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U.S. Health Resources and Services Administration. 2000. Opportunities to use Medicaid in support of oral health services. Rockville, MD: U.S. Health Resources and Services Administration, 25 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 from the website.

This document is intended to help state and local health officials understand how Medicaid works and how it can improve access to oral health services for low-income and underserved populations. Various strategies to expand access to oral health services are discussed, including ensuring adequate coverage and payment, improving dentists' participation, increasing the enrollment of individuals eligible, and improving eligibility standards for Medicaid and the State Children's Health Insurance Program.


Details

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.

U.S. Centers for Medicare & Medicaid Services
7500 Security Boulevard
Baltimore, MD 21244

Telephone: (877) 267-2323
Secondary Telephone: (410) 786-3000
Fax:
Website: http://cms.gov
Available from the website.

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.


Details

U.S. Department of Health and Human Services. 2016. Dental and oral health services in Medicaid and CHIP. Washington, DC: U.S. Department of Health and Human Services, 5 pp.

U.S. Centers for Medicare & Medicaid Services
7500 Security Boulevard
Baltimore, MD 21244

Telephone: (877) 267-2323
Secondary Telephone: (410) 786-3000
Fax:
Website: http://cms.gov
Available from the website.

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.


Details

U.S. Centers for Medicare and Medicaid Services, Center for Medicaid and State Operations. 2006. Value-based...Results-driven...Healthcare: The Medicaid/CHIP Quality Initiative. [Baltimore, MD]: U.S. Centers for Medicare and Medicaid Services, 7 pp.

U.S. Centers for Medicare & Medicaid Services
7500 Security Boulevard
Baltimore, MD 21244

Telephone: (877) 267-2323
Secondary Telephone: (410) 786-3000
Fax:
Website: http://cms.gov
Available from the website.

This document describes the purpose and vision of the Center for Medicaid and State Operations (CMSO) and its strategies to support and improve state Medicaid and State Children’s Health Insurance Programs (CHIP) in their efforts to achieve safe, effective, efficient, patient-centered, timely and equitable care. It discusses strategies to improve evidenced-based care and quality measurement, pay-for-performance, health information technology, partnerships, information dissemination and technical assistance, and health care disparities.


    Details

    U.S. Centers for Medicare and Medicaid Services. 2003. Medicaid school-based administrative claiming guide. Baltimore, MD: U.S. Centers for Medicare and Medicaid Services, 57 pp, (Hiscock Collection; related).

    U.S. Centers for Medicare & Medicaid Services
    7500 Security Boulevard
    Baltimore, MD 21244

    Telephone: (877) 267-2323
    Secondary Telephone: (410) 786-3000
    Fax:
    Website: http://cms.gov
    Available from the website.

    This guide informs schools, state Medicaid agencies, and other interested parties on the appropriate methods for claiming federal reimbursement for the costs of Medicaid administrative activities performed in the school setting. Contents include Medicaid in the school setting, interagency agreements, principles of administrative claiming, and claiming issues. Appendices include a report on Medicaid's role in school-based health services programs; information on the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Program and the State Children's Health Insurance Program (SCHIP); and information on the Individuals with Disabilities Education Act (IDEA).


    Details

    U.S. Centers for Medicare and Medicaid Services. [2014]. State oral health action plans. Baltimore, MD: U.S. Centers for Medicare and Medicaid Services, multiple items.

    U.S. Centers for Medicare & Medicaid Services
    7500 Security Boulevard
    Baltimore, MD 21244

    Telephone: (877) 267-2323
    Secondary Telephone: (410) 786-3000
    Fax:
    Website: http://cms.gov
    Available from the website.

    These documents describe state plans for achieving the goals of the Centers for Medicare & Medicaid Services' Oral Health Initiative. Topics include type of delivery system, participating providers, activities, other oral-health-improvement initiatives, data measurement, reimbursement strategies, efforts related to dental sealants, collaboration with dental schools or dental hygiene schools and plans to expand dental school or dental hygiene program collaboration, electronic dental records, technical assistance, and materials and websites. A template to assist state programs in developing action plans is also available.


    Details

    U.S. Centers for Medicare and Medicaid Services. 2015. [Web-based training on] form CMS-416 dental data reporting. Baltimore, MD: U.S. Centers for Medicare and Medicaid Services, multiple items.

    U.S. Centers for Medicare & Medicaid Services
    7500 Security Boulevard
    Baltimore, MD 21244

    Telephone: (877) 267-2323
    Secondary Telephone: (410) 786-3000
    Fax:
    Website: http://cms.gov
    Available from the website.

    These modules for state Medicaid and Children's Health Insurance Program (CHIP) staff and their contractors focus on collecting and reporting data related to preventive dental service use by infants, children, and adolescents up to age 21 enrolled in Medicaid or CHIP. Contents include an overview of the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit; an overview of Form CMS-416; and how to use Form CMS-416 data.


    Details

    Spisak S, Holt K, Mayer R, Rossetti J. 1998. Improving children's access to oral health services: The oral health initiative. Maternal and Child Health Journal 2(4):261–264, 4 pp.

    Springer
    233 Spring Street
    New York, NY 10013

    Telephone: (212) 460-1572
    Fax: (212) 620-8442
    E-mail: victoria.enever@springer.com
    Website: http://www.springer.com
    Contact for cost information.

    This journal article describes activities of the federal Oral Health Initiative to strengthen service-delivery systems, enhance collaboration among federal agencies, and provide states with the resources needed to improve the oral health of children from minority groups and those from families with low incomes, including children with special health care needs. Activities to enhance programs, services, and training are discussed. Topics include expanding the number of direct-service dental programs, establishing or enhancing graduate training programs in pediatric and general dentistry and in dental public health, and funding training programs in dentistry to train dental public health leaders.


      Details

      Smith VK. 2001. Access to health care and provider participation in the Alaska Medicaid program. [Juneau, AK]: [Alaska] Department of Health and Social Services, Division of Medical Assistance, 25 pp.

      This report identifies policy options for improving access to medical and oral health care for persons enrolled in the Alaska Medicaid program, including children in the Denali KidCare program. Topics include barriers to access, coverage of services, eligibility, and transportation. Additional topics include audits of medical and oral health professionals, billing issues and the business relationship with the fiscal agent, and patient responsibility and education. [Funded by the Maternal and Child Health Bureau]


      Details

      Shulman S, Kell M, Rosenbach M. 2004. SCHIP takes a bite out of the dental access gap for low-income children: Final report. Cambridge, MA: Mathematica Policy Research, 20 pp.

      Mathematica Policy Research
      P.O. Box 2393
      Princeton, NJ 08543-2393

      Telephone: (609) 799-3535
      Fax: (609) 799-0005
      E-mail: info@mathematica-mpr.com
      Website: http://www.mathematica-mpr.com
      Available from the website.

      This report explores the link between State Children's Health Insurance Program (SCHIP) insurance coverage and access to oral health care. The report examines the barriers that still exist to improving access to and utilization of oral health care among low-income children enrolled in SCHIP, as well as how states are working to reduce these barriers. Statistical data are presented in figures and tables throughout the report.

           

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