doral presentation: dac meeting may 15, 2009

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DENTAL ADVISORY DENTAL ADVISORY COMMITTEE COMMITTEE May 15, 2009 Richmond, Virginia

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Page 1: Doral Presentation: DAC Meeting May 15, 2009

DENTAL ADVISORY DENTAL ADVISORY COMMITTEECOMMITTEE

May 15, 2009Richmond, Virginia

Page 2: Doral Presentation: DAC Meeting May 15, 2009

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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.

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.

Increases in Medicaid/FAMIS Dental Utilization

24.3%

31.8%

36.6% 38.4%

30.4%

39.3%

45.0%49.5%

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

Ages 0-20 Ages 3-20

Pediatric Dental Utilization(Federal Fiscal Year)

FFY 05

FFY 06

FFY 07

FFY 08

Page 3: Doral Presentation: DAC Meeting May 15, 2009

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Increase in Provider Network

From July 1, 2005 to April 30, 2009, there has been a 95% increase in the number of participating providers.

From SFY 06 to SFY 08, there has been a 31% increase in the number of specialty providers participating in the program.

620

1210

0

200

400

600

800

1000

1200

1400

Jul-05 Apr-09

Participating Providers

215

256281

0

50

100

150

200

250

300

SFY 06 SFY 07 SFY 08

Total Specialty Dentists(Per SFY)

Page 4: Doral Presentation: DAC Meeting May 15, 2009

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Increase in Specialty Dentists

In the first 3 quarters of SFY 09, 17 specialty dentists have been added to the network. This increase includes: Oral Surgeons - 8 Pedodontists - 5 Orthodontists - 7 Periodontists - 1 Prosthodontists – 1

Specialty Dentists By Category

  SFY 06 SFY 07 SFY 08

Pediatric Dentists 84 95 98

Orthodontists 54 63 78

Oral Surgeons 54 68 75

Periodontists 7 9 8

Endodontists 11 15 16

Prosthodontists 3 3 3

Dental Anesthesiologists 2 3 3

Page 5: Doral Presentation: DAC Meeting May 15, 2009

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Network Recruitment

Metropolitan Academy Of Dentistry Study Club

McKee-Dominion Dental Study Club

Northern Shenandoah Valley Dental Study Club

Tuesday Fellowship Club

Northern Virginia Dental Society Richmond Dental Society Southwest Dental Society Piedmont Dental Society Old Dominion Dental Society

DMAS and the Doral Virginia office staff are participating in dental meetings throughout Virginia. Presentations and promotional activities were provided at the following meetings:

Page 6: Doral Presentation: DAC Meeting May 15, 2009

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Outreach Initiatives

Community Involvement

Give Kids A Smile Day Breakfast sponsorship for volunteer dentists

and dental students Distribution of oral health kits to

participants

Mission of Mercy-Northern Virginia Distribution of oral health kits to

participants

Mission of Mercy-Eastern Shore Breakfast sponsorship for volunteer dentists

and dental students Distribution of oral health kits to

participants

VDH Collaboration Supplied dental reminder tear-offs for

inclusion in 6000 information packets provided to WIC recipients

Broken Appointments Developed Broken Appointment Best

Practices brochure for distribution at a variety of events

Member education literature under development

Expanded web-based capabilities are planned

Periodicity Schedule Comprehensive document developed to aide

member’s understanding and expectations during dental visits

Education

Page 7: Doral Presentation: DAC Meeting May 15, 2009

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NEWS AND UPDATESNEWS AND UPDATES

Page 8: Doral Presentation: DAC Meeting May 15, 2009

8

Spring 2009 Provider Training Seminar

Four (4) teleconference provider training sessions were conducted on April 28, 2009 and April 29, 2009.

Dr. Dickinson participated in the trainings by thanking providers for their participation in the program and by highlighting the accomplishments of the SFC program.

A total of 83 offices participated in the training sessions.

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.

Page 9: Doral Presentation: DAC Meeting May 15, 2009

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Electronic Funds Transfer is Here!

Electronic Funds Transfer (EFT) and electronic remittance statements (835 File) are now being implemented in Virginia.

To enroll providers must: Complete, sign and return the

authorization form Include a voided check with the

returned authorization form Providers must allow up to six weeks

for the EFT process to be implemented.

Providers participating in EFT will no longer receive paper remittance statements.

Page 10: Doral Presentation: DAC Meeting May 15, 2009

Thank You!Thank You!