Looking for Best Practices? Look No Further One of the Nation’s Top Eight State Dental Medicaid Programs Division of Health Care Services Virginia Department.

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Presentation transcript:

Looking for Best Practices? Look No Further One of the Nation’s Top Eight State Dental Medicaid Programs Division of Health Care Services Virginia Department of Medical Assistance Services

Inadequate Provider Network in 2005 Very Robust in 2012 Access to Care & Utilization 2005 Compared to 2012

 Streamlined from Six (FFS, MCOs) to One Delivery System (DBA) Including Administration, Authorizations and Payment.  Transformed Delivery System to a Single Dental Benefits Administrator.  Modeled After Commercial Dental Insurance.  No Churning from FFS to MCO; MCO to MCO.  Dental Care is the Only Focus of the DBA; Not Diluted by MCO Focus on Medical Care.  Engagement with the Provider Community ◦ Reformed Dental Advisory Committee ◦ Collaboration with the Virginia Dental Association ◦ Guided Brand Development: Smiles for Children – Not the Same Old Medicaid Dental Program

 Recognition by CMS as One of Eight Top Performing Medicaid Dental Programs in the Nation  High Satisfaction by Members and Providers  Focus on Prevention and Quality - Preventistry