Annual Update to the Sacramento County Medi-Cal Managed Care Advisory Committee Terrence Jones, DDS, Chair Debra Payne, MSW, Vice-Chair June 24, 2019 1 Annual Update From Sacramento County Medi-Cal Dental Advisory Committee 2019
First 5 Sacramento Commission Sacramento County Department of Health Services Sacramento Public Health Officer Sacramento District Dental Society California Dental Association Beneficiaries (Head Start, etc.) Community Dental Clinics (Federally Qualified Health Clinics) Dental Providers Pediatrician or Family Practice Doctor Public Health Advisory Board Advocates Members at Large Dental Plan Representatives 2 Annual Update From Sacramento County Medi-Cal Dental Advisory Committee 2019
700,000 70% 661,311 600,000 60% Number of Individuals** 553,751 500,000 50% 508,326 501,266 493,640 Utilization % 400,000 40% 369,775 28.5% 28.1% 300,000 30% 24.2% 23.9% 23.2% 22.5% 200,000 20% 159,860 142,587 142,695 100,000 10% 128,621 117,859 83,352 0 0% 2013 2014 2015 2016 2017 2018** *Data are from the State Fiscal Year 17-18, July 2017 – June 2018. ** **Number of beneficiaries with at least 90 days continuous enrollment in the same plan within the measurement year. 3 Annual Update From Sacramento County Medi-Cal Dental Advisory Committee 2019
80,000 80% 73,699 70,000 70% 71,987 Number of Individuals** 64,681 60,000 60% 62,881 62,598 59,833 Utilization % 50,000 50% 40,000 40% 32.2% 31.9% 29.7% 28.9% 28.3% 30,000 30% 25.2% 20,000 20% 22,936 21,871 20,233 18,105 16,953 16,319 10,000 10% 0 0% 2013 2014 2015 2016 2017 2018** *Data are from the State Fiscal Year 17-18, July 2017 – June 2018. **Number of beneficiaries with at least 90 days continuous enrollment in the same plan within the measurement year. ** 4 Annual Update From Sacramento County Medi-Cal Dental Advisory Committee 2019
Ages 1-20 Ages 21+ 80,000 80% 70,000 70% 63,423 62,421 60% Target Number of Individuals* 60,000 60% 54,327 Utilization % 50,000 50% 53,126 49,261 39.3% 43,811 40,000 40% 36.7% 35.6% 30,000 34.9% 30% 24.2% 30,292 21.7% 20,000 20% 20,778 21.9% 19,288 18.6% 15,086 10,000 10% 11,618 10,097 0 0% Access Health Net Liberty Access Health Net Liberty *Number of beneficiaries with at least 90 days continuous enrollment in the same plan within the measurement year. 5 Annual Update From Sacramento County Medi-Cal Dental Advisory Committee 2019
Continue to support projects and policies, especially the Every Smile Counts! Dental Transformation Initiative to improve utilization and access to care Review dental managed care contract requirements and provide input to DHCS for future contracts with the dental plans Meet four times per year with DHCS and two times per year with Medi-Cal Managed Care Advisory Committee to improve utilization rates per legislation (AB 1467) Monitor access to general anesthesia and intravenous sedation to reduce barriers for beneficiaries In partnership with Department of Health Services, provide input for the Sacramento County Oral Health Program (Prop 56) 6 Annual Update From Sacramento County Medi-Cal Dental Advisory Committee 2019
1. . Virt irtual De l Dental H l Home ( (VDH DH) • Dental Services in Twin Rivers Unified School District (USD) & Sacramento City USD • California Northstate University (CNU) • WellSpace, Sacramento Native American Health Clinic, Blue Hills & Western Kids! Center for Oral Health/Early Smiles Sacramento ◦ 2. . Medic dical/ l/Dental P l Part rtners rship ( ip (MDP DP) • Connecting children to dental through medical providers • Quarterly Medical/Dental Learning Collaboration Events • Children Now, River City Medical Group, Kaiser, Dignity 3. Commu ommunity O Outr utreach & & Parent E Educ ucati tion on ( (COPE) • Training family service agency staff on dental and parent education. Link to Parent Education Modules: www.first5sacdental.org • Child Abuse Prevention Center, Sacramento Covered, Sacramento District Dental Society, Sacramento County Oral Health Program Note: The DTI Program wishes to recognize the valuable collaborative opportunities provided by Access, Health Net, Liberty Dental Plans. 7 Annual Update From Sacramento County Medi-Cal Dental Advisory Committee 2019
Virtual Dental Home at Hagginwood Elementary School 8 Annual Update From Sacramento County Medi-Cal Dental Advisory Committee 2019
VDH DH MDP DP COPE PE 6 Dental Teams trained 267 Medical providers 6,936 Children received a (Dentist, Register Dental trained dental message from a Assistant, Care Coordinator) Community Health Worker / Navigator 6 Sets VDH equipment 670 Children received 36 Children navigated to purchased for providers fluoride varnish dental providers from hospital emergency departments 913 Children received 195 Children received oral 333 Dental appointments dental services health education scheduled 2 VDH Learning 5 MDP Learning 232 Community Health Collaboratives Collaboratives Workers trained Center for Oral Health Early Working with River City 6,936 Children received oral Smiles Program screened Medical Group, Kaiser, health education 613 children in schools Dignity Health and UC Davis Hospital Partnered with Amador Health & Dental Plans 6,689 Children received oral County for VDH, MDP & providing data so MD’s health education via school COPE and DDS’s can cross Puppet Art Shows match beneficiary data 9 Annual Update From Sacramento County Medi-Cal Dental Advisory Committee 2019
Terrence Jones, DDS Debra Payne, MSW MCDAC Chair MCDAC Vice-Chair (916) 929-6631 (916) 876-7388 TWJ.5252@yahoo.com PayneDe@saccounty.net Robyn Alongi DTI Program Planner (916)875-0881 AlongiR@saccounty.net 10 Annual Update From Sacramento County Medi-Cal Dental Advisory Committee 2019
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