Medallion, Expansion, Public Charge OH MY! Early Dental Home Workgroup PIOHQI Advisory Group June 12, 2018

Virginia Oral Health Coalition Striving to ensure all Virginians have access to affordable comprehensive health care that is inclusive of oral health Advocacy | Provider Education | Public Awareness

This morning… Medicaid Expansion Medallion roll-out Public Charge Dental Benefit in Medicaid

Medicaid Expansion This is a BIG deal!

Coverage in Virginia Medicare No dental benefits Medicaid and FAMIS Comprehensive dental coverage for children & pregnant women Extraction benefit for adults Caretaker adults Aged, blind and disabled CCC+/Medallion 4.0 Traditional Dental Benefit Prevention services are free Yearly cap Exchange Dental Benefit Adult No mandate No subsidies

What does this actually mean? 400,000 newly eligible adults Effective Jan 1 or before. SPA 1115 waiver Work requirements Cost sharing

Dental Coverage - Medicaid

Medallion 4.0 Also a big deal

Medallion 4.0 740,000 Virginians Managed by 6 MCO/available in all regions Aetna Optima Anthem UnitedHealthcare Magellan Virginia Premier 100,000 will receive a new plan Can change within first 90 days or open enrollment Providers can begin credentialing now Medallion 4.0 Managed Care Regions Proposed Dates* Tidewater Region August 1, 2018 Central Region September 1, 2018 Northern/Winchester October 1, 2018 Charlottesville/Western November 1, 2018 Roanoke/Alleghany December 1, 2018 Southwest Region

Medallion 4.0 will also include some of these services FAQ coming CCC+ Value Add Services

Public Charge Another Big Deal!

Public Charge 2 in 5 US born children meet this criteria 600,000 Virginians live in a family with a non citizen who could be considered public charge under new criteria Comparison – 5% of the current population falls under existing criteria. “public charge” means an individual who is likely to become dependent on the government for subsistence, as demonstrated by either the receipt of public cash assistance for income maintenance or institutionalization for long-term care at government Proposed changes would include consideration of use health and nutrition programs (Medicaid and SNAP) AND benefit use by the individual and dependents

But What about Dental in Medicaid??

Medicaid – Adult Dental Partner Letters Agency and Executive Branch meetings Grassroots Advocacy Message Development

How can you Help? Tell people – share info Write a letter Meet with your legislator this summer

Upcoming Events!

Collaborate and Lead (even more!) 2-Day Workshop Collaboration and Leadership to Improve Oral Health Tuesday, August 21 – Wednesday, August 22 Richmond, VA Register Now at http://bit.ly/VaOHCAug2018 Cost: $15 per person Registration requested by Tuesday, August 14, 2018

2018 Virginia Oral Health Summit When: Thursday, November 8 Where: Richmond, VA Who: All who are interested in oral health, population health, or policy change. Policy & Programmatic Updates| Networking Idea-sharing Dr. Camara Jones Dr. Matt Allen