Preventive dental service among Medicaid-eligible children

Preventive dental service use among Medicaid-eligible children by:

 

Medicaid and other health programs offer dental services to children enrolled

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.

The American Academy of Pediatric Dentistry and the American Academy of Pediatrics recommend at least one preventive dental visit each year, starting by the child’s first birthday or when the first tooth appears. Preventive visits are important to maintain healthy gums and teeth, prevent dental disease, and identify any treatment needs.

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 records preventive dental service use among children ages 1 to 20 years enrolled in Medicaid and other state health insurance programs. This data includes paid, unpaid, and denied fee-for-service claims and encounter data for at least one preventive dental service among children enrolled in a Minnesota Health Care Program for at least 90 continuous days during the federal fiscal year (October 1 through September 30).

Four out of 10 Minnesota C&TC eligible children (37%) had at least one preventive dental service.

4 out of every 10
C&TC eligible children (1 to 20 years)

 

(38.4%, 95% CI = 38.3 to 38.5; n = 225,605 of 587,857)

Have at least one preventive dental service
FFY 2018


 

Preventive dental service use among C&TC eligible children by age, federal fiscal year 2018

 
Source: Minnesota Department of Human Services. Early and Periodic Screening, Diagnosis, and Treatment (CMS-416) Report.
Age group (years) Number of C&TC eligible children (1 to 20 years) Number of C&TC eligible children (1 to 20 years) with at least one preventive dental service Percent C&TC eligible children (1 to 20 years) with at least one preventive dental service within age groups (row percent) 95% Confidence Interval
Less than 1 26,080 88 0.3% 0.3 to 0.4
1 to 2 74,172 8,725 11.8% 11.5 to 12.0
3 to 5 100,214 39,874 3.98% 39.5 to 40.1
6 to 9 124,896 62,259 49.8% 49.6 to 50.1
10 to 14 147,338 68,934 46.8% 46.5 to 47.0
15 to 18 99,437 36,840 37.0% 36.7 to 37.3
19 to 20 41,800 8,973 21.5% 21.1 to 21.9

Data include Child and Teen Checkups (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 2018 = 587,857.

A preventive dental service includes dental cleanings, fluoride application, dental sealants, fluoride varnish, nutrition and tobacco counseling, or oral hygiene instruction 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 preventive dental service use within age groups (row percentages). See About the Child and Teen Checkups Program (CMS-416) Report data for more information.

 

Among C&TC eligible children who received a preventive dental service during federal fiscal year 2018, the majority were between the ages of 6 to 14 years. However, less than half of each age group received the recommended yearly preventive dental visit. Most notable, are the very low proportion of 0 to 2 year olds and 19 to 20 year olds who received a preventive dental service.     


 

Preventive dental service use among C&TC eligible children by race and ethnicity, federal fiscal year 2018

 
Source: Minnesota Department of Human Services. Early and Periodic Screening, Diagnosis, and Treatment (CMS-416) Report.
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 preventive dental service
Percent C&TC eligible children
(1 to 20 years) with at least one preventive dental service within race and ethnicity groups (row percent)
95% Confidence Interval
Asian or Pacific Islander 31,843 12,281 38.6% 38.0 to 39.1
American Indian/Alaska Native 14,589 5,587 38.3% 37.5 to 39.1
Hispanic/Latino 45,439 18,544 40.8% 40.4 to 41.3
White 208,637 75,039 36.0% 35.8 to 36.2
African American or Black 87,582 31,224 35.7% 35.3 to 36.0
Two or more races 27,656 9,938 35.9% 36.1 to 36.5

Data include Child and Teen Checkups eligible children enrolled in a Minnesota Health Care Program for at least 90-continuous days during the federal fiscal year (October 1 through September 30). Total eligible children (1 to 20 years) enrolled during FFY 2018 with a known single race and ethnicity or mixed race = 382,584. Unknown or missing race and ethnicity (not shown in this chart) = 78,782 with at least one preventive dental service out of 207,037 eligible. Two or more races = any combination of two or more single race and ethnicity.      

 

A preventive dental service includes dental cleanings, fluoride application, dental sealants, fluoride varnish, nutrition and tobacco counseling, or oral hygiene instruction 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 preventive dental service use within race and ethnicity groups (row percentages). See About the Child and Teen Checkups Program (CMS-416) Report data for more information.

 

During federal fiscal year 2018 there were no major difference in preventive dental service use by race and ethnicity.


 

C&TC eligible children (1 to 20 years) preventive dental service use, federal fiscal year 2018

County map image Child & Teen Checkup Eligible Children (1 to 20 years) Non-Dentist Oral Health Service Use and link to PDF of the same
 

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 2018 = 587,857. A preventive dental service includes dental cleanings, fluoride application, dental sealants, fluoride varnish, nutrition and tobacco counseling, or oral hygiene instruction 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. See About the Child and Teen Checkups Program (CMS-416) Report data for more information.

 

During federal fiscal year 2018, C&TC eligible children in Lake County (58%) had the highest dental service use and C&TC eligible children in Rock County (22%) had the lowest dental service use. Some counties were statistically different from the statewide rate.