Ariel Schaufler & Shanetta Agnew Arkansas Home Visitor s Networking Conference August 26, 2016
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1 Ariel Schaufler & Shanetta Agnew Arkansas Home Visitor s Networking Conference August 26, 2016
2 Connecting Patients to a Medical Home
3 Objectives Participants will be able to Identify the 3 Components of ConnectCare Use for Information Contact Dental Coordinated Care Contact Outreach Coordinators
4 ConnectCare The Arkansas Medicaid Program contracts with the Department of Health to assist Medicaid and ARKids First families in finding a Medical Home
5 Mission Statement ConnectCare provides quality services and health information to Medicaid and ARKids families by helping them find a primary care doctor and dental care provider
6 Vision Statement To provide excellent service to Arkansas Medicaid and ARKids beneficiaries to ensure each person has the opportunity to get the medical care they need
7 Medical Home Importance of a Medical Home More Than Just a Place Most Medicaid Beneficiaries are Required to Have a PCP Assigned (Dentist not required) Familiarity Get the Best Possible Care Well-Child Checkups and EPSDTs Decrease ER Visits
8 ConnectCare Components Three Components of ConnectCare Primary Care Physician (PCP) Helpline Dental Coordinated Care (DCC) Health Education, Promotion, and Outreach
9 Primary Care Physician Helpline PCP Helpline Analysts Assign and Change PCPs (E)Mail Information (confirmation letters, PCP List, Outreach materials) Refer to Appropriate Agency/ Program
10 PCP Helpline Toll Free Helpline Toll Free TDD LOCAL Hours of Operation Monday-Friday 6am-8pm
11 Bilingual Staff PCP Helpline Dental Coordinated Care Outreach Translate Educational Materials
12
13 Online Change Form
14 Doctor s Directory
15 Dental Coordinated Care
16 Dental Coordinated Care Find Dentists for Beneficiaries Schedule Dental Appointments Make Appointment Reminder Calls Answer Some Dental Benefit Questions Coordinate Transportation Make Dentist Follow-Up Calls for Missed Appointments
17 Dental Coordinated Care What Will Medicaid pay for? Medicaid will pay up to $500 a year for most dental care-from July 1 to June 30 of each year. ONE office visit ONE cleaning ONE set of X-rays ONE fluoride treatment (to help prevent cavities)
18 Dental Coordinated Care Some things Medicaid will pay for do not count toward your $500 limit: Extractions Payment to lab only for partial dentures (ONE per lifetime) Payment to lab only for complete dentures (ONE per lifetime) If your dentist says you need it, Medicaid will pay for: Simple tooth pulling & fillings Surgical tooth pulling (Medicaid must approve it first)
19 Dental Coordinated Care Cont. Toll Free Helpline Toll Free TDD Local Hours of Operation Monday-Friday 8:00 am- 4:30 pm
20 Charitable Dental Clinics Charitable dental clinics: are volunteerbased, safety-net health care organizations that provide a range of medical, and dental care at a sliding fee scale or no cost to economically disadvantaged individuals who are predominately uninsured.
21 Charitable Dental Clinics Did you know? There are approximately 42 Charitable dental clinics, within the state of Arkansas.
22 Arkansas Donated Dental Services Charitable Dental Program Services are Not Medicaid Funded Eligible Arkansans: Low Income Uninsured 65 Years and Older Permanently Disabled
23 Arkansas Donated Dental Contact Information Toll Free Local Betty (DDS Coordinator) Mail Application
24 Dental Provider City Listing Forrest City First Name Last Name Specialty Phone Address City State Zip Code County ANDREA DENSON- DMD General E. COOK Forrest City AR ST MEANS Dentistry 633- ST FRANCIS 4894 Languages English Ages Served 3 and older AR DENTISTRY AND BRACES (FORREST CITY) Orthodontics N. WASHINGTON AR ST FRANCIS English and Spanish 18 and younger DJUANA L CARTILLAR DDS Pediatric Dentistry N. WASHINGTON AR ST FRANCIS English 1 thru 12 DONALD R PERKINS DDS General Dentistry N. WASHINGTON ST AR ST FRANCIS English 5 and older JOHN "RUSSELL" BERRY DDS General Dentistry N. DIVISION ST AR ST FRANCIS English 4 and older J. RUSSELL BERRY DDS General Dentistry N. DIVISION ST AR ST FRANCIS English 4 and older KAREN M IMBODEN DDS General Dentistry N. ROSSER AR ST FRANCIS English All ages PEDIATRIC DENTISTRY OF EASTERN AR (FRST CTY) Pediatric Dentistry N. WASHINGTON AR ST FRANCIS English 1 thru 12 WILLIAM T ST. JOHN DDS General Dentistry N. WASHINGTON AR ST FRANCIS English 20 and younger
25 Dental Provider County Listing Baxter County First Name Last Name Specialty Phone Address City State Zip Code County Languages Ages Served AR ORAL AND FACIAL SURGERY CENTER (MOUNTAIN HOME) BERNARD W PETKOVICH DDS General Dentistry Oral Surgery HIGHWAY 201 N 500 HOSPITAL DR Mountain Home Mountain Home AR BAXTER English and Spanish All ages AR English 18 and younger BRADLEY W COLEMAN DDS General Dentistry HWY 5 NORTH, SUITE 10 Mountain Home AR English All ages DAVID J SANDER DMD Orthodontics HWY 5 NORTH Mountain Home AR English 18 and younger ERIC K MATHIS DDS General Dentistry GREEN VALLEY DR Mountain Home AR English All ages GEORGE I ALEXANDER DDS General Dentistry HARDING BLVD Cotter AR English 18 and younger KYLE S WENDFELDT DDS Orthodontics HWY 5 NORTH Mountain Home AR English 18 and younger ORTHO SPECIALISTS OF THE OZARKS (MOUNTAIN HOME) RANDY S SIMPSON DDS General Dentistry Orthodontics HWY 5 NORTH Mountain Home 137 S. COLLEGE Mountain Home AR English 18 and younger AR English 20 and younger
26 Health Education, Promotion, & Outreach Provide Off-Site PCP Assignments Conduct Presentations Distribute Educational Materials Educate on Importance of Medical Home and Appropriate Use of Emergency Room
27 Working With the Community Public Health Education and Promotion ADH Local Health Units County Department of Human Services School, ABC, Head Start Hometown Health Improvement Coalitions Arkansas Community Health Centers UAMS Regional Centers (AHECs) PCP and Dental Offices
28 Outreach Publications Newsletter Brochures Fact Sheets Non Emergency Transportation (NET)
29 Newsletter
30 Bilingual Fact Sheets
31 Dental Fact Sheet
32 Non Emergency Transportation
33 Outreach Staff Gloria Bastidas - Bilingual Outreach Coordinator (Statewide) Misty Smith- Health Education Supervisor Ariel Schaufler - Health Educator (North) Crystal Hayes- Health Educator (South)
34 Your Role is Important Verify Medicaid Eligibility Assign Each Child s PCP Fill Out the PCP Assignment Card Help Families Find a Dentist Assist Families Needing NET
35 Questions
36 Contact Information Ariel Schaufler, Health Educator Arkansas Department of Health ConnectCare Office: Shanetta Agnew, Dental Care Coordinator Arkansas Department of Health ConnectCare Office:
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