- ACA Implementation & State Health Reform
- Coverage and Access
- Federal/State Issues
- Medicaid and CHIP
- Population and Public Health
- Providers and Services
- Acute Care
- Assisted Living
- Behavioral Health
- Child Development Services
- Chronic Care Management
- Community Health Centers
- Developmental Screening
- Early Childhood Services
- EPSDT
- Family Planning
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- Long Term Services & Supports
- Medical Homes & Health Homes
- Mental Health
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- Oral Health
- Preventive Care
- Primary Care
- Safety Net Providers
- Quality, Cost, and Health System Performance
- ACOs
- Adverse Event Reporting
- Care Transitions
- Comparative Effectiveness
- Cost Sharing
- Delivery System Reform
- Fraud and Abuse
- Health Care Workforce
- Health Information Technology
- Managed Care
- Medical Homes & Health Homes
- Medical Malpractice
- Patient Safety
- Payment Reform
- Performance Measurement
- Provider Payment Policy
- Quality Oversight
- Specific Populations
- Adolescents
- Childless Adults
- Children
- Children with Special Health Care Needs
- Dual Eligibles
- Elders
- Families
- Low Income People
- Parents
- People with Chronic Conditions
- People with Developmental Disabilities
- Transitional Youth
- Vulnerable Populations
- Young Adults
- Youth
- Youth in Foster Care System
- Youth in Juvenile Justice System
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Engaging Primary Care Medical Providers in Children’s Oral Health
Access to dental care in the U.S. is a severe problem for young children, underscored by the fact that only a quarter of all children under six had a dental visit in 2004. In an effort to address these access issues, many states have begun reimbursing medical providers for delivering basic oral health services to children. This issue brief provides an update to the 2008 State Health Policy Monitor, The Role of Physicians in Children’s Oral Health, which highlighted state efforts to increase access to preventive dental care through the use of medical providers. Currently, 34 state Medicaid programs reimburse primary care providers for performing preventive oral health care services on children, including nine new state programs since last year’s study. These preventive oral health care services include the application of fluoride varnish, anticipatory guidance/caregiver education, risk assessment, and an oral examination/screening.September 2009 -
Help Wanted: A Policymaker’s Guide to new Dental Providers Report
Access to dental care is an increasingly serious problem for many people in the United States, particularly for children. There is a shortage of private dentists and a limited availability of affordable, or government-supported dental care. This is further compounded by the small number of private dentists willing to participate in public health insurance programs, or treat young children and other underserved populations, especially in rural areas.May 2009 -
Increasing Access to Dental Care in Medicaid: Targeted Programs for Four Populations
Poor access to oral health care and low utilization of oral health services by publicly insured people have been persistent problems that states and their Medicaid programs have grappled with for decades. However, there are groups of Medicaid enrollees – such as young children, pregnant women, people with developmental disabilities, and people living in rural areas – who face particular oral health challenges. These populations can benefit from interventions targeted specifically at their needs. This policy briefing, which is drawn from a literature review and interviews with stakeholders across the country, describes strategies that several states have used to better address the oral health needs of these groups by doing the following:March 2009 -
The Role of Physicians in Children’s Oral Health
Dental disease is the most common chronic disease among children in the United States. Although Medicaid entitles children to medically necessary dental care under the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit, many children do not see a dentist until age 3 or later – even though cavity risk factors can be well established before a child’s first birthday and before the first tooth erupts. Untreated dental disease can lead to dietary problems, infection, missed school days, and a lower quality of life.December 2008 -
Improving Oral Health Care for Young Children
This paper focuses on the policy, financing, and workforce challenges that must be addressed to improve access to oral health care for young children, particularly those that are underserved at present. Until recently, little attention has been given to ensuring that the oral health needs of young children are met before they enter school. This is a serious omission, since dental problems are the most common unmet need among children.April 2007
