Doral Presentation: DAC Meeting May 15, 2009

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Doral Presentation: DAC Meeting May 15, 2009

  1. 1. DENTAL ADVISORY COMMITTEE May 15, 2009 Richmond, Virginia
  2. 2. <ul><li>In FFY 08, 38.4% of children ages 0-20 received dental services (compared to 36.6% in FFY 07). This represents a 5% increase in utilization from FFY 07 to FFY 08. </li></ul><ul><li>In FFY 08, 49.5% of children ages 3-20 received dental services (compared to 45% in FFY 07). This represents a 10% increase in utilization from FFY 07 to FFY 08. </li></ul>Increases in Medicaid/FAMIS Dental Utilization
  3. 3. Increase in Provider Network <ul><li>From July 1, 2005 to April 30, 2009, there has been a 95% increase in the number of participating providers. </li></ul><ul><li>From SFY 06 to SFY 08, there has been a 31% increase in the number of specialty providers participating in the program. </li></ul>
  4. 4. Increase in Specialty Dentists <ul><li>In the first 3 quarters of SFY 09, 17 specialty dentists have been added to the network. This increase includes: </li></ul><ul><ul><li>Oral Surgeons - 8 </li></ul></ul><ul><ul><li>Pedodontists - 5 </li></ul></ul><ul><ul><li>Orthodontists - 7 </li></ul></ul><ul><ul><li>Periodontists - 1 </li></ul></ul><ul><ul><li>Prosthodontists – 1 </li></ul></ul>3 3 2 Dental Anesthesiologists 3 3 3 Prosthodontists 16 15 11 Endodontists 8 9 7 Periodontists 75 68 54 Oral Surgeons 78 63 54 Orthodontists 98 95 84 Pediatric Dentists SFY 08 SFY 07 SFY 06   Specialty Dentists By Category
  5. 5. Network Recruitment <ul><li>Metropolitan Academy Of Dentistry Study Club </li></ul><ul><li>McKee-Dominion Dental Study Club </li></ul><ul><li>Northern Shenandoah Valley Dental Study Club </li></ul><ul><li>Tuesday Fellowship Club </li></ul><ul><li>Northern Virginia Dental Society </li></ul><ul><li>Richmond Dental Society </li></ul><ul><li>Southwest Dental Society </li></ul><ul><li>Piedmont Dental Society </li></ul><ul><li>Old Dominion Dental Society </li></ul>DMAS and the Doral Virginia office staff are participating in dental meetings throughout Virginia. Presentations and promotional activities were provided at the following meetings:
  6. 6. <ul><li>Give Kids A Smile Day </li></ul><ul><ul><li>Breakfast sponsorship for volunteer dentists and dental students </li></ul></ul><ul><ul><li>Distribution of oral health kits to participants </li></ul></ul><ul><li>Mission of Mercy-Northern Virginia </li></ul><ul><ul><li>Distribution of oral health kits to participants </li></ul></ul><ul><li>Mission of Mercy-Eastern Shore </li></ul><ul><ul><li>Breakfast sponsorship for volunteer dentists and dental students </li></ul></ul><ul><ul><li>Distribution of oral health kits to participants </li></ul></ul><ul><li>VDH Collaboration </li></ul><ul><ul><li>Supplied dental reminder tear-offs for inclusion in 6000 information packets provided to WIC recipients </li></ul></ul><ul><li>Broken Appointments </li></ul><ul><ul><li>Developed Broken Appointment Best Practices brochure for distribution at a variety of events </li></ul></ul><ul><ul><li>Member education literature under development </li></ul></ul><ul><ul><li>Expanded web-based capabilities are planned </li></ul></ul><ul><li>Periodicity Schedule </li></ul><ul><ul><li>Comprehensive document developed to aide member’s understanding and expectations during dental visits </li></ul></ul>Outreach Initiatives Community Involvement Education
  7. 7. NEWS AND UPDATES
  8. 8. Spring 2009 Provider Training Seminar <ul><li>Four (4) teleconference provider training sessions were conducted on April 28, 2009 and April 29, 2009. </li></ul><ul><li>Dr. Dickinson participated in the trainings by thanking providers for their participation in the program and by highlighting the accomplishments of the SFC program. </li></ul><ul><li>A total of 83 offices participated in the training sessions. </li></ul><ul><li>Topics covered in the training included: Adult Medicaid Dental Benefits, Claim Tips and On-Line Support for Tracking the Status of Claims, Provider Appeals Process, Office Reference Manual Updates and Electronic Funds Transfer. </li></ul>
  9. 9. Electronic Funds Transfer is Here! <ul><li>Electronic Funds Transfer (EFT) and electronic remittance statements (835 File) are now being implemented in Virginia. </li></ul><ul><li>To enroll providers must: </li></ul><ul><ul><li>Complete, sign and return the authorization form </li></ul></ul><ul><ul><li>Include a voided check with the returned authorization form </li></ul></ul><ul><li>Providers must allow up to six weeks for the EFT process to be implemented. </li></ul><ul><li>Providers participating in EFT will no longer receive paper remittance statements. </li></ul>
  10. 10. Thank You!

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