Deliverable Form e – 5-Year Action Plans Access to Dental Care for Children



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LHJ:

Deliverable Form E – 5-Year Action Plans

Access to Dental Care for Children

(For further instructions see separate document titled “Action Plan Guidelines”)

MCAH SOW Goal _:

Problem Category(ies)

From Deliverable Form B of your Title V Needs Assessment


Problem Statement(s)

From Deliverable Form B of your Title V Needs Assessment


Five Year Local Goal(s)

Five Year Goal: (Develop one or more five-year local goal(s) that state the desired results of your interventions). Example: Increase access and link children to a dental home where possible to ensure they get preventive care on an annual basis.


Risk/ Contributing Factors

Risk/ Contributing Factors: (List LHJ specific contributing factors using a problem analysis). Example: Lack of parental education/understanding about importance of oral health, cultural/ethnic issues, either not enrolled in Medi-Cal and/or unaware of dental benefits, lack of dental providers accepting Denti-Cal, lack of training by allied health professionals to address oral health issues, lack of transportation, poverty


Best Practice Strategies/ Intervention(s)

Best Practice Strategy/ Intervention: (List best practice strategies and/or interventions to address your problems). Example: AAP, ADA and AAPD recommend that every child should have a dental home established by 1 year of age. The AAPD recommends a dental check-up at least twice a year for most children or more often depending on a child’s risk status. AAP recommends that every child should begin to receive oral health risk assessments by 6 months of age from a pediatrician or a qualified pediatric health care professional; Patients who have been determined to be at risk of development of dental caries or who fall into recognized risk groups should be directed to establish a dental home 6 months after the first tooth erupts or by 1 year of age (whichever comes first). The Patient Protection Affordable Care Act (ACA) covered preventive services for children include oral health risk assessments for children aged 0 – 10, and fluoride chemoprevention supplements for children without fluoride in their water source.

MCAH Oral Health Program: http://www.cdph.ca.gov/programs/MCAHOralHealth/Pages/default.aspx




Intervention Population(s)

(List the populations you will be focusing on for the next five years). Example: Medi-Cal eligible pregnant teens and women; Families with Medi-Cal eligible children, Women, Infants and Children (WIC) Program, dentists and clinics, Child Health and Disability Prevention (CHDP) Program, First 5, Head Start, Home visiting or case management programs, schools





Short and/or Intermediate Objective(s)1

Inputs, including Community Partner involvement

Intervention Activities to Meet Objectives

Performance Measures
Short and/or Intermediate


Process Description and Measure(s) including data source

Outcome Measure(s) including data source

Fiscal Year 1

By June 30, [20xx], implement a community oral health campaign aimed at increasing utilization of preventive dental services among Medi-Cal children.



(may choose a target population to focus campaign)

(Insert LHJ’s specific partners and resources, such as funding)

Collaborate with oral health partners to develop and administer a plan which includes:

  • MCAH oral health education curricula, materials, and webpage information: MCAH Oral Health Program http://www.cdph.ca.gov/programs/MCAHOralHealth/Pages/default.aspx

  • A brochure that explains Denti-Cal benefits to eligible and enrolled Medi-Cal beneficiaries. Denti-Cal/Medi-Cal Program: http://www.denti-cal.ca.gov/WSI/Bene.jsp?fname=BeneSrvcs

http://www.denti-cal.ca.gov/provsrvcs/healthy_families_transition/HFP_dental_trifold_for_all_beneficiaries.pdf

  • A Denti-Cal enrollment process.

  • Reviewing the Center for Oral Health publication titled WIC: Early Entry into Dental Care Guidebook located at:

http://www.centerfororalhealth.org/publications/wic-oral-health-guidebook.html

  • Training staff to provide oral health education and services

  • Developing a process/plan to measure knowledge and intent to change behavior, such as focus groups, survey, social media analysis

  • Distributing outreach materials

  • Ensuring staff and partners are aware of Denti-Cal provider referral list and educational resources

  • Developing a plan to evaluate the outcomes of the community oral health campaign, including policy changes, if any

  • Exploring funding opportunities to sustain program




  • List and briefly describe selected key oral health messages.

  • List of programs with oral health information and description of educational opportunities when interacting with clients; report the number of program clients informed.

  • List of programs that have added oral health information to the curricula and description of educational opportunities; track number of clients informed, if applicable.

  • List materials and resources that were created and/or identified for use in outreach.

