Ten Years. Oral Health Grantmaking

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Ten Years. Oral Health Grantmaking 2002-2012"

Transcription

1 Ten Years of Oral Health Grantmaking

2

3 Introduction As a new health foundation, Caring for Colorado Foundation embarked on its first funding initiative in The Oral Health Improvement Project was a ten-year, ten-million dollar effort designed to: 4 Strengthen Colorado s oral health safety net with the goal of improving access to dental care for underserved individuals; 4 Promote prevention programs to enable a new generation of children to grow up free of dental disease, and; 4 Improve Colorado s health policies so that all people have access to affordable, quality oral health care. January 1, 2012 marked the successful conclusion of Caring for Colorado s Oral Health Improvement Project. This initiative, together with additional Caring for Colorado responsive grants in oral health, resulted in the following outcomes over the ten-year period between 2002 and 2012: 4 55 organizations receiving 163 separate grants totaling $14,082, ,000 annual patient visits added to Colorado s safety net clinics. 4 Ten (10) new safety net dental clinics developed and operating in 14 different rural communities throughout Colorado. 4 Annually, 13,000 children in rural and underserved areas in Colorado receiving school-based dental screenings, sealants and fluoride treatments. 4 Annually, 50,000 children under three years of age receiving Cavity Free at Three services as part of their well-child health care. 4 More than 1900 health care providers trained in the Cavity Free at Three model. This report will share the strategies employed throughout this initiative, as well as results and lessons learned.

4 Garry Millard, DDS, Patricio Gonzales, DDS and Ken Davis, PA working to promote oral health at Mountain Family Health Center in Rifle. Caring for Colorado provided grants, totaling over $2.28 million to help clinics build, expand and renovate their existing health clinics to support dental services. Strengthening the Oral Health Safety Net When Caring for Colorado embarked upon its Oral Health Improvement Project in 2002, most federally funded community health centers and other safety net clinics provided either very limited dental services or offered none at all. At the same time, there was a growing recognition that oral health services were desperately needed in many communities. New state and national efforts began to emerge, calling attention to the dental care needs in our society. Some of the key events that sought to address oral health needs in the early 2000s included the following: YEAR KEY EVENTS FOR ORAL HEALTH 2000 The publication of Oral Health In America: A Report of the Surgeon General was released. This documented national oral health disparities The Colorado Commission on Children s Dental Health studied the extent and nature of the problem of children s oral health care in Colorado and made recommendations to the Governor and the General Assembly. This resulted in: 4 A dental loan repayment program for providers serving the underserved. 4 Dental hygienists recognized as Medicaid providers. 4 The Child Health Plan Plus (CHP+) dental benefit. 4 Infrastructure grants to safety net dental providers to increase capacity Colorado received a Centers for Disease Control and Prevention (CDC), Division of Oral Health grant that led to: 4 Development and enhancement of an oral health surveillance system. 4 Creation of an oral health burden document. 4 Management of a state community water fluoridation program. 4 Development of a statewide oral health coalition Colorado received a Health Resources and Services Administration State Oral Health Collaborative Systems grant. This grant worked with select federally funded community health centers to begin integrating oral health services into primary health care A National Call to Action to Promote Oral Health was released expanding upon the recommendations of the Surgeon General s report. Source: Colorado Oral Health Plan, 2012; 4 Ten Years of Oral Health Grantmaking :: Caring for Colorado Foundation

5 It was within this environment that Caring for Colorado began its Oral Health Improvement Plan. From community meetings and discussions with health care leaders, it was clear that Colorado lacked the physical capacity to meet the oral health needs of people in underserved communities. With new resources available from federal and state sources for dental clinic operations, Caring for Colorado was uniquely poised to help fund physical capacity or equipment and construction/renovation. To that end, Caring for Colorado provided grants, totaling over $2.28 million to help clinics build, expand and renovate their existing health clinics to support dental services. The Foundation also helped clinics purchase dental operatories, equipment and other furnishings. Equipment purchases totaled over $1.4 million. While a significant amount of Caring for Colorado funds went to expand dental services within safety net clinics, the Foundation also played a key role in the development of ten brand new safety net dental organizations operating at 14 clinic sites throughout Colorado. In all cases, Caring for Colorado was a lead funder, helping these new organizations leverage other foundation and government funds to make their clinics a reality. In working to expand dental capacity, Caring for Colorado also funded dental teams. By supporting staff, new clinics could take the time to build their practices which would then result in enough revenue to sustain the staff and clinic. In other cases, where clinics were serving primarily adults, Caring for Colorado funds paid for dental staff which in turn allowed the clinics to subsidize care to low-income, uninsured adults. Caring for Colorado invested $8.6 million in supporting dental teams throughout Colorado. The Caring for Colorado grants gave us the freedom to think and practice outside of what was considered the norm. This allowed us to change our practice from being purely oral disease treatment into oral disease management and intervention. In several cases, Caring for Colorado funds allowed safety net clinics to hire pediatric dentists. Over-time, pediatric dentists tend to generate revenue for safety net clinics. However, seed money is often needed to establish a client base for the pediatric dentist and to change how the clinic operates so that young children can be accommodated. Caring for Colorado helped support pediatric dentists at Marillac Clinic, Denver Health and Hospitals, and Metro Community Provider Network. Results 4 10 new safety dental clinics at 14 locations Montrose, Craig, Oak Creek, Steamboat Springs, Frisco, Durango, Cortez, Las Animas, Grand Junction, Palisade, Norwood, Flagler, Rifle and Lake City. 4 3 new pediatric dentists added to the safety net. 4 $8,550,873 spent on dental teams. Dennis Lewis, DDS President and CEO, Dental Aid, Inc. 4 $2,307,150 spent on construction projects to renovate space for dental clinics or to construct new clinics. 4 $1,444,475 spent on dental equipment including dental operatories, cabinetry, x-ray equipment, and hand-pieces. 4 95,000 new patient visits to the safety net system. Caring for Colorado Foundation Ten Years of Oral Health Grantmaking ::

6 Dr. Dennis Lewis, President and CEO of Dental Aid and co-creator of Cavity Free at Three, coaching a pregnant patient on how to have optimal oral health during pregnancy and what she can do to ensure healthy teeth for her baby. Caring for Colorado Safety Net Funding New safety net clinics that CFC helped to establish as a lead funder Communities where CFC helped to expand the oral health safety net s capacity Moffat Routt Jackson Larimer Weld Logan Sedgwick Phillips Morgan Rio Blanco Garfield Eagle Grand Boulder Broomfield Gilpin Clear Creek Denver Summit Jefferson Adams Arapahoe Washington Yuma Mesa Delta Gunnison Pitkin Lake Chaffee Park Teller Douglas El Paso Elbert Lincoln Kit Carson Cheyenne Montrose Fremont Crowley Kiowa San Miguel Dolores Ouray San Juan Hinsdale Mineral Saguache Rio Grande Alamosa Custer Huerfano Pueblo Otero Bent Prowers Montezuma La Plata Archuleta Conejos Costilla Las Animas Baca 6 Ten Years of Oral Health Grantmaking :: Caring for Colorado Foundation

7 New Safety Net Dental Clinics in Colorado funded by Caring for Colorado Montrose Community Dental Clinic Northwest Colorado Dental Clinic Summit Community Care Clinic Southwest Smilemakers Otero Junior College, Child Development Services and Valley-Wide Health Services in Las Animas Marillac Clinic Uncompahgre Medical Center Mountain Family Health Center Rifle Clinic Plains Medical Center Flagler Clinic Hinsdale County Public Health Lake City Dental Clinic This clinic, which started in a cramped, closet-sized space at Montrose County Public Health, became a free standing dental clinic serving children insured by Medicaid and CHP+ for a ten-county region. It provides more than 600 patient visits per month and also offers emergency care to adults. The Northwest Colorado Dental Coalition began its work by bringing mobile dental services to Craig once a year. The oral disease discovered at these clinics was extreme. The coalition decided that a free-standing safety net dental clinic was needed in their community. Caring for Colorado offered a lead grant of $450,000 over three years. This helped the community leverage other funding. The result is a dental clinic in Craig with satellite clinics in Steamboat Springs and Oak Creek. Caring for Colorado was a lead funder in helping Summit Community Care Clinic become an independent safety net clinic in the town of Frisco. Early in its existence, the clinic began offering dental hygiene services. Quickly thereafter, they worked with volunteer dentists to offer comprehensive dental services for adults. Caring for Colorado helped to purchase equipment for this clinic and to help fund a part time dental director. Southwest Smilemakers was originally funded by Caring for Colorado as a mobile treatment program that traveled between Cortez, Silverton, Durango and Bayfield providing dental treatment for children. Early issues were the reliability of the van (driving over the Million Dollar highway into Silverton), heating and cooling issues with the van, and the ability to keep a full-time dentist on staff. Because of these struggles, the program eventually developed two stationery dental clinics, one housed at Montezuma County Public Health in Cortez and one at San Juan Basin Health Department in Durango. Today, Montezuma County Public Health offers care two days per week for children only. The clinic in Durango operates full-time and provides care to low-income children and adults. Caring for Colorado funds were used to purchase a full, state-of-the-art dental operatory and x-ray equipment for Arkansas Valley Regional Medical Center in La Junta in partnership with Otero Junior College, Child Development Services. The idea behind this grant was to offer dental services, in the hospital, via traveling dental providers. In the end, this model proved to be inefficient and the dental suite was vacant more than it was used. The equipment was eventually moved to Plains Medical Center in Limon and is still used today. Soon thereafter the community had two new dental clinics open in La Junta and Las Animas as part of Valley-Wide Health Services. Caring for Colorado helped to fund the dental clinic in Las Animas, supporting a new dental team. This grant brought Bent County its first dentist to the community in twenty years. Before 2001, Marillac Clinic in Grand Junction had a small dental program with three operatories staffed by volunteers. When Caring for Colorado granted the organization a large, construction grant in 2001 the clinic expanded into a 12-chair operation with paid staff. Later, Caring for Colorado helped Marillac Clinic develop a satellite dental clinic in Palisade, serving people in the community and migrant farm workers. Marillac Clinic provides nearly 15,000 patient visits a year. In 2008, with construction funds from Caring for Colorado, Uncompahgre Medical Center established a new dental clinic. This brought an important new health resource into a very underserved, frontier region of our state. With the new clinic, people started coming in for major restorative care after years of neglect. Subsequent grants from Caring for Colorado to Uncompahgre Medical Center have allowed the clinic to subsidize care to low-income adults. Caring for Colorado first provided Mountain Family with a capital grant to help them construct a new health care clinic in Rifle that had a large dental clinic imbedded within it. A second grant allowed Mountain Family to hire a second dentist to expand their capacity. With these two investments, Caring for Colorado brought a new safety net dental clinic to a highly underserved region of the state which now provides approximately 5,000 patient visits per year. With a satellite health clinic in Flagler, Plains Medical Center sought funding from Caring for Colorado in 2010 to develop a new dental program at this clinic site. CFC funds went to support a half-time dental team to provide care to low-income and uninsured people in Burlington, Flagler and surrounding communities. This region of the state is considered an Oral Health Provider Shortage Area. This one time grant allowed the Flagler clinic to develop its patient base so that the dental clinic is now self-sustaining. Hinsdale County Public Health originally sought funding from Caring for Colorado to support dental hygiene services for children in the community of Lake City. Given the geographic isolation of this small community, and the long distance to the nearest dentist in Gunnison, many children were not receiving routine preventive care. Over time, this project included the development of a single chair dental operatory with the community working to bring a traveling dentist to the area 1-2 times per month to provide restorative care for both children and adults. Caring for Colorado Foundation Ten Years of Oral Health Grantmaking ::

