Navigation Links
ADA Asks Congress to Strengthen Medicaid Oral Health Programs

Reimbursement rates, administrative barriers and dental community involvement cited

WASHINGTON, Sept.23 /PRNewswire-USNewswire/ -- The American Dental Association (ADA) called on Congress and other stakeholders to work together to get more dentists to participate in Medicaid and help the program provide necessary dental care to vulnerable low-income children.

In testimony provided today to the House Committee on Oversight and Government Reform Subcommittee on Domestic Policy, ADA Vice President Jane Grover, D.D.S., said that the most effective thing Congress and the states can do to help Medicaid provide quality oral health care is to increase reimbursement rates to attract more dentists into the program. In addition, they should address ongoing administrative barriers (such as excessive paperwork), and involve state dental societies and individual dentists as active partners in improving the program.

Dr. Grover, who is the dental director at a federally qualified health center in Michigan, said she is well acquainted with the reasons many private practice dentists do not participate in Medicaid. Currently, she said, many state Medicaid fees are well below what it costs dentists to provide care, a situation that severely limits the program's effectiveness.

In her testimony, Dr. Grover cited Michigan's "Healthy Kids Dental" program for its effectiveness in improving access to oral health care.

"The 'Healthy Kids Dental' program is essentially the same as the private sector Delta Dental plan used by many individuals with coverage provided by their employer in the State of Michigan," Dr. Grover said. "The dentists are paid at a PPO rate, which might be less than the usual rate charged by the dentist but is still widely accepted. The claims processing is identical to the private sector plan, except the beneficiaries have no co-pays and there is no annual maximum. In other words, from the dentist's perspective there is no difference between the 'Healthy Kids Dental' program and the widely accepted Delta Dental private plans."

She noted that the "Healthy Kids" plan -- with its improved reimbursement rates -- has been a resounding success, with dentist participation shooting up from 25 percent to 80 percent within one year of the program's introduction in 2001. Participation now stands at 90 percent.

The key to the success of "Healthy Kids," Dr. Grover said, is the cooperation between all stakeholders in the state to make it succeed. The Michigan Dental Association, the Michigan Department of Community Health, and Delta Dental of Michigan, Ohio and Indian joined forces to work with the legislature and the governor to develop and expand the program.

To help states improve their Medicaid programs -- and greatly improve dental coverage for low-income children -- Congress should pass H.R. 2472, the Essential Oral Health Care Act, Dr. Grover said. This bill is important, she said, because it would provide enhanced federal matching funds if a state is willing to increase Medicaid reimbursement rates, address administrative barriers, and reach out to the dental community.

About the American Dental Association

The not-for-profit ADA is the nation's largest dental association, representing more than 156,000 dentist members. The premier source of oral health information, the ADA has advocated for the public's health and promoted the art and science of dentistry since 1859. The ADA's state-of-the-art research facilities develop and test dental products and materials that have advanced the practice of dentistry and made the patient experience more positive. The ADA Seal of Acceptance long has been a valuable and respected guide to consumer dental care products. JADA, a monthly journal, is the ADA's flagship publication and the best-read scientific journal in dentistry. For more information about the ADA, visit the Association's Web site at HYPERLINK ""

SOURCE American Dental Association
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. TriWest Sponsors Congressional Medal of Honor Convention
2. Coalition for Pulmonary Fibrosis Launches Aggressive Ad Campaign Directed at United States Congress
3. AOA President Calls on Congress to Reauthorize SCHIP and Take Action to Ensure Health Care Coverage for All Americans
4. EDAP Launches Enhanced Communication Plans at SIU Paris Congress
5. World fertility experts to meet in Montreal - IVF and IVM patients to provide first-person accounts at 14th World Congress
6. Congress Poised to Add Millions of Uninsured Children to Successful, Bipartisan Health Plan
7. National Council on Disability Urges Congress to Support Americans with Disabilities Act Restoration
8. MUHC in the spotlight at the 14th World Congress on In Vitro Fertilization
9. Labopharm To Present Poster On Onset Of Analgesic Effect Of Once-Daily Tramadol At Congress Of The European Society Of Regional Anaesthesia And Pain Therapy
10. Health IT Now! Coalition Urges Congress to Pass Health Information Technology Bill This Year
11. Childrens Hospitals in Washington to Lobby Congress to Reauthorize SCHIP Now
Post Your Comments:
(Date:10/13/2017)... ... 13, 2017 , ... Apple Rehab Shelton Lakes , which specializes in ... the facility as part of a disaster drill on October 3rd. , Apple Rehab ... City Emergency Manager, as well as the Connecticut Long Term Care Mutual Aid ...
(Date:10/13/2017)... RIDGE, N.J. (PRWEB) , ... October 13, 2017 , ... ... annual Holly Day Market. Featuring a collection of specialty vendors and unique items from ... of personalized and quality-focused health and wellness services offered by the VNA. The ...
(Date:10/13/2017)... ... ... Global Healthcare Management’s 4th Annual Kids Fun Run brought out many kids this ... by Global Healthcare Management’s CEO, Jon Letko, is aimed at getting kids excited about ... ages; it is a non-competitive, non-timed event, which is all about having fun and ...
(Date:10/13/2017)... ... October 13, 2017 , ... ... viewers the lowdown on sciatica in a new episode of "Success Files," which ... current events and innovation and investigates each subject in-depth with passion and integrity. ...
(Date:10/13/2017)... ... 2017 , ... “The Journey: From the Mountains to the Mission Field”: the ... in the Philippines. “The Journey: From the Mountains to the Mission Field” is the ... She has taught all ages and currently teaches a class of ladies at her ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... Halo Labs announces the European launch of their new ... at MIBio 2017 in Cambridge, U.K on ... in biopharmaceutical samples with unprecedented speed and sensitivity while using far ... Membrane Imaging. ... particle analysis system ...
(Date:9/28/2017)... -- Hill-Rom Holdings, Inc. (NYSE: HRC), will host its ... on Friday, November 3, 2017, beginning at 7:00 a.m. ... 8:30 a.m. (CDT) / 9:30 a.m. (EDT). ... and guidance for 2018, Hill-Rom executives will also highlight ... and long-range financial outlook through 2020. ...
(Date:9/27/2017)... , Sept. 27, 2017  Commended for their devotion ... notable awards. Ranked as number one in the South Florida ... time in Inc. 5000 yearly list, the national specialty pharmacy ... Armando Bardisa will soon be honored by SFBJ ... Set to receive his award in ...
Breaking Medicine Technology: