Oral health care in CSHCN: state Medicaid policy considerations

Pediatrics
Mary Kay Kenney

Abstract

Low dental care service utilization among Medicaid-enrolled children has often been attributed to low Medicaid reimbursement levels. The purpose of this study was to provide estimates of preventive dental care utilization by Medicaid-enrolled children with special health care needs (CSHCN) and investigate the association of Medicaid preventive dental care reimbursement levels with the receipt of preventive dental care. We analyzed data for 40256 CSHCN (1-17 years of age). Unadjusted estimates of not needing, needing and receiving, and needing but not receiving preventive dental care are presented. Multilevel logistic regression models were fitted to examine associations between state Medicaid dental-procedure reimbursement and receipt of preventive dental care. Some significant associations were found between state-level Medicaid dental-procedure reimbursements and receipt of preventive dental care. The strongest individual-level factor associated with not receiving needed preventive dental care was not receiving needed preventive medical care. Parents of Medicaid-enrolled CSHCN were less likely to report receiving needed preventive dental care and more likely to report not needing or not receiving preventive dental care than n...Continue Reading

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Citations

Sep 29, 2011·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·Lynette E KagiharaBetsy A Anderson
Apr 13, 2012·International Journal of Dentistry·Bussma Ahmed Bugis
Nov 2, 2015·Maternal and Child Health Journal·Beth M McManusAdam Carle
Dec 13, 2016·Pediatrics·Dennis Z KuoUNKNOWN COUNCIL ON CHILDREN WITH DISABILITIES
May 25, 2011·Pediatrics·Joanna BisgaierKarin V Rhodes
Mar 16, 2011·Pediatrics·Bonnie B StricklandPaul W Newacheck

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