8 Greg Evans, DDS, owner of Big Grins in Ft. Collins and co-creator of the Cavity Free at Three program. Four in ten Coloradans lack dental insurance. Coloradans are 2.5 times more likely to be without dental insurance than without health insurance. (Colorado Health Access Survey, 2012) Lessons learned Business Planning is Essential Starting any new dental clinic is not an easy task. Especially difficult, however, is starting a new safety net dental clinic. Up front capital costs for a building and equipment are large. Because safety net dental clinics serve those most in need, regardless of ability to pay, the financial outlook is often fragile. Most low-income adults do not have dental insurance or the ability to pay large out-ofpocket expenses for dental care. While children who are insured by Medicaid and CHP+ have dental benefits, these programs reimburse dentists at a much lower rate than private insurance. Because of this, revenue generally doesn t match expenditures for a safety net clinic. Business planning becomes critical. Safety net dental clinics rely on a combination of patient revenue (Medicaid, CHP+ and self-pay); government and foundation grants and fundraising. New safety net clinics need to understand this from inception and have plans for robust fundraising, good partnerships to ensure that children in their care are fully enrolled in public insurance programs and strong business practices to make sure that billing and collections are maximized. Many safety net clinics begin by serving children only because most children have a payor source. Over time, these clinics sometimes can add adult patients to their mix if the volume of children is high enough to help subsidize the care of adults who pay on a sliding scale. Clinics that serve a high volume of uninsured adults almost always rely on government and foundation grants to provide services. 4 Foundation support of business planning, to help clinics think through various scenarios and financial strategies, can help to ensure a safety net clinic s future success. 8 Ten Years of Oral Health Grantmaking :: Caring for Colorado Foundation

9 Leveraging Other Resources A major accomplishment of Caring for Colorado s oral health grantmaking over the past ten years is a significant growth in the capacity of the safety net. This occurred because Caring for Colorado was able to leverage other resources, often federal, to help make safety net clinics whole. For example, in the early 2000s, when the federal Health Care Resources and Services Administration was providing dental operational grants to federally funded community health centers, CFC was able to fund clinic construction, renovation and equipment, thus bringing on-line new dental clinics. Then, in the middle to late 2000s when FQHCs were receiving capital expansion grants from the federal government, CFC was able to fund the operations, or dental teams. 4 Foundations have the best results and impact when they are able to leverage other community, foundation and government efforts addressing a common problem collectively. Adult Dental Benefits are Desperately Needed While there has been tremendous growth in the oral health safety net in Colorado, these clinics remain financially fragile and their long-term viability is in question due to the lack of a reliable payor source for adult patients. Adults, who have been left out of the oral health delivery system for years, or even decades, have a tremendous amount of disease which makes dental care even more out of reach due to treatment costs. These unmet dental needs result in the use of emergency rooms for dental pain, infections or trauma; they exacerbate other health conditions, such as diabetes and heart disease; and they reduce employability because of pain or physical appearance due to dental disease. Uncompaghre Medical Center started the first subsidized dental program in the region in 2008, and Caring for Colorado Foundation was instrumental in helping establish and advance the program from day one. From the early days of identifying generations of neglect and overcoming the fear associated with seeking oral health care, program consistency and foundation support are helping to reduce barriers and improve the oral health and overall health of underserved patients of all ages. Steve Siegel, Executive Director Uncompahgre Medical Center Currently, neither Medicaid nor Medicare includes dental care as a covered benefit for adults. Recently, there are some efforts in the state to change this for the adult Medicaid population. By adding this coverage for adults, our safety net clinics would stand a higher likelihood of long-term sustainability and a major health need among low-income Coloradans could be met. 4 Dental coverage is needed for adults on Medicaid and CHP+. 4 Affordable adult dental products should be a mandatory covered benefit as part of the Health Benefits Exchange. 4 Medicare does not cover dental care. This must be changed at the federal level, especially with the exponential growth in our senior population, most of whom will keep their teeth for their entire lives (unlike the generation of seniors before them). Caring for Colorado Foundation Ten Years of Oral Health Grantmaking ::

10 Students at an elementary school in Glenwood Springs receiving preventive dental care. Only 45% of Colorado s third graders have dental sealants on their teeth. Dental sealants are an evidence-based intervention that protects against decay. Promoting Prevention Programs for Children In the first five years of Caring for Colorado s Oral Health Improvement Project, the programs that were funded to address the Foundation s goal for preventing oral disease in children were largely delivered within dental clinics. It was determined, after an evaluation of the first five years of the program, that while many children were receiving dental treatment, prevention of the disease was much more elusive. Safety net clinics were so over-run by children s dental treatment needs that attention to prevention, or even new approaches to prevention, were hard to realize. Additionally, some of the most underserved children in Colorado weren t able to access services within dental clinics because of a variety of barriers to care. Therefore, in the second half of the Oral Health Improvement Project, the prevention strategies were re-worked to include more efforts outside of the dental clinic and in the community. The decision was made to pursue two major prevention strategies: school-based dental sealant programs and the development of a new statewide primary prevention program for young children called Cavity Free at Three. 10 Ten Years of Oral Health Grantmaking :: Caring for Colorado Foundation

11 School-Based Dental Sealant Programs Dental sealant application is considered an evidencebased prevention strategy for children. Nationally, Healthy People 2020 calls for an increase in schoolbased dental sealant programs. In Colorado, oral health advocates and the Colorado Department of Public Health and Environment are working to ensure that all low-income elementary and middle schools with greater than 50% of the student body receiving free or reduced lunches have school-based dental sealant programs in place to prevent dental disease in children. Since 2004, Caring for Colorado has funded schoolbased care including: dental screenings, fluoride application, dental sealants and student and parent education. These services are delivered to 2nd and 3rd graders with 6th and 7th grade students recently added to programs. Caring for Colorado school-based dental sealant grants were directed to highly underserved and/or rural communities with limited access to care. Foundation funds generally went to support the coordinators who organized the programs as well as portable equipment and the salaries of dental hygienists and dental assistants. The types of delivery models that were funded are described here: Organization Funded Centennial AHEC (CAHEC) San Juan Kids Cavity Prevention Program (SKIPPY) Garfield County Public Health Denver Health and Hospitals Delivery Model Centennial AHEC engaged public health agencies from seven frontier counties in northeast Colorado to help implement their school-based oral health program. CAHEC developed operational standards for the program, trained the public health staff, hired the dental hygienists, collected data and developed evaluation reports. The public health nurses worked at the schools to set up and run the clinics. One hundred percent (100%) of the elementary schools in the 7-county area participated, with 50% of 2nd and 3rd grade children in these schools receiving services. Caring for Colorado funded this program for five years. Local public health agencies are now working to sustain these services in their individual counties. The SKIPPY Program provides care to children, ages 6-13 in Ouray, San Miguel, Delta and west Montrose Counties, most of whom are low-income, uninsured and without dental homes. SKIPPY follows the Forsyth Institute s school-based dental program methodology that provides oral exams, cleanings, fluoride treatment and sealants twice per year. Since 2008, SKIPPY has provided 90+ clinics and provided more than 4,000 treatments to children. They have reduced the percentage of kids who have not seen a dentist in the region by almost 50%. This program has been in operation for over five years. This program sees all children, not just those who are age-appropriate for dental sealants. Garfield County Public Health received funding from Caring for Colorado to maintain and expand a schoolbased dental sealant program that began with a Caring for Colorado grant to Western Colorado AHEC. With CFC funding, Garfield County Public Health worked to include middle schools in their fluoride and dental sealant programs. It also started billing Medicaid for services rendered. Garfield County Public Health contracts with dental hygienists in the area to provide the care while public health staff work to engage the schools, purchase supplies, set up the clinics, collect data and develop evaluation reports. The program serves over 900 students at 13 different schools annually. Evaluation reports show a declining rate of emergency dental needs in the population being served. Of children who are seen in the program for the first time, more than one quarter have an emergency dental need. These services have been in Garfield and Pitkin county schools for four years. Denver Health and Hospitals is a long-term partner with Denver Public Schools providing health care through school-based health centers and other school-linked services. One of these services includes a school-based dental program in high need schools. Before providing any dental care, Denver Health works with the schools to make sure that all children who are eligible for Medicaid and CHP+ are enrolled in the programs. Denver Health then provides dental screenings, fluoride, education and sealants to 2nd, 3rd, 6th and 7th grade students. Because Denver Health works to get all eligible children enrolled in health insurance and because they have strong billing systems, the Denver Health sealant program became sustainable after initial grant funding from Caring for Colorado. Caring for Colorado Foundation Ten Years of Oral Health Grantmaking ::

