MCH Best. NPM 13.2: Oral Health in Childhood
Public Insurance Coverage
MCH Strategy. Collaborate with Medicaid to increase the number of children and youth who have had a preventive dental visit in the past year.
Overview. Those with established public health insurance had greater utilization of dental services compared to recent enrollees.1
Evidence. Moderate Evidence. Public insurance coverage appears to be effective in increasing access to oral health services. Access the peer-reviewed evidence about public insurance coverage through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. State, provider.
Outcome. Percent of infants and children ages 1 to 17 with a past-year preventive dental visit. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.
Examples from the Field. There are currently 12 ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the strategy “Collaborate with Medicaid to increase the number of children and youth who have had a preventive dental visit in the past year,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).
Possible Data Sources for ESMs:
- Centers for Medicare & Medicaid Services (CMS)-416 data
- Program or clinic data
1 Clemans-Cope L, Kenney G, Waidmann T, Huntress M, Anderson N. How well is CHIP addressing oral health care needs and access for children? Acad Pediatr. 2015;15(3 Suppl):S78-84.