are summarized in a table. Statistics describing dentists' participation in Medicaid programs are provided.


          Family Voices. 2009. Friday's Child: Special oral health edition. Albuquerque, NM: Family Voices, 4 pp.

          Family Voices
          3701 San Mateo Boulevard, N.E., Suite 103
          Albuquerque, NM 87110

          Telephone: (505) 872-4774
          Secondary Telephone: (888) 835-5669
          Fax: (505) 872-4780
          Website: http://www.familyvoices.org
          Available from the website.

          This issue of the Family Voices’ newsletter for parents focuses on oral health for children with special health care needs (CSHCN). Topics include an oral health partnership in Kansas created to provide CSHCN with access to appropriate oral health services and to provide oral health education for their families. The issue also includes a review of oral health provisions in the Children’s Health Insurance Program.


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