MCH Best. NPM 13.2: Preventive Dental Visit: Childhood
Strategy. Medicaid Reforms
Approach. Increase the number of dental providers who accept Medicaid through activities such as provider training, increased reimbursements, and other incentives.
Overview. Medicaid reform (e.g., increased reimbursement paid to providers, recruitment of dentists to participate in Medicaid, administrative changes, health plan incentives) can increase preventive dental care utilization.1
Evidence. Moderate Evidence. Medicaid reforms appear to be effective. Access the peer-reviewed evidence about Medicaid reforms 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 0 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 approach “Increase the number of dental providers who accept Medicaid through activities such as provider training, increased reimbursements, and other incentives,” 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).
1 Nasseh K, Vujicic M. The impact of Medicaid reform on children's dental care utilization in Connecticut, Maryland, and Texas. Health Serv Res. 2015;50(4):1236-1249.