COHI Update
News from the Connecticut Oral Health Initiative
Oral Health for All
  March 2, 2008
In This Issue . . .
Just the F.A.C.T.S
Come and E.A.T.
A Year After . . .
"Just the F.A.C.T.S" Oral Health Report
The Task Force on Oral Health of Older Adults released its report Just the F.A.C.T.S after a year-long review of oral health concerns of older adults in Connecticut.  The F.A.C.T.S. are Financial, Advocacy, Communication, Treatment and Services strategies to improve the oral health and overall health of Connecticut's older adult residents.

DPH

The task force was formed last year by the Department of Public Health after concerns from the community were raised about access to oral health services (see list in article on right).

"We asked the task force members to come up with actionable strategies, those that can be implemented now without a lot of planning and allocation of new funds," said Dr. Norma Gyle, Deputy Commissioner of the Department of Public Health.  "I know it was a tall order but they succeeded.  I am pleased that many of the strategies focus on what the different community organizations and agencies that work with older adults can do to support improved oral health for this population and not just what state government can do," she said.  

The older adult population in the U.S. is projected to increase by 126 percent over the next 50 years.  Currently in Connecticut, the elderly population represents approximately 14 percent of the population.

According to Dr. Ardell Wilson, State Oral Health Director, "Many older adults are not aware of where or how to access dental services in their community.  Obstacles to oral healthcare include limited knowledge about dental insurance coverage and out-of-pocket costs, limited public transportation options, reduced retirement income and knowledge about the importance of oral health to overall health.  Just the F.A.C.T.S. outlines strategies to address each of these issues."

"Not all the strategies are easy to implement," said Marty Milkovic, Executive Director of the Connecticut Oral Health Initiative.  "There are simple and cost effective strategies, like labeling dentures for nursing home patients.  Denture replacement costs can be avoided for families when dentures are routinely labeled.  There are also strategies that support training of medical providers to understand and recognize the importance of oral health to overall health in older adults.  Recognizing the impact of oral disease on chronic disease management is critical to improving overall health of older adults, but not an easy fix."

For more information, visit the Department of Public Health, Office of Oral Health website at http://www.ct.gov/dph.

See the Report . . .
Come and E.A.T. - an Oral Health Event

Education, Advocacy & Treatment
for Older Adults


On Wednesday, March 5th, beginning at 8 am and ending at 5 pm, The Task Force on Oral Health for Older Adults, a comprehensive group of representatives from the oral health field, will have multiple tables set up in the Concourse of the Legislative Office Building in Hartford for the purpose of Educating and Advocating on behalf of vulnerable older adults and their oral health needs, as well as to provide Treatment.  All older adults are encouraged to attend at any time throughout the day!

Seniors

The focus of these tables are varied and include, among others:  addressing heart disease and hypertension; oral cancer prevention; diabetes; medications and oral health; advocacy; oral hygiene (denture care, teeth/gums care); access to care; the CT Mission Of Mercy Project.

Additionally on Wednesday, March 5th, at 9 am, the Task Force On Oral Health Of Older Adults will conduct a press conference in room 1C of the Legislative Office Building to discuss findings in its recently released report entitled Just The F.A.C.T.S: Strategies To Improve Oral Health Of Older Adults In Connecticut.  

We hope to see you there!

The Task Force on Oral Health for Older Adults
  • AARP CT
  • CT Association of Agencies on Aging
  • CT Association for Not-for-Profit Providers for the Aging (CANPFA)
  • CT Association of Health Care Facilities
  • CT Alzheimer's Association
  • CT Dental Hygienists' Association, Inc.
  • CT Department of Developmental Services
  • CT Department of Public Health
  • CT Department of Social Services
  • CT Health Foundation
  • CT Office of Long Term Care Ombudsman
  • CT Oral Health Initiative (COHI)
  • CT State Dental Association
  • University of CT School of Dental Medicine
A Year After, Medicaid Dental Coverage Still Lacking

 CQPolitics.com

By Miriam Straus

One year after a 12-year-old Medicaid beneficiary could not obtain dental care and died after tooth decay spread to his brain, witnesses told a House panel that the Centers for Medicare and Medicaid Services (CMS) has done little to improve beneficiaries' access to dental services.

Boy"Medicaid still hasn't learned the most important lessons from the preventable death of Deamonte Driver," said Rep. Dennis J. Kucinich , D-Ohio, referring to the Maryland youth whose death highlighted the difficulties Medicaid beneficiaries face in obtaining dental services.         . . .

Jim Crall, the director of the National Oral Health Policy Center at the University of California, Los Angeles, told the panel that Medicaid dental reimbursement rates are far lower than the 'Usual, Customary and Reasonable' (UCR) fees that private providers charge for dental services. In addition, he said, most states have no provisions for updating Medicaid reimbursement rates regularly to account for inflation and other increases in the cost of services. The center studies access to dental care, particularly among low-income children and families.     . . .

For example, Connecticut's Medicaid payment rate for a periodic oral exam was $18.08 in 2004, Crall testified, while the median charge for such a procedure in the state was $37.00. In states that have increased their Medicaid reimbursement rates, the increase in provider participation is substantial, he said. Georgia raised its Medicaid rate to the 75th percentile of dentist fees in the state, and dentist participation has increased 825 percent in the 48 months since the change, according to materials Crall submitted to the subcommittee.

Read the Full Article . . .

Hearing Information . . .
About COHI
COHI

The Connecticut Oral Health Initiative, or COHI for short, is a state-wide collaborative of dental professionals, business and community leaders. Our Mission is Oral Health for All. We work to persuade, educate and inform decision makers and the general public about the important issues involving oral health. We started in 1992 as a project of the Connecticut State Dental Association and incorporated as a separate 501(c)(3) non-profit corporation in 2003. We are supported by your tax-deductible contribution and grants from progressive foundations and businesses.
http://www.ctoralhealth.org  ·  860.246.2644

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