Task Force on Children's Preventive Oral Health Services

The NCIOM Task Force on Children’s Preventive Oral Health Services was a collaborative effort between Blue Cross and Blue Shield of North Carolina Foundation, the North Carolina Division of Medical Assistance (DMA), and the Oral Health Section (OHS) within the North Carolina Division of Public Health. It was convened to respond to the Centers for Medicare and Medicaid Services call for every state to develop a plan to increase the proportion of children ages 1-20 enrolled in Medicaid or CHIP who receive any preventive dental services and the proportion of children ages 6-9 who receive a dental sealant on a permanent molar tooth by 10 percentage points over 5years.

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Co-Chairs
Mark Casey, DDS, MPH
Dental Director, Division of Medical Assistance
North Carolina Department of Human Services
Frank Courts, DDS
Chair
Physicians Advisory Group Dental Committee
Marian F. Earls, MD, FAAP
Lead Pediatric Consultant
Community Care of North Carolina
Project Director  Berkeley Yorkery, MPP
Project Director
North Carolina Institute of Medicine
In FY2011, there were approximately 1 million children (ages 1-20) receiving Medicaid and almost 210,000 children receiving Children’s Health Insurance Program (CHIP or NC Health Choice) in NC. Only 17% of Medicaid-eligible children ages 6-9 received a sealant on any of their permanent molars. Approximately 38% of children covered by NC Health Choice received a preventive dental service in FY 2011. The Centers for Medicare and Medicaid Services wants states to develop a plan to increase the proportion of children ages 1-20 enrolled in Medicaid or CHIP who receive any preventive dental services and the proportion of children ages 6-9 who receive a dental sealant on a permanent molar tooth by 10 percentage points over 5years.



Goals:
The Task Force will help DMA develop its required dental action plan to improve access to preventive oral health services for all children by:

1)      Increasing the proportion of children ages 1-20 enrolled in Medicaid or CHIP who received any preventive dental services by 10 percentage points over a five-year period.

2)      Increasing the proportion of children ages 6-9 enrolled in Medicaid or CHIP who receive a dental sealant on a permanent molar tooth by 10 percentage points over a five-year period.

3)      In addition to these goals set by CMS, the expanded North Carolina plan will include a goal to raise utilization of preventive oral health care at the county level, including in the medical environment, by 10 percentage points over a five-year period.

The NCIOM will work with the North Carolina Division of Medical Assistance and the task force to produce two products: 1) the Medicaid dental action plan in the required CMS template; and 2) a report that can be distributed more widely that discusses the need, as well as the strategies to improve access to preventive dental services for children enrolled in Medicaid or CHIP.


Meeting Dates:
10am-3pm Friday, December 14, 2012
10am-3pm Friday, January 25, 2013
10am-3pm Friday, February 22, 2013
10am-3pm Friday, March 22, 2013
10am-3pm, Friday, April 26, 2013
10am-3pm, Friday, May 31, 2013

The March/April Issue of the North Carolina Medical Journal on Oral Health is available online here: NCMJ 73(2). It includes an issue brief by R. Gary Rozier, DDS, MPH - Oral Health in North Carolina: Innovations, Opportunities, and Challenges.