12 A Glenwood Springs elementary school student receiving dental hygiene instruction as part of a school-based dental sealant program. Counties with CFC Funded School-Based Oral Disease Prevention and Dental Sealant Programs Moffat Routt Jackson Larimer Weld Logan Sedgwick Phillips Morgan Rio Blanco Garfield Eagle Grand Boulder Broomfield Gilpin Clear Creek Denver Summit Jefferson Adams Arapahoe Washington Yuma Mesa Delta Gunnison Pitkin Lake Chaffee Park Teller Douglas El Paso Elbert Lincoln Kit Carson Cheyenne Montrose Fremont Crowley Kiowa San Miguel Dolores Ouray San Juan Hinsdale Mineral Saguache Rio Grande Alamosa Custer Huerfano Pueblo Otero Bent Prowers Montezuma La Plata Archuleta Conejos Costilla Las Animas Baca 12 Ten Years of Oral Health Grantmaking :: Caring for Colorado Foundation

13 Results 4 Over a ten-year period, Caring for Colorado invested $2.3 million in 11 school-based dental sealant programs. 4 Annually, an estimated 13,000 children in 27 counties received preventive dental care. 4 The Colorado Basic Screen Survey for showed that dental sealant rates for Colorado s third graders have increased by 10 percent in the past decade. While this increase cannot be attributed to Caring for Colorado funding alone, it is clear that the Foundation s efforts have supported this significant growth in children receiving dental sealants. Results of dental screening amoung children in 3rd grade Colorado Children s Oral Health Screening, , and Colorado Department of Public Health and Environment % 90% 80% 70% 60% % 40% % % 10% 0% Caries Experience 14 Untreated Decay Urgent Need for Care Sealants Sources: Prevention Services Division. Chew on This: 2011 Report on Oral Health in Colorado, Colorado Department of Public Health and Environment, The Impact of Oral Disease on the Health of Coloradans Colorado Department of Public Health and Environment, Data cited from 2004, , and Basic Screening Survey. 4 Evaluation reports from CFC funded school-based dental sealant programs show, on average, that: Twenty-five percent (25%) of children entering the programs have urgent dental needs. All CFC funded programs had mechanisms in place to help these children receive needed treatment. With CFC s dental sealant funding, a large number of children also benefitted from case management services that helped them access dental treatment. For many children, the school-based dental program is their first dental experience. For children in rural areas with limited access to dentists, the school-based program is their dental home. In rural and underserved areas, projects report difficulty in finding a dentist in the community who will provide dental treatment to uninsured children or children insured by Medicaid. Caring for Colorado Foundation Ten Years of Oral Health Grantmaking ::

14 Students in Limon receiving oral hygiene instruction as part of a school-based dental sealant program. Caring for Colorado has invested $2.3 million in school-based oral disease prevention efforts for children. Over 13,000 thousand children, in 27 counties, receive dental sealants every year from CFC funded programs. Lessons learned 4 School-based dental sealant programs are a very effective way to provide preventive care to a large number of children. Not only are children available in schools, but dental sealants are one of the few evidence-based interventions in dentistry. By sealing permanent molars, children will have less decay as adults. 4 Sealant programs are difficult to implement. The major implementation issues include: Difficulty in gaining school buy-in for the program. Schools today are operating in an environment of reduced funding and higher expectations for educational outcomes. They also have a variety of outside agencies wanting to work with school children, meaning that dental sealant programs must compete for the attention of school administrators. Because of Colorado s local control of schools, dental sealant programs often must receive buy-in from each individual school principal before delivering any care. This is labor intensive in large school districts or in rural areas with large geographic distances between schools. However, once schools are on board, principals are happy to have dental sealant programs return year after year, as they recognize this unmet health need within their student population. Billing. In order for school-based dental sealant programs to last over time, they must become financially sustainable. In the past, many school-based dental sealant programs have relied on grant funding enabling programs to avoid the complications of billing Medicaid, CHP+ and private dental insurance. Recently, programs have started to work on billing at the insistence of foundations and other funders. It is a complicated endeavor, however. To fully maximize billing revenue often a billing specialist is required. School-based programs generally don t have access to this type of expertise. To be sustained over time, dental sealant programs may need to be associated with larger entities, such as federally-funded community health centers, or safety net dental clinics that have the much needed the billing and collections capacity. 14 Ten Years of Oral Health Grantmaking :: Caring for Colorado Foundation

15 Access to dental treatment. With 25%-30% of children in dental sealant programs needing dental treatment, programs struggle to find referral sources for children who are uninsured or insured by Medicaid. Also, many children need to see a pediatric dentist due to the severity of their disease. In rural and underserved communities, access to these types of dental providers is difficult and sometimes impossible. Efforts to increase Colorado s Medicaid dental provider network are underway with the Cavity Free at Three Program. Also, with the implementation of the Affordable Care Act, more children will have dental insurance which hopefully will improve access to treatment services. 4 Sealant programs need to be tied to enrollment in order to maximize revenue. The programs that have the best billing rates and have the most financial security are those that tie outreach and enrollment for Medicaid and CHP+ to their dental sealant program. Setting up a system that first enrolls children in public insurance programs, followed by the dental sealant services, is a model that works in improving sustainability of the program. This requires the dental sealant program to either have this capacity or to partner with outreach and enrollment entities to ensure that all eligible children are enrolled. 4 Critical to all successful sealant programs is a coordinator. This is the person who works with the schools, sets up the systems, reports on results, addresses billing issues, and works to make sure that referrals to dental treatment are in place. Without this critical function, school-based programs could not exist. While often dental hygienists, dental assistants and supplies can be paid from billing, the position of a coordinator is much harder to fund. Billing revenue is generally not great enough to cover the salary of this position. Solutions to this dilemma are to tie the services to a larger entity that can utilize other funding sources to cover the coordinator s salary, such as a public health department or a safety net dental clinic. Any payment reform for schoolbased dental sealant programs needs to include a per child fee for the coordination and case management services that are critical to programs such as these. 4 Sealant programs must expand to include 6th and 7th grade students. Traditionally, schoolbased dental sealant programs focus only on young children, working to seal the 6 year old molars. However, in doing only that, another prevention opportunity is lost among the 6th and 7th grade students for the 12 year old molars. Comprehensive prevention programs must include these older children. It can be difficult to implement, however, because it means setting up the programs in middle schools which involves more outreach to principals and more logistical considerations. 4 Programs for pre-school aged children are important too. Many children will receive preventive dental care through well child care when they are infants or toddlers. They will again receive preventive services in a school setting in 2nd grade. Programs should work to fill the service gap between the ages of three and six by providing school-based preventive care in preschools, Head Start Programs and kindergarten to strengthen public health efforts in preventing dental disease during childhood. Caring for Colorado Foundation Ten Years of Oral Health Grantmaking ::

16 Young patient visiting Dental Aid in Louisville to receive a Cavity Free at Three exam. Cavity Free at Three, an early childhood caries prevention program, serves over 50,000 children annually in the medical setting at well child visits, through public health programs and in dental offices throughout Colorado. Cavity Free at Three In 2007, several Colorado health foundations and children s oral health advocates came together to address the dire need for primary prevention efforts to address the epidemic of early childhood caries in Colorado. With new models of preventive dental care emerging throughout the country, such as North Carolina s Into the Mouth of Babes and new research emerging that showed fluoride varnish coupled with risk assessment and education could prevent disease in high-risk populations, the time was right for Colorado to develop its own strategies for addressing the number one chronic disease of childhood. To accomplish this, four Colorado health funders: Caring for Colorado, Delta Dental of Colorado Foundation, The Colorado Health Foundation and Rose Community Foundation pooled their resources and brought nationally renowned dental leaders to Colorado to train select medical and dental providers in our state on the newest research in the prevention of early childhood caries. The national experts were Dr. Francisco Ramos-Gomez, a pediatric dentist from the University of California at San Francisco, and Dr. Irene Hilton, a general dentist practicing in the safety net in San Francisco who had expertise on providing dental care during pregnancy. From these informative and transformational trainings, eleven health leaders in Colorado agreed to meet for a year to develop an oral disease primary prevention program targeting pregnant women and children less than three years of age. The result was a $1.5 million effort, named Cavity Free at Three (CF3), funded by: Caring for Colorado, The Colorado Health Foundation, The Colorado Trust, Delta Dental of Colorado Foundation, Kaiser Permanent and Rose Community Foundation. The project had one main goal: to prevent cavities in Colorado s children, especially those most at risk, starting prenatally and in the first three years of life. 16 Ten Years of Oral Health Grantmaking :: Caring for Colorado Foundation

17 CF3 is a training program for health professionals who provide care to young children. CF3 teaches providers how to: 4 Conduct an oral health risk assessment on the mother and infant. 4 Provide anticipatory guidance about children s oral health. 4 Educate the parent about home health habits for promoting good oral health. 4 Engage the parent in setting health behavior goals, using motivational interviewing to promote good oral health. 4 Apply fluoride varnish to the children s teeth as a preventive measure. 4 Promote the importance of routine dental care and a dental home both prenatally and by age one for the child. At the same time, in 2009, a grant was awarded to the Children s Outcomes Research Program, led by Dr. Patricia Braun, to study the effectiveness of the Cavity Free at Three training and if the protocols were being implemented in health care settings in Colorado. The study also looked, in-depth, at what it took to implement this new program within Denver Health s community health centers. Simultaneous to these efforts, Dr. Mark Deutchman, Diane Brunson and two medical residents began working with Marcy Bonnett at the Department of Health Care Policy and Financing to allow medical providers to bill Medicaid for Cavity Free at Three services. This billing change, which was viewed as essential to the future success of Cavity Free at Three, was adopted by the state s Medicaid agency in the summer of In 2009 the Colorado Area Health Education Center Program Office (AHEC) at the University of Colorado School of Medicine, Department of Family Medicine received a large grant from the pooled resources of the six funders to implement the first goals of Cavity Free at Three: 4 Train medical, public health and dental providers across the state in the CF3 methodologies. 4 Provide technical assistance to communities/ organizations working to implement CF3. 4 Add CF3 training to the curricula of all of the health professional training programs in Colorado, including medicine, dentistry, nursing, physician assistant and public health. Caring for Colorado Foundation Ten Years of Oral Health Grantmaking ::

