DENTAL ACCESS COMMUNITY SOLUTIONS MEETING

DENTAL ACCESS COMMUNITY SOLUTIONS MEETING

Work Group II : What are Madison’s recommendations for

reducing barriers to dental access?

Top Ranking Solutions

[ ] Indicates priority score

[42] [Increase funding to 75th percentile based on most recent year average

[24] Paperwork - certification, authorization billing

[10] Hire/fund full-time dentist at Harambee Dental Clinic

[9] Educate kid at early age in schools/preschools

[4] Dentistry examining board issues - fluoride varnishes

[4] Fund translation services

[3] Expand scope of hygienist services

[1] Regular dental education for parents

[1] Involve providers (medical) w/oral health

Possible Solutions

· [10] Hire/fund full-time dentist at Harambee Dental Clinic.

· Nurture charitable partnership.

· [42] Increase funding to 75th percentile based on most recent year average (What if DDS still don’t see patients?)

· Target areas - loan forgiveness.

· Better funding for transportation

· "Notice" time for filling slots; partner w/case managers.

· Develop no show policies within particular offices; example of this strategy: Mon. will call . . .

· [4] Dentistry examining board issues - fluoride varnishes

· [24] Paperwork - certification, authorization billing . . .

- reduce/streamline; example : crown - 6 pages of paperwork

· [4] Fund translation services

· [3] Expand scope of hygienist services

· [9] Educate kid at early age in schools/preschools "very early childhood . . ."

- If appointment is made, keep it!

· [1] Regular dental education for parents

· [1] Involve providers (medical) w/oral health

Other Solutions (Post It Notes)

· Develop one form and one process for all billing. Recommend processing of bills by one company that has experience and an excellent track record.

· People who get to the DDS but have no MA or dental insurance and have no resources to pay for dental expenses. Where and how do we direct them to get help.

· Dental Services - Allow for tax deductions for donated dental services.

· Dental Coding - MA should correspond with ADA codes. Allows for easier paperwork for dental offices.

Work Group II Priority Solutions

#1 Priority : Increase funding to 75th percentile (based on most recent year available).

	What/How	Stakeholders	Who Leads	Step #1
Strategy A	Educate legislature lobby/advocacy Frame as health issue not a money issue . . .	Business leaders Dentists, advocates, Public Health recipients . . . Constituents of elected reps . . . Hospitals/nurses Educators Media	Link outside Madison Recipient coalitions . . . Mayor/City Ex. WDA - supportive Broad effort	Coalition Building Contact legislators individual senators/reps Personal letters
Strategy B	Educate bureaucracy Educate public		Outside Madison representatives - constituents - Peggy Michaelis
Strategy C	Look at effective best practices in other states NB, IN
Strategy D	Support legislative Council recommendations.		Next steps are key but end of Jan. legislative council recommendations is a key window of opportunity

Comments :

· "We put all our eggs in one basket:-- i.e., 75% reimbursement for dentists – if this doesn’t happen what do we do?

· also is there a guarantee that dentists will see patients if MA rate increases; track record has not been good.

· AHEC would like to discuss what is happening in La Crosse.

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