1. Improving Oral Health for CSHCN Throughout the Lifespan Maureen Mitchell Family Voices October 18, 2005

2. EARLY YEARS Focus is on Physical Health Issues Focus is on Physical Health Issues Lack of Family Awareness/Knowledge Lack of Family Awareness/Knowledge Lack of Information Lack of Information Lack of Support Lack of Support

3. BARRIERS TO ACCESS Lack of Providers Lack of Providers Lack of Training, Knowledge, Experience Lack of Training, Knowledge, Experience Low Reimbursement Rates Low Reimbursement Rates Financial, Transportation, Special Accommodations Financial, Transportation, Special Accommodations

4. CARE COORDINATION Oral Health and the Medical Home Oral Health and the Medical Home Who “looks after” oral health needs? Who “looks after” oral health needs? Who gives information and support to families in search of oral health care for their children and youth with special needs? Who gives information and support to families in search of oral health care for their children and youth with special needs?

5. NEXT STEPS Encourage State Title V/CSHCN to identify key stakeholders and build partnerships to address this issue (reimbursement rates, provider shortage, training and experience, oral health and medical homes, etc.) Encourage State Title V/CSHCN to identify key stakeholders and build partnerships to address this issue (reimbursement rates, provider shortage, training and experience, oral health and medical homes, etc.) Encourage Medical Homes to include coordination of oral health needs Encourage Medical Homes to include coordination of oral health needs Increase information and supports given to families, youth and individuals Increase information and supports given to families, youth and individuals

6. Thank you Maureen Mitchell Executive Director Family Voices of Virginia At Medical Home Plus 8660 Staples Mill Rd. Richmond, VA 2322 mmitchell@medhomeplus.org www.medicalhomeplus.org www.familyvoices.org (w) 804-264-8428 (c) 202-494-8383