18 Dr. Patricia Braun, a pediatrician at Denver Health s Eastside Health Center with a patient. Dr. Braun is a co-creator of Cavity Free at Three and serves as the project s evaluator. Tooth decay is the most common childhood disease. It is 5 times more common than asthma and 4 times more common than childhood obesity. Results By the end of 2012, the following had occurred: 4 CF3 has staff (led by Karen Savoie, BS, RDH), a statewide presence, robust brand recognition and has a strong reputation of working with anyone who is interested in preventing oral disease in children. 4 The CF3 website is a one-stop shop for any health provider who wants to learn more or integrate oral disease prevention activities into their work. The site contains a variety of tested and translated patient education materials in ten different written languages. The website also features instructional videos to help providers learn the steps in a knee to knee oral exam, or how to provide parent education using the motivational interviewing technique ,905 people have been trained in the CF3 model. This includes physicians, dentists, dental hygienists, physician assistants, public health nurses and early childhood educators people have been trained as master trainers. To be a master trainer you must participate in a two-day, intensive training on the CF3 program. Master trainers are then asked to provide training in their local communities and to be available to help programs with implementation challenges. 4 It is estimated that annually, more than 50,000 children less than three years of age are receiving CF3 as part of their well-child exams. 4 Bayaud Enterprises, a non-profit job training site for people with physical and mental disabilities and a CF3 partner, has provided 36,405 infant oral care kits to physician offices and public health agencies around the state. (The kit contains what the provider needs to conduct an infant/toddler exam including toothbrushes for the primary caregiver and child, toothpaste, gauze and fluoride varnish. It also includes important 18 Ten Years of Oral Health Grantmaking :: Caring for Colorado Foundation

19 educational materials for the parent.) Since 2008, Bayaud Enterprises has made $109,215 in profits from assembling and distributing these kits. 4 Significant effort has been made in integrating CF3 education into the curricula of health training programs across the state. Medical, dental, nursing, dental hygiene, physician assistant and public health students at universities and colleges in Colorado now receive CF3 training at some point during their education. 4 Beginning in the summer of 2009, the Colorado Department of Health Care Policy and Financing allowed medical providers to bill Medicaid for the provision of preventive oral health services. This simple change resulted in great uptake of the CF3 program and was a key factor in the long lines of physicians and public health departments wanting to receive CF3 training. The top chart shows the growth, over-time, of CF3 services being delivered during well-child care, with medical providers billing for preventive dental services. 4 Oral health indicators among Colorado s kindergarteners are improving. Measures for untreated dental decay and urgent need for care have significantly declined since CF3 began to be implemented throughout the state. While CF3 cannot claim to be the sole source for this rapid decline in disease outcomes, it surely has played a valuable and significant role. The bottom chart shows this reduction in disease. 4 CF3 has been presented at ten national meetings including those of the American Public Health Association, the American Academy of Pediatrics and the National Oral Health Conference. It has also been chosen as an innovative program by the Agency for Health Research and Quality. Quarterly Utilization of Cavity-Free at Three Coincident to Well Child Visits Number of Children with Both Well Child visits and CF3 Services 3,000 2,500 2,000 1,500 1, Quarter 1 Quarter 2 Quarter 3 Quarter 4 Quarter 1 Quarter 2 FY FY FY Quarter 3 Quarter 4 Quarter 1 Quarter 2 Quarter 3 Number of Children with Both Well Child visits and CF3 Services % of Clients with Well Child Visits and CF3 Services Source: Colorado Department of Health Care Policy and Financing, Quarterly Dental Utilization Report, Results of dental screening amoung children in kindergarten Colorado Children s Oral Health Screening, , and Colorado Department of Public Health and Environment 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Caries Experience Untreated Decay Quarter 4 5% 4% 3% 2% 1% 0% Urgent Need for Care Sources: Prevention Services Division. Chew on This: 2011 Report on Oral Health in Colorado, Colorado Department of Public Health and Environment, The Impact of Oral Disease on the Health of Coloradans Colorado Department of Public Health and Environment, Data cited from 2004, , and Basic Screening Survey % of Clients with Well Child Visits and CF3 Services Caring for Colorado Foundation Ten Years of Oral Health Grantmaking ::

20 Dr. Greg Evans, a pediatric dentist, conducting a Cavity Free at Three visit on a toddler in Ft. Collins. Colorado ranks 38th in the nation for kids getting regular dentist visits. Only 9.3% of infants get an age one dental visit, even though the American Academy of Pediatrics recommends that all children receive their first dental visit at age one. Lessons Learned The formal evaluation of the CF3 program is ongoing. However, early lessons include the following: 4 Preventing cavities is a multi-level process that includes community, parent/caregiver and child-level interventions. 4 The number of fluoride varnishes that are administered in well-child care is important in preventing cavities. 4 Preventive and restorative services are both important in realizing the CF3 goals. 4 Implementing CF3 requires process and system changes for health agencies to insure full adoption of the model. 4 Allowing medical providers to bill Medicaid for CF3 services has been instrumental to the spread of the program. 4 Funding a state-wide office, with dedicated staff, was instrumental in creating change in children s oral health. This office has evolved into a comprehensive resource for health care providers, supporting their needs to improve the oral health outcomes for Colorado s children. 4 Multi-foundation involvement in CF3 has been instrumental in making this program work. 4 By collaborating and leveraging each other s resources, the foundation community was able to create a large, new statewide program with a very specific and targeted goal. This funding strategy allows for collective impact on the number one chronic disease in childhood dental caries. 20 Ten Years of Oral Health Grantmaking :: Caring for Colorado Foundation

21 4 Through other funding initiatives, various foundations were able to promote, or even require, that projects receive CF3 training and technical assistance. For example, The Colorado Trust, through their Early Childhood Initiative, required their early childhood councils to receive CF3 training. They then provided additional funding to select councils that wanted to try and improve access to care and preventive services to young children in their region. Caring for Colorado required CF3 training as part of many dental clinic grants. Delta Dental of Colorado Foundation funded the Cavity Free at Three Clinic at the Children s Hospital Colorado Dental Clinic to provide in-depth and hands-on training on early childhood caries prevention for both medical and dental residents at the University of Colorado Schools of Medicine and Dental Medicine. 4 By working together on the CF3 project, the foundation community followed the initial evaluation results, heard about the programs strengths and barriers, and committed to collectively funding the project for an additional three years at $2.25 million to address other issues in reducing dental caries among children. Ongoing Work Cavity Free at Three 2.0 In implementing CF3, two significant barriers emerged in fully reaching the goal of early childhood caries reduction (or hopefully elimination) in young children in Colorado. 1. The lack of dentists who will provide care to children who are insured through Medicaid. 2. The lack of dentists who are willing to provide dental care to young children and to pregnant women. Cavity Free at Three has become a movement. It includes kids and parents, primary care, public health, and dentistry. CF3 is changing the way we all think about infant oral care. Healthy teeth are essential for a healthy child. And now people in Colorado are rallying to make oral health a priority. Jack Westfall, MD, MPH Director, Colorado Area Health Education Center Program Office The mantra of CF3 is that it is important to establish a dental home for every child. This advice was regularly given by physicians and public health practitioners while talking with families about oral health -- but with increasing frustration. In Colorado s rural and underserved communities, there are few, if any, dentists willing to see children insured by Medicaid and they generally don t want to see young children either. In implementing CF3, it became increasingly clear that in order for CF3 to reach its intended goal, work must be done to better engage the private dental community. Their help was needed to provide dental homes for all children. And, their partnership was needed to support primary prevention efforts for both infants and pregnant women. Additionally, new opportunities for dentists were on the horizon. With the implementation of the Affordable Care Act, specifically the Medicaid expansions and the requirement that dental care be a covered benefit for children in the Health Benefit Exchange, many more Colorado children will have dental coverage in the near future. Because of this, the six funders of CF3 came together again, pledging $2.25 million over three years to fund Cavity Free at Three 2.0. The vision of this effort is that all children in Colorado, regardless of where they live or their insurance status, have access to preventive oral care and a dental home starting at age one. Caring for Colorado Foundation Ten Years of Oral Health Grantmaking ::

22 A happy baby and mother after a Cavity Free at Three exam in Pueblo. 1 in 4 Coloradans is a child. That s 1.2 million children or 24 million teeth. Before implementing Cavity Free at Three 2.0, health leaders in the state came together to develop the strategies to engage private-sector dentists in addressing the dental care needs of underserved children. For a year, this group studied Colorado s dental Medicaid utilization, conducted focus groups with dentists across the state, interviewed Medicaid dental providers and gleaned lessons from other states who have been successful in growing their Medicaid dental provider network. From this work, Cavity Free at Three 2.0 was developed. Implementation began in the summer of 2012 with the mission to eliminate early childhood caries in Colorado s children, helping them to grow up free of dental disease. To do so, the project, which is being run by the Colorado Area Health Education System Program Office within the Department of Family Medicine at the CU School of Medicine, is working to: 4 Improve access to preventive dental care for children especially those most at risk for dental disease; 4 Increase the number of children with dental homes starting at age one; 4 Grow the Medicaid dental provider network in Colorado as a means for improving access to care; 4 Engage primary care physicians and public health practitioners, to partner with dental providers, in preventing oral disease in children; 4 Enhance parental knowledge about the importance of oral health care for their children; 4 Improve Colorado s health policies so that oral health can be achieved by all children. 22 Ten Years of Oral Health Grantmaking :: Caring for Colorado Foundation

