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319195
Dental services for people with intellectual and developmental disabilities in Medicaid Home and Community Based Services 1915(c) waivers


Monday, November 2, 2015

Carli Friedman, M.S., Institute on Disability and Human Development, University of Illinois at Chicago, Chicago, IL
  
Many people with intellectual and developmental disabilities (IDD) experience dental caries and other oral health problems. Although people with IDD have significant unmet dental care needs, one of our previous examination of fiscal year (FY) 2010 and FY 2011 dental services found that  the largest provider of long-term supports for people with IDD across the nation Medicaid 1915(c) Home and Community Based Services (HCBS) waivers provided relatively little dental care. The purpose of this presentation is to provide an FY 2013 update of dental services in Medicaid HCBS Waiver applications targeting individuals with IDD.

Nationwide HCBS waiver data relating to IDD was obtained from the United States CMS Medicaid.gov website for FY 2013. We then examined this data to determine, if applicable, the dental services provided, the projected number of users, and the average cost of each unit of service.

 

Through our analysis of FY 2013 HCBS waivers for people with IDD we found that only 18 waivers (18.2%) provided dental services. The projected spending for dental services in FY 2013 was $25.6 million; this is significantly larger than our FY 2011 finding of $19.4 million. When interpreting these findings it is also important to note that the projected spending found in FY 2013 only made up .09% of all FY 2013 HCBS waiver spending. This is actually less than the .10% we found in FY 2011. Thus, it appears dental services in Medicaid HCBS waivers still need to be expanded to properly support the needs of people with IDD.

Learning Areas:

Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Provision of health care to the public
Public health or related laws, regulations, standards, or guidelines
Public health or related public policy
Public health or related research

Learning Objectives:
Assess how dental services are provided for people with IDD within Medicaid HCBS waivers Demonstrate how certain states are utilizing dental services for people with IDD in Medicaid HCBS waivers Identify if dental services in Medicaid HCBS waiver fill in gaps left by Medicaid state plans for people with IDD

Keyword(s): Disabilities, Medicaid

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a graduate research assistant for a nationally funded grant focusing on Medicaid services for people with intellectual and developmental disabilities for 5 years. My interests include the many ways Medicaid services are provided for people with intellectual and developmental disabilities in the community and the empowerment of people with intellectual and developmental disabilities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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