Medi-Cal Dental Advisory Committee (MCDAC)

Transcription

1 Medi-Cal Dental Advisory Committee (MCDAC) Update to the Sacramento County Board of Supervisors January 2015 First 5 Sacramento, Sacramento County, MCDAC Update 1

2 Policy Process to Improve Medi-Cal Dental in Sacramento County DHCS PHAB CDTF RFA GMC BOS DHHS MCDAC Key Department of Health Care Services Public Health Advisory Board Children s Dental Task Force Request for Applications Geographic Managed Care Board of Supervisors Department of Health & Human Services Medi-Cal Dental Advisory Committee First 5 Sacramento, Sacramento County, MCDAC Update 2

3 Sacramento County Charter Approved Purpose: The purpose of the Medi-Cal Dental Advisory Committee is to provide oversight and guidance to improve dental utilization rates, the delivery of oral health and dental care services, including prevention and education services, dental managed care and fee-forservice Denti-Cal in Sacramento County. Authority: AB 1467 (Budget Committee), effective July 1, Sponsor/Convener: First 5 Sacramento Commission. Scope of Work (SOW): The Medi-Cal Dental Managed Care Advisory Committee will provide input verbally and in writing on the delivery of oral health and dental care services to the Department of Health Care Services (DHCS) the Sacramento County Board of Supervisors (BOS) and the First 5 Sacramento Commission, as applicable, regarding policies that improve the delivery of oral health and dental services in Sacramento County under the Medi-Cal program or countyadministered health care system. First 5 Sacramento, Sacramento County, MCDAC Update 3

4 Medi-Cal Dental Advisory Committee (MCDAC) 2014 Members Members by Category: First 5 Sacramento Commission Sacramento County Health & Human Services Sacramento Public Health Officer Sacramento District Dental Society California Dental Association Beneficiaries (Parents) (2) Community Dental Clinics Dental Providers (2) Pediatrician or Family Practice MD Public Health Advisory Board Advocates (2) Members at Large (2) Dental Plan Representatives (1 per Plan) Members: Debra Payne Kate Varanelli (Vice-Chair) Olivia Kasirye, MD Cathy Levering Nicette Short Darrell Lake LaTasha Windham Jonathan Porteus Terrence Jones, DDS (Chair) Jim Musser, DDS Mary Jess Wilson, MD Robert Meagher, MD Alla Ponomar Cynthia Vanzant Eric Fimbres Vacant Lynda Williams recommended by MCDAC Health Net Dental Plan Sean O Brien LIBERTY Dental Plan Melinda Anderson Access Dental Plan Vacant Alisha Hightower recommended by MCDAC First 5 Sacramento, Sacramento County, MCDAC Update 4

5 MCDAC Major Accomplishments *Increased utilization for children ages 0 to 20 from 20% in 2008 to just over 43% in 2012 *Created educational handouts How to Successfully Make a GMC Dental Appointment and statewide Benefits Information Card (BIC) Stuffer *Created Car Seat Program for Medical & Dental Appointments for Families without Cars *Worked with Senator Steinberg s Office to extend Sutter Hospital s termination of OR time for dental procedures *Dental Plans have taken responsibility for ensuring coordination between medical and dental approvals for hospital dentistry First 5 Sacramento, Sacramento County, MCDAC Update 5

6 How to Successfully Make a Dental Appointment with a Medi-Cal Dental Geographic Managed Care (GMC) Dentist Parent/Guardian Knows Dental Plan & Office Parent/Guardian Doesn t Know Dental Plan Call Health Care Options (HCO): for Dental Plan & Member Service Number Call Assigned Dental Office (Located On Your Member Card) Appointment Made Successfully at Dental Office Congratulations! You Have a Regular Dentist Continue with Routine Dental Care - 2 times Per Year Unsuccessful in Making a Dental Appointment at Dental Office Call Dental Plan Member Services: Access Dental Plan Health Net Dental Plan LIBERTY Dental Plan Unsuccessful in Making a Timely Dental Appointment (916) Call State Department of Health Care Services (DHCS) Beneficiary Dental Exception (BDE) line: They will assist you to make the appointment. First 5 Sacramento, Sacramento County, MCDAC Update 6

7 Front Did you know that you may have dental benefits under Medi-Cal? To learn more about your dental benefits, call Denti-Cal Customer Service For more information, go to Back Sabía usted que usted puede tener beneficios dentales bajo Medi-Cal? Para aprender más acerca de sus beneficios dentales, llame al Servicio al Cliente de Denti-Cal Para obtener más información, vaya a First 5 Sacramento, Sacramento County, MCDAC Update 7

8 MCDAC 2015 Goals *Continue to Improve Utilization and Access Issues *DHCS Data Transparency: Timeliness and Reporting *Richer Partnership with DHCS to accomplish goals *Dental Plans Partnership: Outreach and Education *Hospital Access to Care and possible Surgical Center in Sacramento County *Work with Legislative Leaders 2015 *Continue LA & Sacramento County Stakeholder Conference Calls *BIC Card Distribution Input *Virtual Dental Home Implementation (AB 1174) *California Dental Director Hiring and Possible Partnership First 5 Sacramento, Sacramento County, MCDAC Update 8

9 First 5 Funded Services that Support Dental Goals *Fluoridation Projects *5 Children s Dental Centers * Downtown * Oak Park * North Highlands * South Valley * Rancho Cordova *Smile Keeper s Mobile Vans *Galt Children s Dental Center *$300,000 - Outreach/Screening & Utilization *$200,000 Outreach & Public Education First 5 Sacramento, Sacramento County, MCDAC Update 9

10 MCDAC Contacts *Terrence Jones, DDS MCDAC Chair (916) *Debra Payne, MSW MCDAC Member & Staff (916) *Kate Varanelli, RDH MCDAC Vice-Chair (916) First 5 Sacramento, Sacramento County, MCDAC Update 10