Dental Services use Medicaid children: Minnesota Public Health Data Access - MN Dept. of Health
Dental treatment service use among Medicaid eligible children
Dental treatment service use among Medicaid eligible children by:
Children enrolled in Medicaid and other Minnesota Health Care Programs can receive dental treatment services
Child and Teen Checkups (C&TC) is Minnesota’s Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program—a federal program required in every state to provide children enrolled in a Medicaid or public health insurance program with yearly well-child care health and dental visits.
Children eligible for Minnesota’s C&TC services include all children under the age of 21 enrolled in a Medicaid or Children Health Insurance (CHIP) expansion program (Medical Assistance) or MinnesotaCare (collectively called Minnesota Health Care Programs).
The following is based on data from the CMS-416 Report, which reports on children oral health measures such as dental treatment service use among children:
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Aged 1 to 20 years.
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Enrolled in a Minnesota Health Care Program (MHCP) for at least 90 continuous days.
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By federal fiscal year (October 1 through September 30).
Dental treatment services include sedation or anesthesia, oral surgery, dentures, and restorative work such as dental cavity fillings, crowns, and root canals provided by or under the supervision of a dentist. Data come from paid, unpaid and denied fee-for-service claims and encounter data reported to the Minnesota Department of Human Services. MHCP pays for any medically necessary dental treatment services for children, such as dental filings, root canals and tooth removal (Minnesota Statutes 2018, chapter 256B.0625, subd. 9). For more information: About the Child and Teen Checkups Program (CMS-416) Report.
One in 10 Medicaid eligible children receive at least one yearly dental treatment service
During federal fiscal year 2020, almost 1 out of 10 Minnesota C&TC eligible children aged 1 to 20 years (15%) had at least one dental treatment service. This is a significant decrease from the previous year (19%). The COVID-19 pandemic is likely playing a role in dental access.
1 out of every 10
C&TC eligible children (1 to 20 years)
(15.1%, 95% CI = 15.1 to 15.2; n =84,527 of 558,042)
Have at least one dental treatment service
FFY 2020
Dental treatment service use among Child and Teen Checkups (C&TC) eligible children by age, federal fiscal year 2020
| Age group (years) | Number of C&TC eligible children | Number of C&TC eligible children with at least one dental treatment service |
Percent C&TC eligible children with at least one dental treatment service use within age groups (row percent) |
95% Confidence Interval |
|---|---|---|---|---|
| Less than 1 | 23,469 | 14 | 0.1% | 0.0 to 0.1 |
| 1 to 2 | 61,595 | 805 | 1.3% | 1.2 to 1.4 |
| 3 to 5 | 93,445 | 11,223 | 12.0% | 11.8 to 12.2 |
| 6 to 9 | 119,016 | 24,882 | 20.9% | 20.7 to 21.1 |
| 10 to 14 | 143,687 | 26,075 | 18.1% | 17.9 to 18.3 |
| 15 to 18 | 98,919 | 17,496 | 17.7% | 17.4 to 17.9 |
| 19 to 20 | 41,380 | 4,046 | 9.8% | 9.5 to 10.1 |
Data include Child and Teen Checkups/Early Periodic Screening, Diagnosis, and Treatment (C&TC) eligible children enrolled in a Minnesota Health Care Program for at least 90-continuous days during the Federal Fiscal Year (FFY) (October 1 through September 30). Total eligible children enrolled during FFY 2020 = 558,042. This chart represents percent dental treatment service use within age groups (row percentages). SeeAbout the Child and Teen Checkups Program (CMS-416) Report data for more information.
Dental treatment services include sedation or anesthesia, oral surgery, dentures, and restorative work such as dental cavity fillings, crowns, and root canals provided by or under the supervision of a dentist. Data is based on all unduplicated counts of paid, unpaid, and denied claims submitted for reimbursement from fee-for-service providers, managed care plans, Indian Health Services, and Federally Qualified Health Centers that contract with the Minnesota Department of Human Services.
Among C&TC eligible children who received a dental treatment service during federal fiscal year 2020, the majority were between the ages of 6 to 18 years.
Dental treatment service use among Child and Teen Checkups (C&TC) eligible children by race and ethnicity, federal fiscal year 2020
| Race and ethnicity | Number of C&TC eligible children (1 to 20 years) |
Number of C&TC eligible children (1 to 20 years) with at least one dental treatment service |
Percent of C&TC eligible children (1 to 20 years) with at least one dental treatment service within race and ethnicity groups (row percent) |
95% Confidence Interval |
|---|---|---|---|---|
| Hispanic/Latino | 61,722 | 10,422 | 16.9% | 16.6 to 17.2 |
| American Indian/Alaska Native | 14,772 | 2,440 | 16.5% | 15.9 to 17.1 |
| Asian or Pacific Islander | 26,723 | 4,240 | 15.9% | 15.4 to 16.3 |
| White | 168,074 | 26,511 | 15.8% | 15.6 to 15.9 |
| African American or Black | 73,572 | 11,579 | 15.7% | 15.5 to 16.0 |
| Two or more races | 24,675 | 3,801 | 15.4% | 15.0 to 15.9 |
Data include Child and Teen Checkups/Early Periodic Screening, Diagnosis, and Treatment (C&TC) eligible children enrolled in a Minnesota Health Care Program for at least 90-continuous days during the Federal Fiscal Year (FFY) (October 1 through September 30). Total eligible children (1 to 20 years) enrolled during FFY 2020 with a known single race and ethnicity or two or more races = 369,538. Unknown or missing race and ethnicity (not shown in this chart) = 27,170 with at least one dental treatment service of 188,504 eligible. Two or more races = any combination of two or more single race and ethnicity. This chart represents percent dental treatment service use within age groups (row percentages). See About the Child and Teen Checkups Program (CMS-416) Report data for more information.
Dental treatment services include sedation or anesthesia, oral surgery, dentures, and restorative work such as dental cavity fillings, crowns, and root canals provided by or under the supervision of a dentist. Data is based on all unduplicated counts of paid, unpaid, and denied claims submitted for reimbursement from fee-for-service providers, managed care plans, Indian Health Services, and Federally Qualified Health Centers that contract with the Minnesota Department of Human Services. This chart represents percent dental treatment service use within age groups (row percentages).
During federal fiscal year 2020, there were no major difference in dental treatment service use by race and ethnicity.
Child & Teen Checkups Eligible Children (1 to 20 years) Dental Treatment Service Use, federal fiscal year 2020
Child and Teen Checkups eligible children include all children enrolled in a Minnesota Health Care Program (Medical Assistance or Medicaid, MNCare) for at least 90-continuous days during the federal fiscal year (FFY) (Oct. 1 through Sept. 30). Total eligible children (1 to 20 years) enrolled during FFY 2020 = 558,042. Dental treatment services include sedation or anesthesia, oral surgery, dentures, and restorative work such as dental cavity fillings, crowns, and root canals provided by or under the supervision of a dentist. Data is based on all unduplicated counts of paid, unpaid, and denied claims submitted for reimbursement from select fee-for-service providers, managed care plans, Indian Health Services, and Federally Qualified Health Centers that contract with the Minnesota Department of Human Services. SeeAbout the Child and Teen Checkups Program (CMS-416) Report data for more information.
During federal fiscal year 2020, C&TC eligible children in Kanabec County (24%) had the highest dental treatment service use and C&TC eligible children in Pipestone County (8%) had the lowest dental treatment service use. Some counties were statistically different from the statewide rate.