1. Linda M. Altenhoff, DDS Texas Health Steps (THSteps) Dental and DSHS Oral Health Program (OHP) Texas Oral Health Coalition Oral Health Summit November 16, 2006

2. DSHS Regional Dental Teams

3. November 16, 2006 DSHS Regional Dental Teams Region 1 / 2 Rick Howard, DDS Rene Hardin, RDH Region 3/4/5N Maureen Weber, DDS JoAnne Lancaster, RDH Region 6/5S/7 Bill Gray, DDS Diana Beeman, RDH Region 8/11 Matt Williams, DMD Deleese Brock, RDH Region 9/10 Betty Willberg, RDH

4. November 16, 2006 DSHS Central Office Staff Texas Health Steps (THSteps) Dental Mike McAnally Belinda Abete Public Oral Health Sharon Difelice Sandy Tesch, RDH George Medlock David Stansell

5. November 16, 2006 DSHS Oral Health Program (OHP) Funding State general revenue Federal grants and cooperative agreements Medicaid administration funds Title V/Maternal and Child Health funds

6. November 16, 2006 Regional Dental Team Priorities School-based dental sealant projects Elementary schools with at least 50% free/reduced lunch participation Basic Screening Survey (surveillance) Third grade children in targeted schools Preschool children in Head Starts Preventive dental services Preschool children in Head Starts Dental exams, prophylaxis, fluoride

7. November 16, 2006 Public Health Dental – Oral Health Program (OHP) Activities Conduct grant and cooperative agreement activities Review and comment on proposed state legislation involving dental Participate in leadership activities at the national level Represent DSHS OH Program at national public health conferences

8. November 16, 2006 Public Health Dental – OHP Additional activities supporting: CDC Grant  Texas Oral Health Coalition (TOHC)  Regional oral health coalitions  Texas Community Water Fluoridation HRSA Grant  Working with TDA, TAPD, TDHA, Head Start, dental hygiene programs, dental schools

9. November 16, 2006 THSteps/MedicaidActivities Updating Take Time for Teeth Dental school recruitment presentations THSteps dental policy Medicaid Dental Stakeholder Meetings Head Start Working with TDA and TAPD Ad hoc workgroups

10. November 16, 2006 THSteps Dental Policy Diagnostic dental - D0140 – Emergency/ limited dental exam Preventive dental - D1351 - Dental Sealants Therapeutic dental - Facility reimbursement Orthodontic - D8690 - Replacement orthodontic brackets Doctor of Dentistry as a Limited Physician Anesthesia (Medical) - Anesthesiology reimbursement

11. November 16, 2006 Centers for Medicare and Medicaid Services (CMS) 416

12. November 16, 2006 THSteps Dental Frew, et al v. Hawkins, et al 2007 Texas Medicaid Provider Procedures Manual 2006 TMHP dental provider workshops TMHP provider recruitment plan

13. November 16, 2006 Why Practice Prevention?

14. November 16, 2006 Questions Contact Information: Linda M. Altenhoff, DDS State Dental Director/Manager, OHP 1100 W. 49 th Street, MC 1938 Austin, Texas 78756 Phone: (512) 458-7111 ext 3001 Fax: (512) 458-7256 Email: Linda.Altenhoff@dshs.state.tx.us