Oral Health Resources
The HealthCheck Training & Resource Center addresses oral/dental health in several ways:
NOTE: You must compete the HealthCheck training BEFORE you can take the fluoride varnish training.
New and Noteworthy
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.
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. 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.
- The DC Pediatric Oral Health Coalition (DCPOHC) is pleased to announce that technical assistance will be available for EPSDT primary care providers and their staff to implement fluoride varnish application into their medical practices. Read More...
- DentaQuest Institute emphasizes a hands-on approach by working directly with oral health care professionals to support them in improving the care they provide to their patients. The website offers prevention and disease management resources and quality improvement initiatives.
- DHCF Transmittal #16-07: National Children's Dental Health Month, Dental Procedures, and Billing Requirements. Current statistics and guidelines, the Children's Oral Health Initiative, the oral health assessment during well-child visits, reimbursable dental procedures in primary care settings and in dental offices, and provider resources.
- Enhancing Oral Health Access Through Safety Net Partnerships: A Primer and Resource Guide for Medicaid Agencies
- Update on CMS Oral Health Initiative and Other Oral Health Related Items. 07/10/14. The Centers for Medicare & Medicaid Services (CMS) released an Informational Bulletin related to the CMS Oral Health Initiative and other oral health related items.
- Prevention of Dental Caries in Children From Birth Through Age 5 Years: US Preventive Services Task Force Recommendation Statement. Virginia A. Moyer Pediatrics; originally published online May 5, 2014. Update of the 2004 US Preventive Services Task Force (USPSTF) recommendation on prevention of dental caries in preschool-aged children. The USPSTF reviewed the evidence on prevention of dental caries by primary care clinicians in children 5 years and younger, focusing on screening for caries, assessment of risk for future caries, and the effectiveness of various interventions that have possible benefits in preventing caries.