ORGANIZATION NAME HUB/SITE/SHOP REGIONS. Advanced Patient Advocacy Assistance Site Denver Metro Area

ORGANIZATION NAME HUB/SITE/SHOP REGIONS. Advanced Patient Advocacy Assistance Site Denver Metro Area Advanced Patient Advocacy Assistance Site Denver Metro Area Colorado AIDS Drug Assistance Program Assistance Site Statewide Aurora Comprehensive Community Mental Health Assistance Site Denver Metro Center:

More information

Contract Number. Customer Service Phone. Contract Type

Contract Number. Customer Service Phone. Contract Type The following list includes all other Medicare health plans you can join in your region. We encourage you to look at other plan options to make sure you get the coverage and benefits you need. Contract

More information

s s s s Diabetes Impact in Colorado acts for ction: Chronic Diseases and Related Risk Factors in Colorado 1 in 3 15-30%

s s s s Diabetes Impact in Colorado acts for ction: Chronic Diseases and Related Risk Factors in Colorado 1 in 3 15-30% F 25 20 15 10 5 0 2003 A Diabetes Impact in Colorado acts for ction: Chronic Diseases and Related Risk Factors in Colorado Diabetes is becoming more common The adult of diagnosed increased 157%, from 4.7%

More information

Domestic Violence Assistance Programs by County in Colorado

Domestic Violence Assistance Programs by County in Colorado Domestic Violence Assistance Programs by County in Colorado To update this list, please call the Northwest Colorado Legal Services Project at 1-800-521-6968. County Program/Location Hotline Adams Alamosa

More information

BY THE NUMBERS: THE FIRST OPEN ENROLLMENT OF CONNECT FOR HEALTH COLORADO October 2013 through March 2014*

BY THE NUMBERS: THE FIRST OPEN ENROLLMENT OF CONNECT FOR HEALTH COLORADO October 2013 through March 2014* BY THE NUMBERS: THE FIRST OPEN ENROLLMENT OF CONNECT FOR HEALTH COLORADO October 2013 through March 2014* More than 305,000 Coloradans enrolled in health insurance. More than 127,000 are covered through

More information

Colorado s Section 20 Workfare Program. Colorado Department of Human Services (CDHS)

Colorado s Section 20 Workfare Program. Colorado Department of Human Services (CDHS) Colorado s Section 20 Workfare Program Colorado Department of Human Services (CDHS) April 10, 2014 SNAP and SNAP E&T in Colorado FFY 2013 State Population 5,187,582 SNAP recipients statewide 506,889 Mandatory

More information

AUTHORIZED DEALER LIST BY COUNTY

AUTHORIZED DEALER LIST BY COUNTY ADAMS BOULDER 5350 Manhattan Circle, Ste. 104 Boudler, CO 80303 Phone: 303-444-5582 ALAMOSA ARAPAHOE ARCHULETA BACA BENT BROOMFIELD CHAFFEE CLEAR CREEK CONEJOS COSTILLA 43 Contract Number: 98526YYY08M

More information

STEWART TITLE GUARANTY COMPANY MANUAL OF CHARGES AND FORMS FOR TITLE INSURANCE

STEWART TITLE GUARANTY COMPANY MANUAL OF CHARGES AND FORMS FOR TITLE INSURANCE STEWART TITLE GUARANTY COMPANY MANUAL OF CHARGES AND FORMS FOR TITLE INSURANCE For Use in the State of Colorado This manual is for the use of issuing attorneys, title agencies and title offices issuing

More information

NVRA AGENCY-BASED VOTER REGISTRATION IN COLORADO

NVRA AGENCY-BASED VOTER REGISTRATION IN COLORADO NVRA AGENCY-BASED VOTER REGISTRATION IN COLORADO 2010 ANNUAL REPORT Voter registration opportunities for citizens receiving public assistance in Colorado in accordance with the National Voter Registration

More information

Colorado Housing Coalition

Colorado Housing Coalition Alison George, Director Colorado Housing Coalition February 17, 2016 DOH was created to improve the access of all Coloradans to decent, affordable housing Funding for operating subsidies Funding to acquire,

More information

Colorado. Number of Reserve Component Service Members Deployed to OIF/OEF since 9/11/2001 as of 12/31/2010 by Home of Record County

Colorado. Number of Reserve Component Service Members Deployed to OIF/OEF since 9/11/2001 as of 12/31/2010 by Home of Record County Reserve Component Deployed to OIF/OEF since 9/11/2001 as of 12/31/2010 by Home of Record Service Members Adams 628 Kit Carson 17 Alamosa 13 La Plata 22 Arapahoe 1038 Lake 2 Archuleta 7 Larimer 487 Baca

More information

FIDELITY NATIONAL TITLE INSURANCE COMPANY

FIDELITY NATIONAL TITLE INSURANCE COMPANY FIDELITY NATIONAL TITLE INSURANCE COMPANY Schedule of Fees and Charges for Closing and Settlement Services For Use in the State of Colorado EFFECTIVE: September 24, 2012 (Unless otherwise specified) Table

More information

Colorado Travel Impacts 1996-2014p

Colorado Travel Impacts 1996-2014p Colorado Travel Impacts 1996-2014p Image Credit: Matt Inden/Miles June 2015 Prepared for the Colorado Tourism Office Denver, Colorado THE ECONOMIC IMPACT OF TRAVEL ON COLORADO 1996-2014P June 2015 prepared

More information

CHILD CARE PRICES AND AFFORDABILITY A STRUGGLE FOR COLORADO FAMILIES & PROVIDERS

CHILD CARE PRICES AND AFFORDABILITY A STRUGGLE FOR COLORADO FAMILIES & PROVIDERS CHILD CARE PRICES AND AFFORDABILITY A STRUGGLE FOR COLORADO FAMILIES & PROVIDERS JUNE 2014 ABOUT THIS BRIEF: INFORMING ACTION In 2013 The Women s Foundation of Colorado produced a comprehensive research

More information

SERVICE AREAS OF COLORADO PUBLIC INSTITUTIONS OF HIGHER EDUCATION

SERVICE AREAS OF COLORADO PUBLIC INSTITUTIONS OF HIGHER EDUCATION SECTION I PART N SERVICE AREAS OF COLORADO PUBLIC INSTITUTIONS OF HIGHER EDUCATION 1.00 Introduction The Colorado Commission on Higher Education is charged by statute to define geographic and programmatic

More information

Caring for Colorado Foundation Awards $2.7 Million in Grants

Caring for Colorado Foundation Awards $2.7 Million in Grants FOR IMMEDIATE RELEASE Media Contact: Linda Reiner July 14, 2014 720-524-0770 Caring for Colorado Foundation Awards $2.7 Million in Grants DENVER Keeping with this year s goals of building and supporting

More information

IMPORTANT NOTICE PLEASE READ 2016 Medicare Cost-Sharing Amounts

IMPORTANT NOTICE PLEASE READ 2016 Medicare Cost-Sharing Amounts IMPORTANT NOTICE PLEASE READ 2016 Medicare Cost-Sharing Amounts Dear Prospective Member: The Centers for Medicare & Medicaid Services (CMS) have not released the 2016 Medicare cost-sharing amounts as of

More information

Hepatitis C in Colorado 2007 Surveillance Report Cases of Acute and Chronic Hepatitis C in Colorado

Hepatitis C in Colorado 2007 Surveillance Report Cases of Acute and Chronic Hepatitis C in Colorado Hepatitis C in Colorado 2007 Surveillance Report Cases of Acute and Chronic Hepatitis C in Colorado Note: This report is published by the Viral Hepatitis Program (VHP), Disease Control and Environmental

More information

COLORADO COMMUNITY COLLEGE SYSTEM SYSTEM PRESIDENT'S PROCEDURE COMMUNITY COLLEGE SERVICE AREAS

COLORADO COMMUNITY COLLEGE SYSTEM SYSTEM PRESIDENT'S PROCEDURE COMMUNITY COLLEGE SERVICE AREAS SP 9-20b Page 1 of 14 COLORADO COMMUNITY COLLEGE SYSTEM SYSTEM PRESIDENT'S PROCEDURE COMMUNITY COLLEGE SERVICE AREAS SP 9-20b EFFECTIVE: CCHE document in effect as of 7/1/97 RETITLED: September 14, 2000

More information

Inside CHILD CARE MAZE WORKING YOUR WAY THROUGH THE. Discover Why Quality Child Care Matters and What It Looks Like Find Answers to

Inside CHILD CARE MAZE WORKING YOUR WAY THROUGH THE. Discover Why Quality Child Care Matters and What It Looks Like Find Answers to CHILD CARE MAZE WORKING YOUR WAY THROUGH THE A Guide to Help Parents Find and Choose Quality Child Care Inside Discover Why Quality Child Care Matters and What It Looks Like Find Answers to Your Child

More information

Healthy Kids Colorado Survey. A Unified Effort for Youth Health Surveillance

Healthy Kids Colorado Survey. A Unified Effort for Youth Health Surveillance Healthy Kids Colorado Survey A Unified Effort for Youth Health Surveillance New Unified Effort Based on guidance from the Governor s office, a new Healthy Kids Colorado Survey (HKCS) Steering Committee

More information

Your guide to. Medicaid s Accountable Care Collaborative Program 2014-2015. Rocky Mountain Health Plans (RCCO 1)

Your guide to. Medicaid s Accountable Care Collaborative Program 2014-2015. Rocky Mountain Health Plans (RCCO 1) Your guide to Medicaid s Accountable Care Collaborative Program 2014-2015 Rocky Mountain Health Plans (RCCO 1) Welcome What s Inside Welcome to the Accountable Care Collaborative (ACC) Program! As a member,

More information

Filling the Dental Gap. Can Colorado Meet the Growing Need?

