Preventive dental service among Medicaid-eligible children

Preventive dental service use among Medicaid-eligible children by:

 

Children enrolled in Medicaid and other Minnesota Health Care Programs can receive preventive dental 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.

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 reports on children oral health measures such as preventive dental service use among children:

  • Aged 1 to 20 years.
  • Enrolled in a Minnesota Health Care Program (MHCP) for at least 90 continuous days.
  • By federal fiscal year (October 1 through September 30).

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 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 preventive dental services every year for children including a dental exam and dental cleaning (Minnesota Statutes 2018, chapter 256B.0625, subd. 9). For more information: About the Child and Teen Checkups Program (CMS-416) Report.

Less than half of Medicaid eligible children receive at least one yearly preventive dental service.

During federal fiscal year 2019, 4 out of 10 Minnesota C&TC eligible children aged 1 to 20 years (40%) had at least one preventive dental service. 

Although not directly comparable, 79% of children in Minnesota aged 1 to 17 years had at least one preventive dental visit in 2016. This prevalence data comes from a web/mail-based survey of parents and guardians (see View Charts: Preventive dental visits). 

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

 

(40.2%, 95% CI = 40.1 to 40.4; n = 227,318 of 565,013) 

Have at least one preventive dental service  

FFY 2019 


 

Preventive dental service use among C&TC eligible children by age, federal fiscal year 2019

Roll over bars for more information
 
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 24,240 106 0.4% 0.4 to 0.5
1 to 2 64,529 8,680 13.5% 13.2 to 13.7
3 to 5 95,900 39,960 41.7% 41.4 to 42.0
6 to 9 119,950 61,846 51.6% 51.3 to 51.8
10 to 14 144,495 69,646 48.2% 47.9 to 48.5
15 to 18 98,434 37,888 38.5% 38.2 to 38.8
19 to 20 41,705 9,298 22.3% 21.9 to 22.7

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 2019 = 565,013.

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 2019, the majority were between the ages of 6 to 14 years. However, except for 6 to 9 year olds, 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 2019

Roll over bars for more information
 
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
Hispanic/Latino 61,045 27,460 45% 44.6 to 45.4
Asian or Pacific Islander 30,128 12,813 42.5% 42.0 to 43.1
African American or Black 83,621 34,098 40.8% 40.4 to 41.1
American Indian/Alaska Native 15,482 6,248 40.4% 39.6 to 41.1
White 189,791 73,902 38.9% 38.7 to 39.2
Two or more races 26,651 10,144 38.1% 37.5 to 38.6

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 2019 with a known single race and ethnicity or two or more races = 406,718. Unknown or missing race and ethnicity (not shown in this chart) = 62,653 with at least one preventive dental service out of 158,295 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 2019, 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 2019

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 2019 = 565,013.

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 2019, C&TC eligible children in Becker County (51%) had the highest dental service use and C&TC eligible children in Rock County (23%) had the lowest dental service use. Some counties were statistically different from the statewide rate.