SOS Fergus Falls Community Dental Clinic SPMI SOS Fergus Falls Community Dental Clinic

5 SOS Dental Clinics

SOS Fergus Falls Dental Clinic

Our team: Dr. Jason Bjerketvedt, DDS Trish McClelland, Office Manager Dr. Jayme Mace, DMD Amber Wulff, RDH Becky Collom, RDH Trish McClelland, Office Manager Sandy Johnson, LDA Lynette Rohloff, LDA Rosemary Wiese, LDA

Our team:

What our Program is: SOS Fergus Falls Community Dental Clinic Our state operated dental clinic provides preventative, restorative, and hospital dentistry specifically for consumers on MN Healthcare with: -Developmental Disabilities -Traumatic Brain Injury -Mental Health Disabilities -Chemical Dependency

How do people access our Dental Services? SOS Fergus Falls Community Dental Clinic Clinic Phone Number Toll Free: 1-800-663-6713 Direct: (218) 739-7254 Office Manager: Trish McClelland (218) 739-7444 Clinic Address: 1121 Pebble Lake Road Fergus Falls, MN 56537

Fergus Falls Hours of Operation: SOS Fergus Falls Community Dental Clinic Clinic Hours: Monday – Thursday: 7:00 am- 4:15 pm (Opportunity to be open on Fridays, if patient capacity provides.) Comprehensive Hospital Dentistry: Wednesdays, Fergus Falls Lake Region Hospital Performed by either Dr. Jason Bjerketvedt, DDS or Dr. Jayme Mace, DMD.

Lake Region Healthcare, Fergus Falls, MN

Comprehensive Hospital Dentistry When adequate care cannot be completed in the office setting: General sedation Comprehensive care: Restorative Preventative X-rays Extractions

How will services provided get paid? SOS Fergus Falls Community Dental Clinic Our clinic is reimbursed by all MN Healthcare programs, including: Medical Assistance Managed Care: Blue Plus Primewest Doral Medica Financial obligation to consumer may occur if insurance does not cover treatment plan: The bill will be mailed directly to the consumer/guardian. *Proudly, our main focus is to provide quality patient care, not cost.

Fergus Falls Community Dental Clinic process and procedures: For SPMI consumers to be seen at our clinic: The referral must come from: - county case worker - residential/foster care/assisted living staff member Be on a MN Healthcare program SPMI diagnosis After the appointment has been made: You will receive new patient paperwork to be completed by appointment.

SOS Fergus Falls Community Dental Clinic Our expectations:

Consumer reliability: Attend all appointments Follow recommended dental treatment, and home care Collaboration with 1 designated contact person to: Support consumer with dental care Discuss/Determine treatment plan Follow up on treatment plan, home care, etc.

Comprehensive care is our priority -doctor exam -hard tissue charting -full mouth periodontal probes -full mouth set of x-rays -cleaning/scaling and root planning -fluoride treatment

the consumer can elect emergency care only. If the consumer chooses not to comply with comprehensive care, the consumer can elect emergency care only.

Person-centered service throughout all dental treatment Fergus Falls Dental Clinic Values= Person-centered service throughout all dental treatment

it would be helpful to know: In order to guide patient care it would be helpful to know:

Who is responsible for making/ cancelling/rescheduling appointments? Legal Guardian AND/OR Case Worker/Staff/Consumer

Who does the dental clinic contact for treatment options? Legal Guardian OR Case Worker/Staff *We request the guardian/case worker be present at the 1st comprehensive appointment. Many treatment options will be discussed, and informed consent is essential.

Who can we rely on for consumer follow through with treatment plans? Legal Guardian OR Case Worker/Staff/Consumer

Information we need from you:

Required: Full Name Date of Birth Medical Assistance # Phone # Consumer information Referral information Full Name Date of Birth Medical Assistance # Phone # Primary Medical Diagnosis Name Title County Phone # Fax/Email

Has the consumer had recent dental care, and are there records to be transferred to our office? MA only pays for certain treatment 1 x/year We must have the current x-rays, cleaning, and exam information, or there will be fees assessed

Does the consumer provide their own transportation?

Are there any behaviors/characteristics we should know so we can provide the best dental care possible for the consumer? Hostility Anxiety Phobia Triggers

Who can we rely on to help the consumer with their recommended treatment plan? Home care Diet/Nutrition Managing appointments

How this all works: Telephone call from case worker to our clinic Make appointment Gather all information to include records being transferred to our clinic First appointment X-rays, cleaning and comprehensive exam Appointment for dental work Preventative care appointments set up

We thank you for the opportunity to meet consumer’s dental needs! Our specialized dental clinic is a challenging yet very rewarding environment. We thank you for the opportunity to meet consumer’s dental needs!