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Oral Health Illustrations: Latest Update

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Oral Health Illustrations: Latest Update
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2023-07-07
2026-10-15
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Oral Health Illustrations

Blueprint of Oral Health
Last updated: July 6th, 2023
Care

Principles of Oral Health
Last updated: July 6th, 2023
Care

Better Funding, Better Coverage
Adults with Medicaid need better oral health
coverage. Limiting services lead to patients
paying out-of-pocket costs or avoiding oral
health care until there is an emergency. State
policy changes can designate funding for
expanding oral health covered services

Raise Reimbursement Rates
Oral health care providers want reimbursement
rates increased due to inflation, supply
shortages and labor costs. State policy changes
can raise reimbursement rates for Medicaid
providers.

Representation in Legislation
Oral health care providers have firsthand
knowledge of how state legislation affects
patients and providers. These experienced
individuals must be consulted as states write
policies and manage Medicaid oral health care
programs. Advocates and community health
works should also be involved.

Support Providers
Complicated enrollment, low reimbursement,
burdensome audits, and limited access to
specialized care can lead providers to opt out of
the oral health care Medicaid program. Varying
oral health care payment models used by state
Medicaid programs complicate matters further.

Navigate Benefits
People with Medicaid lack awareness of oral
health care benefits and have difficulty
navigating system complexities. Frequent state
policy changes and fear of unexpected charges
lead to poor benefit utilization. When there is a
difference between what patients expect to be
covered and what is realistically covered, this
can create frustration and blame towards the
provider.

Rural Revival
Oral health care providers lack incentives to
serve in rural areas, which often is home for
many people with Medicaid and people with
higher oral health care needs. Increased avenues
for oral health care may include more dental
clinics, mobile dentistry programs and
community health centers. Creating incentives
for providers such as school loan repayment
programs could offer an incentive and retention
for providers leading to better access to oral
health care.

Translate My Troubles
Patients rely on community health workers to
bridge cultural and language gaps with their
oral health care providers. Interpreter services
for certain languages and dialects can be hard to
find, and unofficial interpreters such as bilingual
staff and patient family members may
misunderstand key information during oral
health care visits due to lack of oral health
education.

Know Your Health
Oral health literacy is key to improving patient
health outcomes. Providers emphasize the
importance of preventive care, particularly in
childhood, as there are limited Medicaid
preventive benefits for adults. However, It is
difficult for some people with Medicaid to
change their oral health habits and dental
providers experience time constraints when
educating patients during visits.

Oral Health Care Equity for All
People with Medicaid face many barriers to care,
including transportation issues to far-away
clinics. They also have higher rates of missing
appointments as they are unable to take time off
work and/or lacking childcare options. Dental
problems also cause an increase in missed work
due to extreme pain, which means loss of
money. Providers emphasize the need for
specialized training for pregnant women, infants,
and patients with special needs.

Find Me a Provider
There are more people on Medicaid oral health
care programs than available providers, leading
to long appointment wait times to get a dental
appointment. Oral health care services
performed in the operating room also require
long wait times, which is challenging for
children and individuals with special needs who
require sedation for oral health care. Delayed
oral health care worsens dental conditions and
may negatively impact overall health.

Turn to Teledentistry
Teledentistry can serve as a bridge for patients
who cannot get to in-person appointments.
Expanding teledentistry services may include an
initial diagnoses, referral to specialists and
prescribing treatments.

Redirect
Care
Delayed care worsens conditions, sometimes
becoming life-threatening. However, the ED
cannot fully address dental problems.