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| Author | : James F. Heidenreich |
| Publisher | : |
| Total Pages | : 41 |
| Release | : 2014 |
| Genre | : |
| ISBN | : |
| Author | : Maureen H. Craig |
| Publisher | : |
| Total Pages | : 40 |
| Release | : 2017 |
| Genre | : |
| ISBN | : |
Objectives: To identify potential disparities affecting young children with special health care needs (CSHCN) within public dental programs by evaluating preventive dental care utilization rates in Washington State's Access to Baby and Child Dentistry (ABCD) Program. Methods: This is a cross-sectional analysis of 2012 Medicaid data from Washington state. The data was obtained from the Washington State Health Care Authority and included children under age six who were enrolled in the Medicaid program in 2012 for 11-12 months (N=206,488). Medical diagnosis codes (from hospital, inpatient, and outpatient data) and Medicaid eligibility files were used to determine each child's special needs status. The outcome was utilization of preventive dental services, as determined by Current Dental Terminology (CDT) codes. Modified Poisson regression was used to estimate both crude and adjusted prevalence rate ratios with 95% confidence intervals (CI). All analyses were conducted using Stata 13 for Windows (StataCorp LP, College Station, Texas, USA). Results: There were 58,511 children determined to have SHCN (28.3%). A total of 114,570 children had at least one preventive dental visit in 2012 (55.5%). Age, SHCN status, Ethnicity, Race, and county Health Professional Shortage Area (HPSA) were statistical confounders and included in the adjusted Modified Poisson regression analysis. The adjusted analysis revealed CSHCN were 1.04 times more likely to utilize preventive dental care than their typically developing peers (95% CI: 1.03, 1.05, p
| Author | : June Gibbs Brown |
| Publisher | : |
| Total Pages | : 104 |
| Release | : 1996 |
| Genre | : Children |
| ISBN | : |
| Author | : |
| Publisher | : |
| Total Pages | : 44 |
| Release | : 2003 |
| Genre | : Reference |
| ISBN | : |
| Author | : United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Domestic Policy |
| Publisher | : |
| Total Pages | : 236 |
| Release | : 2007 |
| Genre | : Medical |
| ISBN | : |
| Author | : Tung Le Nguyen |
| Publisher | : |
| Total Pages | : 0 |
| Release | : 2022 |
| Genre | : |
| ISBN | : |
Existing literature surrounding pediatric refugee oral health is limited. Further understanding of dental utilization in this population is necessary for driving policy and resources to support pediatric refugee oral health. This study compares dental utilization between pediatric refugees resettled in Washington (WA) State and Medicaid eligible pediatric non-refugee residents. This retrospective longitudinal study utilized a dataset generated from a collaborative effort between the Washington State Health Care Authority, the Department of Health, and the Department of Social and Health Services. The 1,125 pediatric refugees were matched based on sex, age, and Medicaid enrollment date in an approximate ratio of 1:3 with 3,462 pediatric non-refugees. Both groups were followed over 36 months from 2015-2018. Medicaid data including demographics, disability status, dental claims dates and codes were analyzed using descriptive statistics and ANOVA. Of the 1,125 pediatric refugees settled in WA State in 2015 most refugee children were non-disabled, reported White race, and were between 0-6 years of age. From 2015-2018, 90% of pediatric refugees utilized dental services compared to 81% of pediatric non-refugees. Over the 36 months, refugee children had 1.4 times more overall mean claims, 1.3 times more diagnostic mean claims, 1.9 times more surgery mean claims and 2.4 times more restorative mean claims than non-refugee children. In Year One, pediatric refugees showed higher overall mean claims and mean claims by individual categories than pediatric non-refugees except for orthodontics and miscellaneous. There was a year over year decrease for pediatric refugees in overall mean claims and mean claims in all individual categories except for orthodontics which showed an increase. From 2015-2018 newly resettled pediatric refugees utilized dental care at a higher rate than non-refugees and consumed more dental services. Pediatric refugees initially had greater acute dental needs than pediatric non-refugees and consumed more restorative and surgical services. This trended lower year by year and was ultimately comparable to levels observed in pediatric non-refugees by Year Three.
| Author | : United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Domestic Policy |
| Publisher | : |
| Total Pages | : 216 |
| Release | : 2009 |
| Genre | : Family & Relationships |
| ISBN | : |
| Author | : Alicia Puente Cackley |
| Publisher | : DIANE Publishing |
| Total Pages | : 48 |
| Release | : 2010 |
| Genre | : Health & Fitness |
| ISBN | : 1437924174 |
Children's access to Medicaid dental services is a long-standing concern. Medicaid -- a joint fed. and state program that provides health care coverage, including dental care, for 30 million low-income children -- but, many children in Medicaid experience difficulty finding a dentist who would treat them. At the fed. level, the Centers for Medicare and Medicaid Services (CMS) oversees Medicaid. This report examined: (1) state strategies to monitor and improve access to dental care for children in Medicaid; and (2) CMS actions since 2007 to improve oversight of Medicaid dental services for children. The author surveyed all state Medicaid programs and interviewed state and fed. officials, and dental researchers and associations. Charts and tables.
| Author | : Matthew. A. Winheim |
| Publisher | : |
| Total Pages | : |
| Release | : 2010 |
| Genre | : |
| ISBN | : |
Background: Regular access to dental services is a well-known factor in the oral health and development of children.1 As such, the United States federal government mandates each state to include dental services for children enrolled in Medicaid through the age of 21. Despite this mandate, the utilization rate of dental services among Medicaid enrolled children has remained remarkably low.2 In July 2005, Virginia implemented a sweeping Medicaid policy reform titled "Smiles for Children" specifically aiming to increase Medicaid pediatric dental utilization rates. The purpose of this study aims to assess the effect of this 2005 policy reform on the utilization of dental services by children enrolled in Medicaid. Objective: The purpose of this study is to examine the impact of the 2005 Virginia Smiles for Children Medicaid policy reform on the utilization of dental services among Medicaid enrolled children. Methods: This was a retrospective cohort study of children (pre-reform n=559,820, post-reform n=690,538) enrolled in Virginia Medicaid from 2002 through 2008. Descriptive statistics and repeated measures multivariate logistic regressions were used to determine the relationship between enrollment (Pre- and Post-policy reform) and the utilization of dental services (1+ Dental Visits vs. No Dental Visits). Results: Descriptive analysis of the cohort found that 34% of pre-reform children had a dental visit while 44% of post-reform children. The logistic regression models revealed that children in the post reform period were 1.39 as likely to have had a dental visit. Stratifying for enrollment length reveals that as the length of exposure time to the post-reform policy increases, the odds of having a dental visit also increase as compared to the pre-reform period: for 31-36 months of enrollment the odds increase 1.54 times. Conclusions: Medicaid policy reform can significantly improve access to dental services for children and can therefore play an important role in promoting public health.
| Author | : Olga Elizarova |
| Publisher | : |
| Total Pages | : 86 |
| Release | : 2015 |
| Genre | : Children |
| ISBN | : |
