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Linda M. Altenhoff, DDS Texas Health Steps (THSteps) Dental and DSHS Oral Health Program (OHP) Texas Oral Health Coalition Oral Health Summit November 16, 2006

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Linda M. Altenhoff, DDS

Texas Health Steps (THSteps) Dental and DSHS Oral Health Program (OHP) Texas Oral Health CoalitionOral Health SummitNovember 16, 2006

November 16, 2006

DSHS Regional Dental Teams

Pecos

Brewster

Webb

Hudspeth

Presidio

Terrell

Culberson

Reeves

Crockett

Val Verde

Hill

Duval

Frio

Bell

Harris

Polk

Kerr

Starr

Clay

Irion

Edwards

Hall

Jeff Davis

Bee

Ellis

Uvalde

Leon

Sutton

Hidalgo

Hale

Bexar

King

Gaines

Dallam

Erath

Upton

Hartley

Kinney

KentJack

Gray

Zavala

Oldham

Tyler

Cass

Dimmit

Kimble

Lynn Hunt

Medina

Rusk

Wise

Kenedy

Floyd

La Salle

Lamb

Coke

LeeLiberty

Llano

Brazoria

Terry

Milam

Travis

Andrews

Knox

Mills

Ector

Smith

Falls

Jones

Collin

Bowie

Potter

Nolan

Cottle

Zapata

Burnet

Motley

Ward

Coryell

Brown

Taylor

Garza

Real

Houston

Young

Lamar

Reagan

Martin

Maverick

Moore

DallasFisher

Coleman

Jasper

Baylor Archer

Castro

Brooks

Scurry Parker

Tom Green

Cooke

Hardin

Navarro

Mason

Goliad

Donley

Atascosa

Lavaca

Bailey

Fannin

Denton

Crane

Bosque

Deaf Smith

Hays

Concho

Crosby

Carson

RunnelsEl Paso

Fayette

Schleicher

Wharton

Gillespie

Newton

Foard

Tarrant

Haskell

Borden

De Witt

ShelbySterling

Victoria

Briscoe

Live Oak

Wilson

Randall

Parmer

Panola

Menard

Trinity

McMullen

Grayson

Wood

Jim Hogg

Roberts

MitchellHoward

Midland

San Saba

Bastrop

Hockley Dickens

Swisher

Gonzales

Anderson

Grimes

Winkler

Wheeler

Dawson

Walker

Harrison

Colorado

Eastland

Cherokee

Nueces

Matagorda

Lubbock

Kleberg

Karnes

Hemphill

Red River

Austin

Blanco

Jefferson

Williamson

Sherman

McCulloch

Jackson

McLennan

Callahan

Ochiltree

Wilbarger

Bandera

Refugio

Loving

Hansford

Angelina

Cameron

Stephens

Montague

Lipscomb

HopkinsStonewallYoakum

Palo Pinto

Hamilton

Cochran

Kaufman

Fort Bend

Limestone

Montgomery

Freestone

Armstrong

Comal

Jim Wells

Kendall

Comanche

Johnson

Glasscock

Sabine

Henderson

Brazos

Titus

Van Zandt

Robertson

Upshur

Wichita

Hutchinson

Waller

Hood

Willacy

Burleson

Childress

Shackelford

Nacogdoches

Collingsworth

Lampasas

Hardeman

Throckmorton

Guadalupe

Caldwell

Marion

Chambers

San Patricio

Madison

Delta

Washington

San Jacinto

Calhoun

Orange

Rains

Gregg

Morris

San Augustine

Franklin

Galveston

Somervell

Aransas

Rockwall

El Paso

Lubbock

San Angelo

San Antonio

Houston

Tyler

November 16, 2006

DSHS Regional Dental Teams

Region 1 / 2 Rick Howard, DDS Rene Hardin, RDH

Region 3/4/5N Maureen Weber,

DDS JoAnne Lancaster,

RDH

Region 6/5S/7 Bill Gray, DDS Diana Beeman, RDH

Region 8/11 Matt Williams, DMD Deleese Brock, RDH

Region 9/10 Betty Willberg, RDH

November 16, 2006

DSHS Central Office Staff

Texas Health Steps (THSteps) Dental Mike McAnally Belinda Abete

Public Oral Health Sharon Difelice Sandy Tesch, RDH George Medlock David Stansell

November 16, 2006

DSHS Oral Health Program (OHP) Funding

State general revenueFederal grants and cooperative agreementsMedicaid administration fundsTitle V/Maternal and Child Health funds

November 16, 2006

Regional Dental Team Priorities

School-based dental sealant projects Elementary schools with at least 50%

free/reduced lunch participation

Basic Screening Survey (surveillance) Third grade children in targeted schools Preschool children in Head Starts

Preventive dental services Preschool children in Head Starts Dental exams, prophylaxis, fluoride

November 16, 2006

Public Health Dental – Oral Health Program (OHP) Activities

Conduct grant and cooperative agreement activitiesReview and comment on proposed state legislation involving dentalParticipate in leadership activities at the national level Represent DSHS OH Program at national public health conferences

November 16, 2006

Public Health Dental – OHP

Additional activities supporting: CDC Grant

Texas Oral Health Coalition (TOHC) Regional oral health coalitions Texas Community Water Fluoridation

HRSA Grant Working with TDA, TAPD, TDHA, Head

Start, dental hygiene programs, dental schools

November 16, 2006

THSteps/MedicaidActivities

Updating Take Time for TeethDental school recruitment presentationsTHSteps dental policyMedicaid Dental Stakeholder MeetingsHead Start Working with TDA and TAPDAd hoc workgroups

November 16, 2006

THSteps Dental PolicyDiagnostic dental - D0140 – Emergency/ limited dental examPreventive dental - D1351 - Dental SealantsTherapeutic dental - Facility reimbursementOrthodontic - D8690 - Replacement orthodontic bracketsDoctor of Dentistry as a Limited PhysicianAnesthesia (Medical) - Anesthesiology reimbursement

November 16, 2006

Centers for Medicare and Medicaid Services (CMS) 416

November 16, 2006

THSteps Dental

Frew, et al v. Hawkins, et al2007 Texas Medicaid Provider Procedures Manual2006 TMHP dental provider workshops TMHP provider recruitment plan

November 16, 2006

Why Practice Prevention?

November 16, 2006

Questions

Contact Information: Linda M. Altenhoff, DDS

State Dental Director/Manager, OHP1100 W. 49th Street, MC 1938Austin, Texas 78756Phone: (512) 458-7111 ext 3001Fax: (512) 458-7256Email: [email protected]