  • List number of trainings and attendees.

  • List community outreach efforts for distribution of materials

  • List community partners and number of meetings on file.




  • Brief description of community oral health campaign, including objectives and strategies

  • Brief description of the plan to evaluate the effectiveness of the campaign and any outcomes

  • Brief description of policy changes, if any

Fiscal Year 2

By June 30, [20xx], [x/X] pediatricians and primary care physicians will perform oral health assessments, prescribe fluoride and provide dental referrals within well-child exams.



(This objective could be used for multiple years depending on the number of providers you are trying to reach and your capacity.)


  • Oral Health Task Force

  • WIC staff

  • Head Start Collaborative

  • School district representatives and/or school nurses

  • Social Service agencies

  • First 5

  • CHDP providers

  • Local dentists/clinics

(Insert LHJ’s specific partners and resources, such as funding)

Collaborate with oral health partners to implement a plan which includes:

  • Developing and administering a survey for physicians about their current knowledge of ACA preventive services for children regarding oral health

  • Creating list of current physicians that address oral health in well-child exams; establish baseline number

  • Addressing needs of physicians who need educational resources such as AAP’s web link http://www2.aap.org/oralhealth/

And Society of Teachers of Family Medicine Group on Oral Health’s web link

Smiles for Life: A National Oral Health Curriculum



  • Assisting providers to develop policies to perform oral health assessments, prescribe fluoride and provide dental referrals within well-child exam

  • Distributing a referral list of dental providers to physicians

  • Developing and implementing a Continuous Quality Improvement/Quality Assurance (CQI/QA) process to monitor implementation of policies/processes, a regular feedback mechanism to continually improve the process and a plan to evaluate the impact

  • Providing Technical Assistance (TA) as needed

  • Description of outcomes of meeting(s), partnerships and strategies agreed upon; List of attendees and number of meetings on file.

  • Results of survey to identify educational needs.

  • Description of strategies to recruit and educate physicians regarding oral health preventive services.

  • Briefly describe the CQI/QA process developed

  • List TA provided




  • Number of providers performing oral health assessments/goal [X]

  • Number of providers prescribing fluoride/goal [X]

  • Number of providers giving dental referrals/number needing dental referrals

  • Briefly describe types of oral health policies developed by providers

  • Describe the outcomes of the CQI/QA process including methods of measurements and results

Fiscal Year 3

By June 30, [20xx], [x/X] children and their parents at [specify location(s)] will receive a preventive dental care program - to include anticipatory guidance, fluoride applications and linkage to a dental home.



By June 30, [20xx], [x/X] of the above targeted clients who received oral health anticipatory guidance will report an increased knowledge and state intent to apply knowledge at home.

(These objectives could be used for multiple years by tailoring it to specific populations each year such as WIC sites, preschools and kindergartens.)

  • Oral Health Task Force

  • WIC staff

  • Head Start Collaborative

  • School district representatives and/or school nurses

  • Social Service agencies

  • First 5

  • CHDP providers

  • Local dentists/clinics

(Insert LHJ’s specific partners and resources, such as funding)

Collaborate with oral health partners to implement a plan which includes:

  • Creating Memorandum of Understanding or Interagency Agreement that covers the basics of the program and outlines responsibilities of partners. (Google Memorandum of Understanding templates for examples)

  • Assisting location(s) to develop policies to implement the program

  • Consent forms for parents

  • Third party billing efforts through Medi-Cal for sustainability. http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/gm201307.asp#a15

  • Applying fluoride varnish to children aged 9 months to 5 years

  • A referral system for sealants and other services

  • Administering oral health curriculum.

  • A process to measure knowledge and intent to change behavior

  • Case management to assist with referrals and follow-ups

  • Developing and implementing a Continuous Quality Improvement/Quality Assurance (CQI/QA) process to monitor implementation of policies/processes, a regular feedback mechanism to continually improve the process and a plan to evaluate the impact

  • Program guidelines: http://www.cdph.ca.gov/programs/Pages/CCDDPPProgramGuidelines.aspx

  • Planning resource: http://www.cdc.gov/OralHealth/state_programs/infrastructure/index.htm

  • Tools and resources: http://www.mchoralhealth.org/Topics/index.html




  • Brief description of outcomes of meeting(s), partnerships and strategies agreed upon; List of attendees and number of meetings on file.

