1. Home By One Program Building Integrated Partnerships with Connecticut Agencies, Parents & Providers Tracey Andrews, R.D.H, B.S., Meghan Maloney, M.P.H. Connecticut Department of Public Health, Office of Oral Health According to a 2006-2007 Survey of Connecticut Head Start Students: 31% had decay experience 20% had untreated decay 14% had rampant decay 18% were in need of treatment 1% were in need of urgent dental care According to 2008 CMS 416 EPSDT Data For children under age 1 CT ranked 43 rd out of 48 states with only 0.16% of eligible children receiving any dental care CT ranked 41 st out of 48 states with only 0.04% of eligible children receiving preventive services For Children ages 1-2 years CT ranked 34 th out of 48 states with only 11.2% of eligible children receiving any dental care CT ranked 32 nd out of 48 states with only 8.53% receiving preventive services The program acknowledges the contributions of the organizations participating on the Home by One Advisory Committee American Academy of Pediatric Dentistry Benecare- Children's Dental Health Partnership Center for Women & Children's Health Centering Pregnancy & Parenting Assoc Child Health and Development Inst of CT Community Health Center Assoc of CT Community Health Center, Inc. CT Dept of Children and Families CT Dept of Developmental Services CT Dept of Public Health, Family Health CT Dept of Public Health, WIC Program CT Dept of Social Services CT Birth to Three CT Chapter American Academy of Pediatrics CT Children's Medical Center CT Dental Hygienists Association CT Family Network Connecticut Health Foundation Connecticut Oral Health Initiative CT State Dental Association East Hartford WIC Program Hartford WIC Program Head Start State Collaboration Office Hill Health Center WIC Program New Britain Oral Health Collaborative Southwestern Area Health Education Center, Inc. Torrington WIC Program UCONN Health Center, School of Dental Medicine Special thanks to the CT Dept of Public Health- Environmental Health and CT Dept of Public Health Local Health Administration FACTORS FOR SUCCESS Engaged Home By One Advisory Increased Medicaid Reimbursement Rates Dramatic Increase in # of Medicaid Dental Providers Single MSO Established for Medicaid Dental Care Coordinators Established for CT Medicaid Dental Patients Support of State Dental Association- Provision of 12 Pilot Dental Homes Support of State WIC Directors & Engagement of Local WIC Staff Age One Dental Visit Media Campaign Advocacy & Oral Health Parent Education Programs Collaborations with other Early Childhood Initiatives Development Of Home by One Website BACKGROUND METHODS CONSISTENT MEDIA MESSAGING STATEWIDE END PRODUCTS WIC/ Community Health Home Model RDH Student Community Programs linking WIC clients to Dental Homes Medical Care Coordinator/WIC partnership Local Health Dental Home Model WIC/Pediatric Dentist Partnership Medical Dental Marriage Family Dental Home RDH at WIC site Development of WIC Dental Home Network Models January 2009 Home By One is 100% funded by HRSA grant # H47MC08648 www.ct.gov/dph/HomebyOne Training Lessons Learned Information Sharing Training Client Access Education, Patient Care Peer Referrals Advocacy Training Parent Dental Advocates Advocacy Training Oral Health Advocates Patient Referrals Feedback Referrals to Dental Homes Feedback 395 155 300 to 1000 18 89 112 # of Medicaid Dental providers # of MDs trained in Oral Health Risk Assessment # of MDs with Fluoride Varnish billing credentials # of WIC professionals trained # of Parents/ Caregivers trained # of Dental Homes established