Inequities in oral health and health outcomes are driven by upstream factors, including diet, education, transportation, and access to care. A growing number of states are working to improve the oral and physical health of Medicaid enrollees and reduce costs by addressing these social determinants of health in their managed care contracts.
COVID-19 has greatly impacted dental care and oral health access in the United States. From closed offices to an increased need for personal protective equipment (PPE), states and providers are both facing challenges to connect patients to dental care. With reduced tax revenue and looming budget crises, states are also facing difficult budget decisions – […]
Through a unique partnership between the Iowa Medicaid and public health agencies, Iowa’s I-Smile program addresses the disproportionate impact of dental disease on low-income individuals. I-Smile and its related I-Smile @ School for children and I-Smile Silver for adults help promote preventive oral health services and reduce barriers to dental care across the state.
Across the nation, states are developing innovative approaches to increase access to oral health services. These policies underscore the critical relationship between overall health and oral health. This blog and two new National Academy for State Health Policy fact sheets explore how several states, including Minnesota and Arizona, are expanding their oral health workforce to […]
While state policymakers across the country grapple with oral health care access challenges, California, Pennsylvania, and Connecticut are incentivizing their Medicaid plans and providers to deliver pediatric oral health services in innovative ways, with a special focus on community-based solutions. Under its Medicaid section 1115 waiver, California incentivizes dental care coordination by community health workers […]
Prevention and collaboration were the key themes as state policymakers explored innovative and cost-effective strategies to integrate oral health and primary care during #NASHPCONF18’s session, Cross Currents: Integration of Oral Health and Primary Care. Speakers underscored the importance of high-quality and regular dental care in preventing major oral and physical health problems and delivering cost […]
State health policymakers know oral health is an essential component of overall health and well-being, but state Medicaid programs face increasing costs and growing demands. Many of their enrollees struggle with high-cost, chronic conditions — often linked to oral health issues. To explore possible approaches to improve oral health care, NASHP interviewed key Medicaid officials […]
The Affordable Care Act (ACA) includes pediatric dental services as one of ten Essential Health Benefits that health plans in the small group and individual markets must cover. Adult dental services are not required, but are being offered by marketplace plans as well. However, the way that the ACA structures dental coverage has created a […]