Increased Children’s Access to Fluoride Varnish Treatment by Involving Medical Care Providers: Effect of a Medicaid Policy Change

Authors

Christopher Okunseri, Marquette UniversityFollow
Aniko Szabo, Medical College of Wisconsin
Scott Jackson, Medical College of WisconsinFollow
Nicholas M. Pajewski, University of Alabama - BirminghamFollow
Raul I. Garcia, Boston UniversityFollow

Document Type

Article

Language

eng

Format of Original

13 p.

Publication Date

8-2009

Publisher

Wiley

Source Publication

Health Services Research

Source ISSN

1475-6773

Original Item ID

DOI: 10.1111/j.1475-6773.2009.00975.x

Abstract

Background. In 2004, the State of Wisconsin introduced a change to their Medicaid Policy allowing medical care providers to be reimbursed for fluoride varnish treatment provided to Medicaid enrolled children.

Objective. To determine the extent by which a state-level policy change impacted access to fluoride varnish treatment (FVT) for Medicaid enrolled children.

Data Source. The Electronic Data Systems of Medicaid Evaluation and Decision Support database for Wisconsin from 2002 to 2006.

Study Design. We analyzed Wisconsin Medicaid claims for FVT for children between the ages of 1 and 6 years, comparing rates in the prepolicy period (2002–2003) to the period (2004–2006) following the policy change.

Principal Findings. Medicaid claims for FVT in 2002–2003 totaled 3,631. Following the policy change, claims for FVT increased to 28,303, with 38.0 percent submitted by medical care providers. FVT rates increased for children of both sexes and all ages, rising from 1.4 per 1,000 person-years of enrollment in 2002–2003 to 6.6 per 1,000 person-years in 2004–2006. Overall, 48.6 percent of the increase in FVT was attributable to medical care providers. The largest increase was seen in children 1–2 years of age, among whom medical care providers were responsible for 83.5 percent of the increase.

Conclusions. A state-level Medicaid policy change was followed by both a significant involvement of medical care providers and an overall increase in FVT. Children between the ages of 1 and 2 years appear to benefit the most from the involvement of medical care providers.

Comments

Accepted version. Health Services Research, Vol. 44, No. 4 (August 2009): 1144-1156. DOI. © 2009 John Wiley & Sons, Inc. Used with permission.

Recommended Citation

Okunseri, Christopher; Szabo, Aniko; Jackson, Scott; Pajewski, Nicholas M.; and Garcia, Raul I., "Increased Children’s Access to Fluoride Varnish Treatment by Involving Medical Care Providers: Effect of a Medicaid Policy Change" (2009). School of Dentistry Faculty Research and Publications. 122.
https://epublications.marquette.edu/dentistry_fac/122