  • Identify the location(s) where program is being implemented

  • Report number and types of staff that have completed training and will administer program. Describe process developed to measure oral health knowledge change and intent to apply knowledge for staff and clients

  • Describe the action plan for the program and include lessons learned.

  • Briefly describe the CQI/QA process developed.




For each location:

  • Number of children and their parents who received anticipatory guidance/goal [X]

  • Number of children who received fluoride varnish application/goal [X]

  • Number of children referred to a dental home/goal [X]

  • Number of children who completed a dental visit/number needing a dental visit.

  • Number of clients demonstrating increased knowledge of oral health and stated intent to apply knowledge at home/goal [X]

  • Briefly describe knowledge change and intent to change behavior

  • List types of policies developed by provider

  • Describe the outcomes of the CQI/QA process, including methods of measurements and results

Fiscal Year 4

By June 30, [20xx], [x/X] dental providers will accept Medi-Cal/Denti-Cal insurance.



(This objective could be used for multiple years depending on the number of providers you are trying to reach and your capacity)

  • Oral Health Task Force

  • WIC staff

  • Head Start Collaborative

  • School district representatives and/or school nurses

  • Social Service agencies

  • First 5

  • CHDP providers

  • Local dentists/clinics

(Insert LHJ’s specific partners and resources, such as funding)

Collaborate with oral health partners to implement a plan which includes:

  • Creating list of current Medi-Cal dental providers; establish baseline number.

  • Interviewing providers to identify barriers to accepting Medi-Cal patients

  • Exploring ways of recruiting Medi-Cal dental providers by addressing barriers

  • Creating/Updating dental referral list of dental providers that accept new Medi-Cal patients

  • Oral health educational materials and webpage information for families. http://www.cdph.ca.gov/programs/MCAHOralHealth/Pages/default.aspx

http://www.cdph.ca.gov/programs/Pages/CCDDPPResources.aspx

  • Developing and implementing a Continuous Quality Improvement/Quality Assurance (CQI/QA) process to monitor implementation of policies/processes, a regular feedback mechanism to continually improve the process and a plan to evaluate the impact

  • Description of outcomes of meeting(s), partnerships and strategies agreed upon; List of attendees and number of meetings on file.

  • Report the number of dental providers accepting Denti-Cal insurance and maintain list on file.

  • Description of interview process and results of survey to identify barriers.

  • Description of strategies to recruit additional dental providers.

  • Briefly describe the CQI/QA process developed.




  • Number of providers recruited to accept Medi-Cal/Denti-Cal insurance/goal [X]

  • Describe the outcomes of the CQI/QA process, including methods of measurements and results

Fiscal Year 5

By June 30, [20xx], [x/X] eligible children will be enrolled into Medi-Cal insurance, which includes Denti-Cal benefits.



(These objectives could be used for multiple years by tailoring it to specific populations each year such as WIC sites, preschools and schools)


  • Oral Health Task Force

  • WIC staff

  • Head Start Collaborative

  • School district representatives and/or school nurses

  • Social Service agencies

  • First 5

  • CHDP providers

  • Local dentists/clinics

(Insert LHJ’s specific partners and resources, such as funding)

Collaborate with oral health partners to implement a plan which includes:

  • A Medi-Cal enrollment process.

  • Refer to the “Medi-Cal Eligibility and Covered CA” website at: http://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/Medi-CalEligibility2014.aspx

Covered CA website: https://www.coveredca.com/

  • A brochure that explains Denti-Cal benefits to eligible and enrolled Medi-Cal beneficiaries. http://www.denti-cal.ca.gov/provsrvcs/healthy_families_transition/HFP_dental_trifold_for_all_beneficiaries.pdf

  • Distributing outreach materials

  • Ensuring staff and partners are aware of Denti-Cal provider referral list and resource materials

  • Developing and implementing a Continuous Quality Improvement/Quality Assurance (CQI/QA) process to monitor implementation of policies/processes, a regular feedback mechanism to continually improve the process and a plan to evaluate the impact

  • Description of outcomes of meeting(s), partnerships and strategies agreed upon; List of attendees and number of meetings on file.

  • Description of Medi-Cal enrollment process.

  • List materials and resources that were created and/or identified for use in outreach.

  • Briefly describe the CQI/QA process developed.




  • Number of children enrolled into Medi-Cal insurance/goal [X]

  • Describe the outcomes of the CQI/QA process, including methods of measurements and results



Access to Dental Care for Children Action Plan (6/9/14)

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