Florida Medicaid Oral Health Consumer Engagement Survey

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1 Flrida Medicaid Oral Health Cnsumer Engagement Survey Greetings! Flrida Medicaid strives t ensure the verall health f yur child. An imprtant part f verall health is dental care. We wuld like t invite yu t participate in a survey abut dental services yur child can receive fr free. We als hpe t get a better understanding f yur knwledge f ral health. Yur answers will help us make dental care better fr all children with Medicaid health insurance. We respect yur decisins and yur privacy: Yur participatin in this survey is vluntary. Yu have the ptin t nt answer any questins that yu are nt cmfrtable with. Yur respnses are private and will never be shared with anyne. Yur name and Medicaid ID will nt be assciated with this survey. There are n risks r benefits invlved in participating in this survey. Yur chice t participate r nt participate will nt affect the dental and medical services available t yur child. This survey will take apprximately 10 minutes **This survey was develped by Flrida Medicaid and will be administered in partnership with Staywell Health Plan s Dental vendr Liberty Dental. If yu have any questins r cncerns abut this survey, please cntact Megan Thmpsn with Flrida Medicaid at , megan.thmpsn@ahca.myflrida.cm Let s get started! 1.) Yu have read the abve infrmatin Yu vluntarily agree t participate Yu are 18 years f age r lder, I agree, I disagree 2.) Wuld yu like t answer a survey abut yur child s dental care? If n, we encurage yu t visit the links belw: Learn mre abut children s ral health: Find a Medicaid dentist fr yur child: Flrida Medicaid Oral Health Cnsumer Engagement Survey

2 Flrida Medicaid Oral Health Cnsumer Engagement Survey Thank yu fr agreeing t help us! Please, tell us abut yurself and yur family. 3.) Hw many children enrlled in Medicaid (between the ages f 1 and 20) live in yur hme? 1 Child 2 Children 3 Children 4 Children Mre than 4 Children 4.) In what is yur child s ethnicity? Caucasian African American Hispanic Other I have children with multiple ethnicities 5.) In what part f the State f Flrida d yu live? Nrthwest Nrtheast Central East Central Central West Suth West Suth East Flrida Keys Flrida Medicaid Oral Health Cnsumer Engagement Survey

3 Flrida Medicaid Oral Health Cnsumer Engagement Survey We are glad t knw mre abut yu and yur family. Nw, let s discuss ral health. If yu have multiple children, please chse ne child between the ages f 0 20 t answer the fllwing questins 6.) In yur pinin, hw ld shuld yur child be when he/she first visits a dentist? Newbrn 2 years ld 3 5 years ld 6 8 years ld 9 11 years ld years ld Only when they have a prblem r muth pain I am nt sure 7.) D yu believe it is imprtant t clean a baby s muth after each feeding, even befre they have teeth? I am nt sure 8.) Hw ften des yur child brush his/her teeth? t at all Once a day At least twice a day Only after desserts r sweets I am nt sure 9.) Where des dental plaque stick t in the muth? On the gums On the tngue On the teeth All f the abve I have never heard abut plaque I am nt sure 10.) What is the mst imprtant reasn fr yur child t brush his/her teeth? T lk clean and bright T prevent the develpment f plaque, caries and gum disease T get rid f bad breath I am nt sure Flrida Medicaid Oral Health Cnsumer Engagement Survey

4 Flrida Medicaid Oral Health Cnsumer Engagement Survey 11.) Hw ften d yu allw yur child t have sweet fds and/r drinks? 1 3 times per day 4 6 times per day 7 10 times per day Only n special ccasins ne at all I have never thught abut this befre I am nt sure 12.) Are yu familiar with dental sealants? 13.) Has yur child had dental sealants applied t their teeth? Skip t questin 15 I am nt sure Skip t questin ) Where did yur child have sealants applied? At my child s dctr s ffice At my child s schl In a mbile dental van At a free cmmunity dental event At a free dental clinic At the health department I am nt sure 15.) Hw wuld yu rate the health f yur child s teeth and gums? Excellent Very Gd Fair Pr 16.) Has yur child had painful teeth r gums in the past 12 mnths? Flrida Medicaid Oral Health Cnsumer Engagement Survey

5 Flrida Medicaid Oral Health Cnsumer Engagement Survey 17.) When was the last time yur child visited the dentist? Less than ne year ag Between 1 and 2 years ag Over 2 years ag My child has never seen a dentist skip t questin #19 I am nt sure 18.) Why did yur child last visit the dentist? Regular checkup and cleaning Tth r gum pain Other I d nt want t answer 19.) Within the last year, has yur child been able t see a dentist when he/she needed t? I d nt want t answer 20.) Where des yur child nrmally g fr dental care? Emergency rm Cmmunity Health Department Their regular dctr Their dentist A dental schl My child s schl prvides dental care My child des nt receive dental care 21.) What are sme f the challenges yu face in seeing the dentist? (please select all that apply) I d nt have any challenges in taking my child t the dentist I cannt get time ff f wrk My child fears the dentist The dentist I cntacted des nt accept Medicaid I cannt find a ride t the dentist I cannt find a dentist that speaks my language I have t wait t lng in the waiting rm It takes t lng t get an appintment My child s dentist ffice is nt pen when I need t g I dn t have smene t watch my children that d nt need t g t the dentist appintment I d nt have time I frget t schedule my child s appintment Other: Flrida Medicaid Oral Health Cnsumer Engagement Survey

6 Flrida Medicaid Oral Health Cnsumer Engagement Survey 22.) Are yu aware that children between the ages f 1 20 enrlled in Medicaid are eligible fr a free dental screening, cleaning and sealants ne time per year?, I knw that, I did nt knw that skip t questin #24 23.) Hw did yu find ut? My child/children s dctr tld me Our health insurance plan tld me A friend r family member tld me I saw an advertisement/flyer I received a text message I saw it n scial media (facebk, twitter, etc.) Other: 24.) D yu knw hw t lcate a dentist that will accept Medicaid health insurance? 25.) Upn the cmpletin f this survey, are yu cnsidering scheduling a dentist appintment fr yur child? Maybe I d nt knw 26.) Upn cmpleting this survey are yu likely t seek mre infrmatin abut hw t keep yur child s teeth healthy? I d nt knw Thank yu fr cmpleting the survey! Yur feedback will help us t imprve Flrida Medicaid dental benefits fr children. Please find the attached infrmatin sheet that will prvide yu with mre infrmatin abut preventive dental benefits and hw yu can schedule an appintment. Flrida Medicaid Oral Health Cnsumer Engagement Survey

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