Medi-Cal Dental Advisory Committee (MCDAC) Update to the S acramento County Board of S upervisors – January 2015 First 5 Sacramento, Sacramento County, MCDAC Update 1
Policy Process to Improve Medi-Cal Dental in Sacramento County Key DHCS ervices Depart ment of Healt h Care S PHAB Public Healt h Advisory Board CDTF Children’ s Dent al Task Force RFA Request for Applicat ions GMC Geographic Managed Care BOS upervisors Board of S DHHS ervices Depart ment of Healt h & Human S MCDAC Medi-Cal Dent al Advisory Committee First 5 Sacramento, Sacramento County, MCDAC Update 2
Sacramento County Charter Approved 12-11-12 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-for- service Denti-Cal in S acramento County. Authority: AB 1467 (Budget Committee), effective July 1, 2012. Sponsor/Convener: First 5 S acramento 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 S ervices (DHCS ) the S acramento County Board of S upervisors (BOS ) and the First 5 S acramento Commission, as applicable, regarding policies that improve the delivery of oral health and dental services in S acramento County under the Medi-Cal program or county- administered health care system. First 5 Sacramento, Sacramento County, MCDAC Update 3
Medi-Cal Dental Advisory Committee (MCDAC) – 2014 Members Members by Category: Members: First 5 Sacramento Commission Debra Payne Sacramento County Health & Human Services Kate Varanelli (Vice-Chair) Sacramento Public Health Officer Olivia Kasirye, MD Sacramento District Dental Society Cathy Levering California Dental Association Nicette Short Beneficiaries (Parents) (2) Darrell Lake LaTasha Windham Community Dental Clinics Jonathan Porteus Dental Providers (2) Terrence Jones, DDS (Chair) Jim Musser, DDS Pediatrician or Family Practice MD Mary Jess Wilson, MD Public Health Advisory Board Robert Meagher, MD Advocates (2) Alla Ponomar Cynthia Vanzant Members at Large (2) Eric Fimbres Vacant – Lynda Williams recommended by MCDAC Dental Plan Representatives (1 per Plan) Health Net Dental Plan– Sean O’Brien LIBERTY Dental Plan– Melinda Anderson Access Dental Plan – Vacant – Alisha Hightower recommended by MCDAC 4 First 5 Sacramento, Sacramento County, MCDAC Update
MCDAC Major Accomplishments * Increased utilization for children ages 0 to 20 from 20% in 2008 to j ust over 43% in 2012 * Created educational handouts “ How to S uccessfully Make a GMC Dental Appointment” and statewide Benefits Information Card (BIC) S tuffer * Created Car S eat Program for Medical & Dental Appointments for Families without Cars * Worked with S enator S teinberg’s Office to extend S utter 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 5 First 5 Sacramento, Sacramento County, MCDAC Update
How to Successfully Make a Dental Appointment with a Medi-Cal Dental Geographic Managed Care (GMC) Dentist Parent/Guardian Doesn’t Know Parent/Guardian Dental Plan Knows Dental Plan & Office Call Health Care Options (HCO): 1-800-430-4263 for Dental Plan & Member Service Number Call Assigned Dental Office (Located On Your Member Card) Unsuccessful in Making a Dental Appointment at Dental Office Appointment Made Successfully at Dental Office Call Dental Plan Member Services: Access Dental Plan 1-877-821-3234 Health Net Dental Plan 1-877-550-3868 Congratulations! LIBERTY Dental Plan 1-877-550-3875 You Have a Regular Dentist – Continue with Routine Dental Care - 2 times Unsuccessful in Making a Timely Per Year Dental Appointment Call State Department of Health Care Services (DHCS) Beneficiary Dental Exception (BDE) line: 1-855-347-3310 (916) 876-5865 They will assist you to make the www.First5Sacramento.net appointment. 6 First 5 Sacramento, Sacramento County, MCDAC Update
Front For more information, go Did you know To learn more to that you may about your www.denti- have dental cal.ca.gov dent al benefit s, benefits under call Denti-Cal Medi-Cal? Customer Service 1-800-322- 6384 Back Para obtener más ¿ S abía usted que Para aprender más información, vaya a usted puede tener acerca de sus www.denti- beneficios beneficios cal.ca.gov dentales, llame al dentales baj o Servicio al Cliente Medi-Cal? de Denti-Cal 1-800-322- 6384 First 5 Sacramento, Sacramento County, MCDAC Update 7
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 S urgical Center in S acramento County * Work with Legislative Leaders 2015 * Continue LA & S acramento County S takeholder Conference Calls * BIC Card Distribution Input * Virtual Dental Home Implementation (AB 1174) * California Dental Director Hiring and Possible Partnership 8 First 5 Sacramento, Sacramento County, MCDAC Update
First 5 Funded Services that Support Dental Goals * Fluoridation Proj ects * Galt Children’s Dental * 5 Children’s Dental Centers Center * $300,000 - * Downtown Outreach/ S creening & * Oak Park Utilization * North Highlands * $200,000 – Outreach & * S outh Valley Public Education * Rancho Cordova * S mile Keeper’s Mobile Vans First 5 Sacramento, Sacramento County, MCDAC Update 9
MCDAC Contacts * Terrence Jones, DDS * Debra Payne, MS W MCDAC Chair MCDAC Member & S taff (916) 929-6631 (916) 876-5870 TWJ.5252@ yahoo.com saccounty.net paynede@ * Kate Varanelli, RDH MCDAC Vice-Chair (916) 875-6259 VaranelliK@ saccounty.net 10 First 5 Sacramento, Sacramento County, MCDAC Update
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