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FLORIDA’S STATE ORAL HEALTH ACTION PLAN February 2015 Bureau of Medicaid Services Presented by: Bob Reifinger 1.

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Presentation on theme: "FLORIDA’S STATE ORAL HEALTH ACTION PLAN February 2015 Bureau of Medicaid Services Presented by: Bob Reifinger 1."— Presentation transcript:

1 FLORIDA’S STATE ORAL HEALTH ACTION PLAN February 2015 Bureau of Medicaid Services Presented by: Bob Reifinger 1

2 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? ‘State Oral Health Action Plan’  What is the Florida ‘State Oral Health Action Plan’ and how will it impact the Florida Medicaid oral health program? 2

3 FLORIDA’S STATE ORAL HEALTH ACTION PLAN Where does Florida rank nationally? 3

4 FLORIDA’S STATE ORAL HEALTH ACTION PLAN 4

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6 Oral Health Initiative State Oral Health Action Plan (SOHAP) 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 6 http://www.civilengineeringjobs.com/statelist.shtml

7 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 7

8 FLORIDA’S STATE ORAL HEALTH ACTION PLAN 8 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)

9 9 Sample Driver Diagram

10 FLORIDA’S STATE ORAL HEALTH ACTION PLAN 10 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?

11 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 11

12 12 Questions? Thank you for your time! Contact Information: Bob Reifinger Florida Agency for Health Care Administration Primary & Preventive Care Policy Robert.reifinger@ahca.myflorida.com


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