Filling the Dental Gap. Can Colorado Meet the Growing Need? Filling the Dental Gap Can Colorado Meet the Growing Need? FEBRUARY 2015 Acknowledgements CHI staff members contributing to this report: Sara Schmitt, project manager Hannah Wear, author Rebecca Alderfer,

More information

PIPELINE EMERGENCY CONTACT DIRECTORY

PIPELINE EMERGENCY CONTACT DIRECTORY Adams Kinder Morgan CIG - Eastern CO and WY (877) 712-2288 (303) 261-4296 Suncor Energy (U.S.A.) Pipeline Company (866) 978-6267 (307) 775-8101 Sinclair Pipeline Company (800) 321-3994 (307) 328-3643 Hazardous

More information

health watch Marijuana Use Among Adolescents in Colorado: Results from the 2013 Healthy Kids Colorado Survey Background March 2015 No.

health watch Marijuana Use Among Adolescents in Colorado: Results from the 2013 Healthy Kids Colorado Survey Background March 2015 No. Health Statistics & Evaluation Branch Vital Statistics Health Surveys & Analysis Evaluation Survey Research health watch March 15 No. 95 Marijuana Use Among Adolescents in Colorado: Results from the 13

More information

Marijuana Arrests in Colorado After the Passage of Amendment 64

Marijuana Arrests in Colorado After the Passage of Amendment 64 Marijuana Arrests in Colorado After the Passage of Amendment 64 Prepared By: Prof. Jon Gettman, PhD, Shenandoah University Drug Policy Alliance 131 W 33 rd Street 15th Floor New York, NY 10001 212.613.8020

More information

Request for information on Statewide Credentialing Programs

Request for information on Statewide Credentialing Programs Request for information on Statewide Credentialing Programs In February 2014, after a tracking demonstration at the Wildfire Academy, DHSEM SEOC Operations and Logistics Managers had a meeting with Brenden

More information

Oil and Gas Industry Economic and Fiscal Contributions in Colorado by County, 2008 2012

Oil and Gas Industry Economic and Fiscal Contributions in Colorado by County, 2008 2012 Oil and Gas Industry Economic and Fiscal Contributions in Colorado by, 2008 2012 Conducted by: BUSINESS RESEARCH DIVISION Leeds School of Business University of Colorado Boulder 420 UCB Boulder, CO 80309-0420

More information

We are happy to present the results of Caring for Colorado s 2012 grantmaking in this report.

We are happy to present the results of Caring for Colorado s 2012 grantmaking in this report. 2012 Annual Report September 2012, Dear Friends and Colleagues, We are happy to present the results of Caring for Colorado s 2012 grantmaking in this report. This fiscal year we awarded over $5.8 million

More information

Colorado s Primary Care Workforce. A Study of Regional Disparities

Colorado s Primary Care Workforce. A Study of Regional Disparities Colorado s Primary Care Workforce A Study of Regional Disparities FEBRUARY 2014 Acknowledgments CHI Staff Members Contributing to This Report: Rebecca Alderfer, lead author Amy Downs, lead editor Kevin

More information

Bottled Water Consumption and Selected Drinking Water Supply Trends in Colorado: Results from the Behavioral Risk Factor Surveillance System

Bottled Water Consumption and Selected Drinking Water Supply Trends in Colorado: Results from the Behavioral Risk Factor Surveillance System BRFSS Drinking Water Results Colorado Department of Public Health and Environment Bottled Water Consumption and Selected Drinking Water Supply Trends in Colorado: Results from the Behavioral Risk Factor

More information

Innovative State Practices for Improving The Provision of Medicaid Dental Services:

Innovative State Practices for Improving The Provision of Medicaid Dental Services: Innovative State Practices for Improving The Provision of Medicaid Dental Services: SUMMARY OF EIGHT STATE REPORTS: (Alabama, Arizona, Maryland, Nebraska, North Carolina, Rhode Island, Texas and Virginia)

More information

Right of Way Property Acquisition Information

Right of Way Property Acquisition Information Right of Way Property Acquisition Information Your Rights as a Property Owner Department of Transportation State of Colorado COLORADO STATE CAPITOL DENVER Table of Contents Introduction... 1 Need for Private

More information

By Jane Meredith Adams

By Jane Meredith Adams Schooll s sttrrugglle tto prro safety viide netdenttall healltt March 31st, 2013 Add a Comment By Jane Meredith Adams Like 3 Share Share Students learn how to care for their teeth and receive preventive

More information

Colorado Medical Assistance Program

Colorado Medical Assistance Program Colorado Medical Assistance Program Colorado Department of Health Care Policy & Financing Using General Fund Dollars to Expand Medicaid Access Amy Scangarella Children s s Policy Specialist Using General

More information

Aetna Life Insurance Company Hartford, Connecticut 06156

Aetna Life Insurance Company Hartford, Connecticut 06156 Aetna Life Insurance Company Hartford, Connecticut 06156 Extraterritorial Certificate Rider (GR-9N-CR1) Policyholder: The TLC Companies Group Policy No.: GP-811431 Rider: Colorado ET Medical Issue Date:

More information

COLORADO VICTIM COMPENSATION

COLORADO VICTIM COMPENSATION COLORADO VICTIM COMPENSATION 2014 ANNUAL REPORT OCTOBER 1, 2013 SEPTEMBER 30, 2014 (Federal Fiscal Year 2014) Colorado Department of Public Safety Division of Criminal Justice, Office for Victims Programs

More information

Department of Agricultural and Resource Economics, Fort Collins, CO 80523-1172 http://dare.colostate.edu/pubs

Department of Agricultural and Resource Economics, Fort Collins, CO 80523-1172 http://dare.colostate.edu/pubs May 2006 EDR 06-05 Department of Agricultural and Resource Economics, Fort Collins, CO 80523-1172 http://dare.colostate.edu/pubs A LODGING TAX FOR CUSTER COUNTY? ISSUES AND ANSWERS 1 Andy Seidl, Martha

More information

Department of Agricultural and Resource Economics, Fort Collins, CO 80523-1172 http://dare.colostate.edu/pubs

Department of Agricultural and Resource Economics, Fort Collins, CO 80523-1172 http://dare.colostate.edu/pubs May 2006 EDR 06-02 Department of Agricultural and Resource Economics, Fort Collins, CO 80523-1172 http://dare.colostate.edu/pubs A LODGING TAX FOR HUERFANO COUNTY? ISSUES AND ANSWERS 1 Andy Seidl, Martha

More information

State of North Carolina. Medicaid Dental Review

State of North Carolina. Medicaid Dental Review State of North Carolina Medicaid Dental Review October 2010 EXECUTIVE SUMMARY The Centers for Medicare & Medicaid Services (CMS) is committed to improving pediatric dental care in the Medicaid program

More information

CHP+ Eligibility and Enrollment, County Eligibility Site Locations, and Colorado PEAK Contacts. CHP+ Contacts

CHP+ Eligibility and Enrollment, County Eligibility Site Locations, and Colorado PEAK Contacts. CHP+ Contacts CHP+ Eligibility and Enrollment, County Eligibility Site Locations, and Colorado s CHP+ Contacts Child Health Plan Plus (CHP+) 4500 Cherry Creek South Drive, Suite 200 Glendale, CO 80246 Monday - Friday,

More information

Behavioral Health Organizations with spotlight on the Substance Use Disorder (SUD) Benefit

Behavioral Health Organizations with spotlight on the Substance Use Disorder (SUD) Benefit Behavioral Health Organizations with spotlight on the Substance Use Disorder (SUD) Benefit Lindsey S Lambert, LPC, LAC, CACIII Substance Use Coordinator, Colorado Access Objectives Understand: What are

More information

COLORADO VICTIM COMPENSATION

COLORADO VICTIM COMPENSATION COLORADO VICTIM COMPENSATION 2004 ANNUAL REPORT OCTOBER 1, 2003 SEPTEMBER 30, 2004 Colorado Department of Public Safety Division of Criminal Justice, Office for Victims Programs Financial assistance for

More information

Colorado Historic Preservation Income Tax Credit (Updated March 2015)

Colorado Historic Preservation Income Tax Credit (Updated March 2015) Colorado Historic Preservation Income Tax Credit (Updated March 2015) AVAILABLE PROGRAMS From July 1, 2015 through December 31, 2019, Colorado will offer taxpayers two different programs that offer income

More information

LOCAL INCENTIVES SUPPORTING NATIONAL BOARD CERTIFICATION IN COLORADO

LOCAL INCENTIVES SUPPORTING NATIONAL BOARD CERTIFICATION IN COLORADO Important notice: LOCAL INCENTIVES SUPPORTING NATIONAL BOARD CERTIFICATION IN COLORADO This page reflects the most recent information made available by school districts and hiring agencies in Colorado.

More information

Government Programs and Financial Assistance

Government Programs and Financial Assistance Chapter 5 Government Programs and Financial Assistance John J. Campbell, Esq.* Law Offices of John J. Campbell, P.C. Michele M. Lawonn, Esq., P.T., C.A.P.S. Medical-Legal Advocates, LLC SYNOPSIS 5-1. Old

More information

California HealthCare Foundation. Emergency Department Visits and Hospitalizations for Preventable Dental Conditions. Projects in Oral Health

California HealthCare Foundation. Emergency Department Visits and Hospitalizations for Preventable Dental Conditions. Projects in Oral Health Emergency Department Visits and Hospitalizations for Preventable Dental Conditions California HealthCare Foundation April 2009 Lisa Maiuro, Ph.D., Health Management Associates Len Finocchio, Dr.P.H. California

More information

California s State Oral Health Infrastructure: Opportunities for Improvement and Funding

California s State Oral Health Infrastructure: Opportunities for Improvement and Funding California s State Oral Health Infrastructure: Opportunities for Improvement and Funding joel diringer, jd, mph, and kathy r. phipps, drph, rdh abstract California has virtually no statewide dental public

More information

817,000 351,000. estimated to be eligible for coverage through the expanded Medicaid program

817,000 351,000. estimated to be eligible for coverage through the expanded Medicaid program New Health Coverage for Coloradans Starting on October 1, Coloradans will be able to enroll in affordable, comprehensive health plans through Colorado s health insurance marketplace, Connect for Health

More information

Colorado s Failure to Safeguard Due Process for Children in Juvenile Delinquency Court A Report by the Colorado Juvenile Defender Coalition

