This is part of an ITUP series on the Medi-Cal 2020 §1115 waiver renewal.
Under the Medi-Cal Dental program, dental services are provided to about 5.5 million Medi-Cal beneficiaries under the age of 20. The program aims to facilitate consistent and easy access to high quality dental services so beneficiaries achieve good oral health; to implement effective and efficient delivery systems; to maintain engagement with stakeholders; and to hold DHCS and their providers, plans, and partners accountable for performance and health outcomes. Services are provided via two delivery systems: Fee-for-Service (FFS) and Dental Managed Care (DMC). The Department of Health Care Services (DHCS) oversees and facilitates access to oral health services for FFS and DMC delivery systems in multiple ways, such as conducting outreach and education, monitoring utilization, and providing reports to stakeholders. All data associated with DTI will be based on annual reporting period by program year (PY).
The program has two key domains:
- Increasing preventative services utilization for children
- Caries Risk Assessment and Disease Management Pilot
Read the full analysis: Analysis of §1115 Waiver Renewal: Dental Transformation Initiative