Online trainings and materials on Medicaid's EPSDT benefit for DC providers, agencies, and families...

This website provides access to trainings and resources for providers in DC who see children covered under Medicaid:

  1. HealthCheck Training This training will fulfill your obligations for all MCOs with which you are paneled.* You will receive 5 CME’s upon completion of the curriculum.**

  2. Fluoride Varnish Training This training will fulfill your obligations to provide and bill for fluoride varnish application in the District.

  3. DC Children's Health, Wellness, and Education Calendar The Health and Well-Being Subcommittee of the State Early Childhood Development Coordinating Council has developed this online calendar of events that includes health/wellness/educational items.

* Amerigroup; AmeriHealthDC; Health Services for Children with Special Needs (HSCSN); Trusted Health Plan; and Fee-For-Service Medicaid Providers.

** MedStar Georgetown Medical Center designates this curriculum for a maximum of 5 hours in category 1 credits towards the AMA Physician’s Recognition Award. CME credits will be paid for by the MCOs when you are due for HealthCheck training. Providers must be trained once every 2 years.

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Mental Health News

Oral Health News

  • Read the 2018 DHCF Oral Health Transmittal.
  • You are cordially invited to participate in the Health Justice Alliance Oral Health Convening Focusing on Children with Special Health Care Needs. Supported with funding from the George E. Richmond Foundation in collaboration with Georgetown University Law Center’s Harrison Institute for Public Law and Georgetown University's Health Justice Alliance, the O’Neill Institute for National & Global Health Law will host a convening of oral health and public policy experts to identify polices that negatively impact access to services in Washington, D.C. for children with special health care needs.
    • Thursday, March 29, 2018
    8:30am-2:00pm Georgetown University Law Center Gewirz Student Center, 12th Floor 120 F Street, NW Washington, DC
    Please RSVP here by February 27th. Lunch & Refreshments will be served
    • With remarks from Dean William M. Treanor
    See flyer for more information
  • Note on Billing for Fluoride Varnish. Since FY 2014, DC Medicaid primary care providers who have completed fluoride varnish training can bill the Fee-for-Service (FFS) Medicaid program and the Medicaid Managed Care Organizations (MCOs) for fluoride varnish application on a child under 3 (three) years of age.  Currently, DC Medicaid primary care providers who are enrolled and trained by DC HealthCheck can bill FFS and the MCOs for the application of fluoride varnish using CDT code D1206 or CPT code 99188. When this policy was implemented in 2014, CDT code D1206 was the only procedure code for fluoride varnish application and since then CPT 99188 code was added to the fee schedule. 
    1.
    Effective March 1, 2018, DC Medicaid (FFS and the MCOs) will no longer reimburse primary care providers for fluoride varnish claims submitted using the CDT code D1206. Only fluoride varnish claims submitted by primary care providers using the CPT code 99188 will be processed and paid.
    2. All fluoride varnish claims received by primary care providers for visits that occurred before March 1, 2018 will be processed. However, any varnish claims received by primary care providers for a date service after March 1, 2018, will only be paid if the claim for fluoride varnish application is coded using the CPT code 99188.
  • Oral Health Messaging Guide. The District of Columbia identified various barriers that prevent beneficiaries from accessing oral health services, including lack of oral health literacy and understanding on how to access oral health services. To help address this issue, DHCF compiled an oral health messaging guide, which participants of the Children’s Oral Health Initiative can use when developing materials or speaking with children and families enrolled in the DC Medicaid program.  The attached guide includes oral health messaging targeted to dental providers, primary care providers, and parents. The purpose of this guide to provide simple and effective oral health messaging to educate District of Columbia families about the importance of children’s oral health and regularly seeing their primary dental provider.  This messaging comes directly from the Maryland Oral Health Coalition’s Oral Health Campaign, which has been proven effective in increasing oral health literacy of low-income families.We encourage you to use the messaging featured in this guide when developing materials or talking points about oral health for District families.
  • New ADA State Fact Sheets on Geographic Access to Dental Care. The American Dental Association (ADA) Health Policy Institute published one-page infographic for each state, including the District of Columbia, highlighting access to dental care for Medicaid beneficiaries. The District’s fact sheet highlights that 100% of publicly insured children live in areas where there is at least one Medicaid dentist per 2,000 publicly insured children within a 15-minute travel time. Click here to learn more.
  • Oral Health Messaging Guide. The guide can be used when developing materials or speaking with children and families enrolled in DC Medicaid program and includes oral health messaging targeted to dental providers, primary care providers, and parents. The purpose of this guide to provide simple and effective oral health messaging to educate District of Columbia families about the importance of children’s oral health and regularly seeing their primary dental provider. 

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