7/30/2019 HKD Presentation
http://slidepdf.com/reader/full/hkd-presentation 1/16
Rick Lantz Manager, Government and Community Relations
Delta Dental of Michigan
Michigan’s Medicaid
Healthy Kids Dental Program
Michigan House of Representatives
Health Policy Committee
October 11, 2007
10-11-07
7/30/2019 HKD Presentation
http://slidepdf.com/reader/full/hkd-presentation 2/16
• Children enrolled in Medicaid are far less likely than their privately-insuredcounterparts to:
– have access to and utilize dental services – have a “dental home”
– receive comprehensive follow-up care if screened
• Only 2030% of children enrolled inMedicaid receive any dental care in ayear
Medicaid Dental─Nationally
10-11-07
7/30/2019 HKD Presentation
http://slidepdf.com/reader/full/hkd-presentation 3/16
• Low dentist participation in Medicaid
• Three main objections
– Low provider reimbursement levels – Administrative burden
– High number of broken appointments
Medicaid Dentist
Participation─Nationally
10-11-07
7/30/2019 HKD Presentation
http://slidepdf.com/reader/full/hkd-presentation 4/16
Medicaid Dentist
Participation─Michigan FY 2006
• 2,045 (35.5%) Michigan dentists enrolled• 1,118 (19.4%) submitted one or more claims
• 622 (10.7%) were paid at least $10,000 inMedicaid claims
10-11-07
7/30/2019 HKD Presentation
http://slidepdf.com/reader/full/hkd-presentation 5/16
• Provides dental coverage to Medicaid-enrolled children in 59 of Michigan’s83 counties
• Covers 200,000 of Michigan’s 900,000children enrolled in Medicaid
• Public/Private partnership between theMDCH, Delta Dental, and the Michigan
Dental Association
• Annual cost is approx. $35 million
Healthy Kids Dental (HKD)
10-11-07
7/30/2019 HKD Presentation
http://slidepdf.com/reader/full/hkd-presentation 6/16
59 HKD Counties
10-11-07
7/30/2019 HKD Presentation
http://slidepdf.com/reader/full/hkd-presentation 7/16
Healthy Kids Dental
• Administered by the Delta Dentalof Michigan
• Dentists paid Delta Dental PPO fees
• Standard claims administration (sameas for all other Delta Dental patients)
• High level of dentist satisfaction
– 79% of Michigan dentists participate
10-11-07
7/30/2019 HKD Presentation
http://slidepdf.com/reader/full/hkd-presentation 8/16
• Child may use any participatingprovider
• No patient co-payments
• No annual maximum benefit
• Enrollees receive Delta Dental card
Healthy Kids Dental
10-11-07
7/30/2019 HKD Presentation
http://slidepdf.com/reader/full/hkd-presentation 9/1610-11-07
Year Percent with annualdental visit
2001 49.0%
2002 50.4%
2003 51.4%
2004 51.4%
2005 53.1%
Healthy Kids Dental Utilization
12 month enrollment
7/30/2019 HKD Presentation
http://slidepdf.com/reader/full/hkd-presentation 10/16
HKD, Medicaid, and Delta private utilization of dental care,
12 month enrollment in calendar year, by age
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
0 5 10 15 20 25
Age
P e r c e n t
o f e n r o l l e d r
e c e i v i n g d
e n t a
l c a r e
HKD 2005
Delta 2005
Med 2004
HKD, Medicaid, and Delta Dental
private utilization
12 month enrollment, by age
10-11-07
7/30/2019 HKD Presentation
http://slidepdf.com/reader/full/hkd-presentation 11/16
Participating Dentists
Number of dentists and number of children
receiving treatment, by year .
Year Dentists HKD patientstreated
HKD patientsper dentist
2001 1544 48,714 31.6
2002 1624 57,032 35.1
2003 1715 63,856 37.2
2004 1773 68,058 38.42005 1926 74,027 38.4
10-11-07
7/30/2019 HKD Presentation
http://slidepdf.com/reader/full/hkd-presentation 12/16
Travel Distance - Dental Care
Year Average traveldistance in miles(Delta Dental
private enrollee)
Average traveldistance in miles(HKD enrollee)
2001 13.7 11.0
2002 13.5 11.4
2003 13.2 11.2
2004 13.7 11.3
2005 13.3 11.1
Average travel distance in traditionalMedicaid is 24.5 miles
10-11-07
7/30/2019 HKD Presentation
http://slidepdf.com/reader/full/hkd-presentation 13/16
Dental Home
Year Percent of Delta Dentalchildren with two or
more preventive visitsper year
Percent of HKD12-month enrolled
children with two ormore visits per year
2001 38.4 26.9
2002 38.0 29.7
2003 38.3 31.3
2004 38.7 32.02005 37.2 30.9
10-11-07
7/30/2019 HKD Presentation
http://slidepdf.com/reader/full/hkd-presentation 14/16
Summary
• HKD continues to improveaccess to dental care
• An increasing proportion of HKD
enrollees receive care each year • The number of dentists providing
care continues to increase
10-11-07
7/30/2019 HKD Presentation
http://slidepdf.com/reader/full/hkd-presentation 15/16
National Model
• Recognized by the AmericanDental Association and the American Academy of Pediatric
Dentistry as a national modelfor Medicaid dental reform.
10-11-07
7/30/2019 HKD Presentation
http://slidepdf.com/reader/full/hkd-presentation 16/16
Questions?
10 11 07
Top Related