Colorado s Failure to Safeguard Due Process for Children in Juvenile Delinquency Court A Report by the Colorado Juvenile Defender Coalition Kids Without Counsel Colorado s Failure to Safeguard Due Process for Children in Juvenile Delinquency Court A Report by the Colorado Juvenile Defender Coalition Fall 2013 INTRODUCTION The juvenile needs

More information

OTERO JUNIOR COLLEGE CHILD DEVELOPMENT SERVICES

OTERO JUNIOR COLLEGE CHILD DEVELOPMENT SERVICES OTERO JUNIOR COLLEGE CHILD DEVELOPMENT SERVICES Providing the opportunity for a positive early childhood experience to all children and families is an investment in the future and our community. Information

More information

COLORADO WORKFORCE DATA MINING PROJECT 2009

COLORADO WORKFORCE DATA MINING PROJECT 2009 COLORADO WORKFORCE DATA MINING PROJECT 2009 Northwest Larimer Boulder Weld Broomfield Rural Resort Denver Adams Tri-County Arapahoe/Douglas Eastern Mesa Upper Arkansas Pikes Peak Western Pueblo Southeast

More information

School District, Colorado School for the Deaf and Blind, BOCES, Charter School, Charter School Institute, FY16-17 Minimum Match Percentages

School District, Colorado School for the Deaf and Blind, BOCES, Charter School, Charter School Institute, FY16-17 Minimum Match Percentages ADAMS MAPLETON 1 45% ADAMS ADAMS 12 FIVE STAR SCHOOLS 61% ADAMS ADAMS 14 31% ADAMS SCHOOL DISTRICT 27J 42% ADAMS BENNETT 29J 67% ADAMS STRASBURG 31J 62% ADAMS WESTMINSTER 50 36% ALAMOSA ALAMOSA RE-11J

More information

APPENDIX IIA: TRANSPORT AGENCY LIST Sorted by Transport Agency ID

APPENDIX IIA: TRANSPORT AGENCY LIST Sorted by Transport Agency ID APPENDIX IIA: TRANSPORT AGENCY LIST Sorted by Transport Agency Agency Agency County RETAC 01-01 Bennett Fire & Rescue 114 Adams Mile Hi 01-03 Byers Rescue Squad 134 Adams Mile Hi 01-04 Federal Heights

More information

APPENDIX IIB: TRANSPORT AGENCY LIST Sorted by Transport Agency Name

APPENDIX IIB: TRANSPORT AGENCY LIST Sorted by Transport Agency Name APPENDIX IIB: TRANSPORT AGENCY LIST Sorted by Transport Agency Agency County RETAC 07-58 A-1 Longmont Boulder Foothills 03-23 Action Care Ambulance Inc. 402 Arapahoe Mile Hi 21-06 Agate Fire Department

More information

State of Mississippi. Oral Health Plan

State of Mississippi. Oral Health Plan State of Mississippi Oral Health Plan 2006 2010 Vision Statement: We envision a Mississippi where every child enjoys optimal oral health; where prevention and health education are emphasized and treatment

More information

Income 10 Enterprise Zone New Business Facility Employee Credits

Income 10 Enterprise Zone New Business Facility Employee Credits Colorado Department of Revenue Taxpayer Service Division 01/14 Income 10 Enterprise Zone New Business Facility Employee Credits This FYI contains information on the three new business facility employee

More information

VARNISH! MICHIGAN BABIES TOO!

VARNISH! MICHIGAN BABIES TOO! VARNISH! MICHIGAN BABIES TOO! 2012-2013 Annual Report The Varnish! Michigan Babies Too! Program was developed as an incentive for medical providers to have oral health training and begin an oral health

More information

The Self-Sufficiency Standard for CoLORADO 2015. Prepared for Colorado Center on Law and Policy

The Self-Sufficiency Standard for CoLORADO 2015. Prepared for Colorado Center on Law and Policy The Self-Sufficiency Standard for CoLORADO 2015 Prepared for Colorado Center on Law and Policy COLORADO CENTER ON LAW AND POLICY The Colorado Center on Law and Policy (CCLP) is a leader in the advocacy

More information

Creating a Culture of Change. Accountable Care Collaborative :: 2014 Annual Report

Creating a Culture of Change. Accountable Care Collaborative :: 2014 Annual Report Creating a Culture of Change Accountable Care Collaborative :: 2014 Annual Report Table of Contents About the Accountable Care Collaborative... 4 Developing a Regional Strategy.... 8 Connecting Members

More information

Dental Public Health Activities & Practices

Dental Public Health Activities & Practices Dental Public Health Activities & Practices Practice Number: 12001 Submitted By: Oral Health Section, Georgia Department of Human Resources Submission Date: May 2002 Last Updated: May 2002 SECTION I: PRACTICE

More information

Dental Public Health Activities & Practices

Dental Public Health Activities & Practices Dental Public Health Activities & Practices Practice Number: 49003 Submitted By: Methodist Healthcare Ministries Submission Date: September 2009 Last Updated: September 2009 SECTION I: PRACTICE OVERVIEW

More information

Partnering to Improve Access to Oral Health in Ohio. Through Strategic Grantmaking and Collaboration

Partnering to Improve Access to Oral Health in Ohio. Through Strategic Grantmaking and Collaboration Partnering to Improve Access to Oral Health in Ohio Through Strategic Grantmaking and Collaboration November 2013 WE MET AND TALKED ABOUT WHAT EACH OF US THOUGHT THE CHALLENGES WERE WITH GRANTEE SUSTAINABILITY,

More information

Ohio Public Health Association

Ohio Public Health Association Ohio Public Health Association Dental Care Access: A Public Health Issue April 17 th, 2014 Presented by: Audia Ellis, MSN, RN, FNP BC audiaellis@yahoo.com Objectives Evaluate the current state of dental

More information

Income Inequality in Colorado

Income Inequality in Colorado Income Inequality in Colorado by Jerry Eckert and Elizabeth Garner a Fort Collins, Colorado January 2003 a Authors are, respectively, Professor, Department of Agricultural Economics; and Director, County

More information

Health Insurance affordability

Health Insurance affordability Health Insurance affordability IN RURAL COLORADO EXECUTIVE SUMMARY Prepared by Colorado Health Institute for The is a voice in health care policy that serves as a conduit to educate, listen and advocate

More information

CMS oral Health Initiative an opportunity for Dental Hygienists April 23 rd 2015 Nancy Gurzick, RDH, BSDH, MA

CMS oral Health Initiative an opportunity for Dental Hygienists April 23 rd 2015 Nancy Gurzick, RDH, BSDH, MA CMS oral Health Initiative an opportunity for Dental Hygienists April 23 rd 2015 Nancy Gurzick, RDH, BSDH, MA Course objectives Part I Federal and State Oral Health Programs Understanding Medicaid/Federal

More information

Ohio s. School Nurse TOOLKIT BROUGHT TO YOU BY: July 2014 A GUIDE TO HELP MAKE GOOD DECISIONS FOR YOUR SCHOOL S ORAL HEALTH PROGRAM

Ohio s. School Nurse TOOLKIT BROUGHT TO YOU BY: July 2014 A GUIDE TO HELP MAKE GOOD DECISIONS FOR YOUR SCHOOL S ORAL HEALTH PROGRAM Ohio s School Nurse TOOLKIT BROUGHT TO YOU BY: July 2014 A GUIDE TO HELP MAKE GOOD DECISIONS FOR YOUR SCHOOL S ORAL HEALTH PROGRAM ABOUT COHAT: This toolkit is brought to you by the Children s Oral Health

More information

DENTAL COVERAGE AND CARE FOR LOW-INCOME CHILDREN: THE ROLE OF MEDICAID AND SCHIP

DENTAL COVERAGE AND CARE FOR LOW-INCOME CHILDREN: THE ROLE OF MEDICAID AND SCHIP July 2008 DENTAL COVERAGE AND CARE FOR LOW-INCOME CHILDREN: THE ROLE OF MEDICAID AND SCHIP Tooth decay is the most common chronic illness among children. Although it is firmly established that oral health

More information

The State of Colorado Office of Economic Development & International Trade. Program Manual for the Rural Jump-Start Zone Tax Relief Program

The State of Colorado Office of Economic Development & International Trade. Program Manual for the Rural Jump-Start Zone Tax Relief Program The State of Colorado Office of Economic Development & International Trade Program Manual for the Rural Jump-Start Zone Tax Relief Program Revised November 16, 2015 Table of Contents Section 1: Overview

More information

FINANCING BEHAVIORAL HEALTH SERVICES AT COLORADO SCHOOL-BASED HEALTH CENTERS

FINANCING BEHAVIORAL HEALTH SERVICES AT COLORADO SCHOOL-BASED HEALTH CENTERS ISSUE BRIEF FINANCING BEHAVIORAL HEALTH SERVICES AT COLORADO SCHOOL-BASED HEALTH CENTERS September 2011 COLORADO ASSOCIATION FOR SCHOOL-BASED HEALTH CARE ISSUE BRIEF: FINANCING BEHAVIORAL HEALTH SERVICES

More information

Dental Public Health Activity Descriptive Report

Dental Public Health Activity Descriptive Report Dental Public Health Activity Descriptive Report Practice Number: 04006 Submitted By: Office of Oral Health, Arizona Department of Health Services Submission Date: May 2002 Last Updated: November 2013

More information

Integrating Care for Medicare-Medicaid Eligible Clients: A Guide to the Colorado Accountable Care Collaborative: Medicare-Medicaid Program

Integrating Care for Medicare-Medicaid Eligible Clients: A Guide to the Colorado Accountable Care Collaborative: Medicare-Medicaid Program Integrating Care for Medicare-Medicaid Eligible Clients: A Guide to the Colorado Accountable Care Collaborative: Medicare-Medicaid Program August 2014 Table of Contents I. PROGRAM INFORMATION...1 Newsletter...2

