florida’s state oral health action plan february 2015 bureau of medicaid services presented by:...
TRANSCRIPT
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FLORIDA’S STATE ORAL HEALTH
ACTION PLAN
FLORIDA’S STATE ORAL HEALTH
ACTION PLAN
February 2015Bureau of Medicaid Services
Presented by: Bob Reifinger
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FLORIDA’S STATE ORAL HEALTH
ACTION PLAN
Presentation Objectives
• At the end of the presentation participants will be able to answer:
What progress is FL making in regards to Medicaid or CHIP eligible children, age 1 through age 20 years, who receive a preventive dental service?
Where is FL ranked nationally regarding Medicaid or CHIP eligible children, age 6 through age 9 years, who receive a dental sealant on a permanent molar tooth?
What is the Florida ‘State Oral Health Action Plan’ and how will it impact the Florida Medicaid oral health program?
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FLORIDA’S STATE ORAL HEALTH
ACTION PLANWhere does Florida rank
nationally?
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FLORIDA’S STATE ORAL HEALTH
ACTION PLAN
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FLORIDA’S STATE ORAL HEALTH
ACTION PLAN
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FLORIDA’S STATE ORAL HEALTH
ACTION PLAN
Oral Health Initiative
• The Centers for Medicare & Medicaid Services (CMS) selected a total of five states in the fall of 2014 to participate in a learning collaborative to provide state Medicaid agencies with technical assistance to design, develop and implement a State Oral Health Action Plan (SOHAP)
• District of Columbia, Kansas, Michigan, Utah and Florida
• Initial collaborative period October 27, 2014 - May 15, 2015
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SOHAP Goals
• Aimed at meeting CMS’ children’s oral health care improvement goals:
- Increasing the proportion of children ages 1-20 enrolled in Medicaid or CHIP for at least 90 continuous days who receive a preventive dental service by 10 percentage points between FFY 2011 and FFY 2015
- Increasing the proportion of children ages 6-9 enrolled in Medicaid or CHIP for at least 90 continuous days who receive a dental sealant on a permanent molar tooth by 10 percentage points
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FLORIDA’S STATE ORAL HEALTH
ACTION PLAN
What’s included in the SOHAP?
• Describes and assesses the FL Medicaid dental delivery system
• Structure, current workforce participation, dental reimbursement rates, opportunities, and resources (which will improve dental service utilization and identify key barriers to preventive service utilization)
• Identifies key drivers of change and interventions needed to meet the CMS goals (using a driver diagram)
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Sample Driver Diagram
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FLORIDA’S STATE ORAL HEALTH
ACTION PLAN
What’s included in the SOHAP?
• Describes and assesses FL’s Medicaid dental delivery system.
• Structure, current workforce participation, dental reimbursement rates, opportunities, and resources (which will improve dental service utilization and identify key barriers to preventive service utilization)
• Identifies key drivers of change and interventions needed to meet the CMS goals (using a driver diagram)
• Determines the resources needed to implement the interventions
• What barriers will we encounter? Potential solutions?• What technical assistance will be needed from CMS to overcome these
barriers?
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Participants
• Florida Agency for Health Care Administration (Medicaid)
• Florida Dental Association
• Florida Dental Hygiene Association
• Florida Department of Health
• Florida Institute for Health Innovation
• Liberty Dental Plan
• Sunshine State Health Plan
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Questions?
Thank you for your time! Contact Information:
Bob ReifingerFlorida Agency for Health Care Administration
Primary & Preventive Care [email protected]