Medicaid/CHIP
Opportunities for Collaboration between State Oral Health Programs and State Medicaid-CHIP Oral Health Programs
The purpose of this document is to help states improve inter-agency collaboration by sharing examples of successful collaboration.
Medicaid/CHIP State Dental Association (MSDA)
MSDA was formed by the Medicaid and Childrens Health Insurance Program (CHIP) dental program representatives to serve as a more effective voice for the delivery of oral health care to the Medicaid population. The Annual MSDA National Profile of State Medicaid and CHIP Oral Health Programs is available to MSDA members and by subscription to the public.
Keep Kids Smiling: Promoting Oral Health through the Medicaid Benefit for Children and Adolescents
Engaging Stakeholders to Increase Dental Coverage and Access for Medicaid-Enrolled Adults: Center for Health Care Strategies (CHCS) technical assistance brief, created with support from the DentaQuest Foundation and the Robert Wood Johnson Foundation. (October 2015)
Centers for Medicare and Medicaid Services
This federal agency administers the Medicare, Medicaid and CHIP programs. There are links to dental coverage information for all three programs, easiest to access by searching on the word "dental". The following guide is available to download:
Guide to Children's Dental Care in Medicaid. 2004
Includes policy and program considerations as well as issues related to contemporary dental practice.
Children's Dental Health Project Fact Sheets
Cost Effectiveness of Preventive Dental Services
2005. CDHP policy brief, highlighting the need and rationale for children's dental services to remain in the Medicaid program.
Children's Oral Health Services: Organization and Financing Considerations
Dental Benefits in the Medicaid/CHP+ Streamlining HIFA Waiver. 2005.
Under contract with the State of Colorado, CDHP developed this document for states that are considering Medicaid reform under the federal waiver process (Health Insurance Flexibility and Accountability Program).
Does Flexibility Spell Loss of Dental Benefits? 2005.
How proposed Congressional changes to EPSDT will impact "special" populations. CDHP Special Medicaid Report.
EPSDT Periodicity Schedules and Their Relation to Pediatric Oral Health Standards in Head Start and Early Head Start.
This technical issue brief provides a historical overview and analysis of this issue.
Medicaid Reform: Implications for Poor Children's Dental Care. 2005
This is a series of regular updates, beginning in July 2005, providing detailed reports on actions taken by Federal and State Governments as they may affect access to dental care for low-income children.
Opportunities to Use Medicaid in Support of Oral Health Services
This valuable document is available online at the above link.
The CMS Form-416 Report: Understanding its Use in Assessing Dental Care Utilization in Medicaid's Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Service for Children.
This technical issue brief provides an overview of the origins, construction and revisions of this form, the most common source of data on children's utilization of dental services in Medicaid.