More information

How to Apply for Medicaid and Avoid Penalties, 3d Edition

How to Apply for Medicaid and Avoid Penalties, 3d Edition How to Apply for Medicaid and Avoid Penalties, 3d Edition Table of Contents What is Medicaid?.... 1 THE THREE MYTHS OF MEDICAID... 4 HOW DO I QUALIFY FOR MEDICAID?... 9 THE FOUR BIGGEST MISTAKES PEOPLE

More information

State Oral Health Workforce Development: Maryland

State Oral Health Workforce Development: Maryland State Oral Health Workforce Development: Maryland Dr. Harry Goodman, Director Maryland Office of Oral Health National Oral Health Conference April 29, 2015 Maryland Office of Oral Health How we went from

More information

Department of Human Services Health Services Committee Senator Judy Lee, Chair August 18, 2015

Department of Human Services Health Services Committee Senator Judy Lee, Chair August 18, 2015 Department of Human Services Health Services Committee Senator Judy Lee, Chair August 18, 2015 Chairman Lee, members of the Health Services Committee, I am Maggie Anderson, Executive Director of the Department

More information

Kansas Dental Project Joint Venture

Kansas Dental Project Joint Venture Kansas Dental Project Joint Venture Purpose In 2009, the W.K. Kellogg Foundation launched a national initiative to expand access to oral health care through innovative and community-driven solutions to

More information

Dental Therapists in New Zealand: What the Evidence Shows

Dental Therapists in New Zealand: What the Evidence Shows Issue Brief PROJECT Children s NAME Dental Campaign Dental Therapists in New Zealand: What the Evidence Shows Dental decay remains the most common chronic childhood disease in the United States. 1 More

More information

Healthy People 2020: Who s Leading the Leading Health Indicators?

Healthy People 2020: Who s Leading the Leading Health Indicators? Healthy People 2020: Who s Leading the Leading Health Indicators? Don Wright, M.D., M.P.H. Deputy Assistant Secretary for Health Promotion and Disease Prevention Who s Leading the Leading Health Indicators?

More information

Ann A. Stueck, MSN,RN

Ann A. Stueck, MSN,RN Integrating Bright Futures into Public Health at the State and Local Levels Oral Health Theme Murray L. Katcher, MD, PhD, FAAP Moderator Chief Medical Officer for Community Health Promotion State MCH Medical

More information

Impact and Opportunities for Integrated Medical and Dental Care Management under the Affordable Care Act

Impact and Opportunities for Integrated Medical and Dental Care Management under the Affordable Care Act Impact and Opportunities for Integrated Medical and Dental Care Management under the Affordable Care Act A Federal Perspective David Williams, Ph.D. Objective of this presentation: To share the Federal

More information

Thank you for your interest in leasing state trust land for recreational

Thank you for your interest in leasing state trust land for recreational RECREATIONAL USE of STATE TRUST LAND A GUIDE TO LEASING Thank you for your interest in leasing state trust land for recreational purposes. State trust land is a unique state owned asset. Originally granted

More information

Colorado Low Cost/Medicaid Dentists with Accessibility Options

Colorado Low Cost/Medicaid Dentists with Accessibility Options Colorado Low Cost/Medicaid Dentists with Accessibility Options MEDICAID DENTAL COVERAGE INFORMATION: Call (303) 866-3604 to assist Medicaid patients to find a Medicaid provider BIRTH TO 20 YEARS OF AGE

More information

THE PUBLIC HEALTH DENTAL HYGIENE PRACTITIONER ROLE IN MANAGED CARE ORGANIZATIONS. A Fact Sheet Prepared by the PA Dental Hygienists Association

THE PUBLIC HEALTH DENTAL HYGIENE PRACTITIONER ROLE IN MANAGED CARE ORGANIZATIONS. A Fact Sheet Prepared by the PA Dental Hygienists Association THE PUBLIC HEALTH DENTAL HYGIENE PRACTITIONER ROLE IN MANAGED CARE ORGANIZATIONS A Fact Sheet Prepared by the PA Dental Hygienists Association Background Bill establishing PHDHPs passed and signed into

More information

Nebraska Oral Health State Plan. DRAFT September 7, 2011

Nebraska Oral Health State Plan. DRAFT September 7, 2011 Nebraska Oral Health State Plan DRAFT September 7, 2011 Letter to Stakeholders/ Public Acknowledgements List of Stakeholders and Contributors Table of Contents Process and Purpose of Plan A State Oral

More information

Colorado Oral Health Plan. Ensuring Optimal Oral Health for All Coloradans

Colorado Oral Health Plan. Ensuring Optimal Oral Health for All Coloradans Colorado Oral Health Plan DEVELOPED by Oral Health Colorado 2012 Ensuring Optimal Oral Health for All Coloradans Table of Contents Executive SuMMary... 3 background... 5 The Need for a Statewide Plan...

More information

Connecticut Association of School Based Health Centers, Inc.

Connecticut Association of School Based Health Centers, Inc. Oral Health Improvement Project Connecticut Association of School Based Health Centers, Inc. P.O. Box 771 North Haven, CT 06473 203-230-9976 Connecticut Association of School Based Health Centers, Inc.

More information

STATE ORAL HEALTH ACTION PLAN (SOHAP) TEMPLATE FOR MEDICAID AND CHIP PROGRAMS

STATE ORAL HEALTH ACTION PLAN (SOHAP) TEMPLATE FOR MEDICAID AND CHIP PROGRAMS STATE ORAL HEALTH ACTION PLAN (SOHAP) TEMPLATE FOR MEDICAID AND CHIP PROGRAMS STATE: Michigan PROGRAM TYPE ADDRESSED IN TEMPLATE: MEDICAID ONLY X COMBINED MEDICAID AND CHP STATE MEDICAL DENTAL PROGRAM

More information

State of Alabama. Medicaid Dental Review

State of Alabama. Medicaid Dental Review State of Alabama Medicaid Dental Review October 2010 Executive Summary The Centers for Medicare & Medicaid Services (CMS) is committed to improving pediatric dental care in the Medicaid program reflecting

More information

Promising Practices to Improve Access to Oral Health Care in Rural Communities

Promising Practices to Improve Access to Oral Health Care in Rural Communities Rural Evaluation Brief February 2013 Y Series - No. 7 NORC WALSH CENTER FOR RURAL HEALTH ANALYSIS http://walshcenter.norc.org Rural Health Research Center UNIVERSITY OF MINNESOTA www.sph.umn.edu/hpm/rhrc/

More information

A Growing Problem: Oral Health Coverage, Access and Usage in Colorado

A Growing Problem: Oral Health Coverage, Access and Usage in Colorado December 2012 CHAS Issue Brief DATA SERIES NO. 4 A Growing Problem: Oral Health Coverage, Access and Usage in Colorado Prepared for The Colorado Trust by the Colorado Health Institute Abstract Former Surgeon

More information

Colorado State Health Profile: An Overview of the Health Status of Colorado Residents and the Availability of Primary Care Resources

Colorado State Health Profile: An Overview of the Health Status of Colorado Residents and the Availability of Primary Care Resources Colorado State Health Profile: An Overview of the Health Status of Colorado Residents and the Availability of Primary Care Resources November 2006 Primary Care Office Prevention Services Division Colorado

More information

NC History. Access Problems. The Partnership. Funding. Into the Mouths of Babes. Kelly Haupt, RDH, MHA Project Coordinator.

NC History. Access Problems. The Partnership. Funding. Into the Mouths of Babes. Kelly Haupt, RDH, MHA Project Coordinator. Into the Mouths of Babes NC Oral Screening and Varnish Project Kelly Haupt, RDH, MHA Project Coordinator NC History 25% of ALL children entering kindergarten have visible, untreated decay 20% of indigent

More information

FYI Income 10 Enterprise Zone New Business Facility Employee Credits

FYI Income 10 Enterprise Zone New Business Facility Employee Credits Colorado Department of Revenue Taxpayer Service Division 01/11 FYI Income 10 Enterprise Zone New Business Facility Employee Credits This FYI contains information on the three new business facility employee

More information

Selecting a School-Based Oral Health Care Program

Selecting a School-Based Oral Health Care Program Selecting a School-Based Oral Health Care Program Questions and Answers for School Staff Purpose Oral health care delivery within a school setting is a rapidly growing avenue for ensuring that all students

More information

ANNEX B STATE EMERGENCY FUNCTION (SEF) #2 COMMUNICATIONS AND WARNING. Colorado Office of Emergency Management (COEM)

ANNEX B STATE EMERGENCY FUNCTION (SEF) #2 COMMUNICATIONS AND WARNING. Colorado Office of Emergency Management (COEM) ANNEX B STATE EMERGENCY FUNCTION (SEF) #2 COMMUNICATIONS AND WARNING LEAD AGENCY: Colorado Office of Emergency Management (COEM) SUPPORT AGENCIES: Division of Information & Technology, General Support

More information

Oil and Gas Industry Economic and Fiscal Contributions in Colorado by County, 2014

Oil and Gas Industry Economic and Fiscal Contributions in Colorado by County, 2014 Oil and Gas Industry Economic and Fiscal Contributions in Colorado by County, 2014 Conducted by: BUSINESS RESEARCH DIVISION Leeds School of Business University of Colorado Boulder 420 UCB Boulder, CO 80309-0420

More information

An Overview of Children s Health Issues in Michigan

An Overview of Children s Health Issues in Michigan An Overview of Children s Health Issues in Michigan Sponsors Michigan Chapter American Academy of Pediatrics Michigan Council for Maternal and Child Health School - Community Health Alliance of Michigan

More information

The Colorado Bar Association

The Colorado Bar Association The Colorado Bar Association 2010 Economic Survey Survey report compiled by Seigneur Gustafson LLP. www.cpavalue.com We invite your comments and inquiries to reban@cobar.org. Survey Supervised by Reba

More information

The grants that have been awarded to State agencies are listed in the following table:

The grants that have been awarded to State agencies are listed in the following table: Title: Grants and Funding Opportunities under the Affordable Care Act Summary of Several Sections State Options Overview: This document provides background information on grants and other funding opportunities

More information