Dental Health Plan Initiatives Dr. Larry Paul, DDS Dental Director, - PowerPoint PPT Presentation

Dental Health Plan Initiatives Dr. Larry Paul, DDS Dental Director, Keystone First September 21,2013

Beyond Your Smile Program • A collaborative medical/dental relationship • Dentists serve as an additional point of contact for members • Dentists will be trained to provide specific screenings for targeted members • Screening results are sent to the primary care provider for follow- up care

Screenings Included • Blood Pressure (for members over 12 years of age) • BMI (for members over 12 years of age) • Hemoglobin A1c (for members who have not seen their primary care physician in six months) • Cholesterol LDL/HDL (for member who have not seen their primary care physician in six months)

Beyond Your Smile Process Participating Dentists are: • Provided with access to NaviNet to identify members with care gaps • Supplied with LabCorp Hemoglobin A1c and Cholesterol test kits • Provided with the Beyond Your Smile screening form • Provided with pilot area PCP contact information • Trained on submission of a CMS-1500 form

Beyond Your Smile Pilot • Pilot in Chester, Pennsylvania • Five participating dental practices • 11,000 Keystone First members • Identify non-compliant diagnosed members • Close care gaps • Diagnose the undiagnosed