期刊论文详细信息
Frontiers in Public Health
Comparison of Orthodontic Medicaid Funding in the United States 2006 to 2015
Clifton M. Carey1  Larry J. Oesterle2  W. Craig Shellhart2  Susan Whitt2  Gerald Minick2  Terri Tilliss2  Sheldon M. Newman3  Andrew Horne4 
[1] Department of Craniofacial Biology, School of Dental Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, United States;Department of Orthodontics, School of Dental Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, United States;Department of Restorative Dentistry, School of Dental Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, United States;University of Colorado Anschutz Medical Campus, Aurora, CO, United States;
关键词: medicaid database;    orthodontic services;    Medicaid dental expenditures;    state expenditures;    Medicaid funding;    Medicaid reimbursement;   
DOI  :  10.3389/fpubh.2017.00221
来源: DOAJ
【 摘 要 】

IntroductionOrthodontic treatment is reimbursed by Medicaid based on orthodontic and financial need with qualifiers determined by individual states. Changes in Medicaid-funded orthodontic treatment following the “Great Recession” in 2007 and the enactment of the Affordable Care Act in 2010 were compared for the 50 United States and the District of Columbia to better understand disparities in access to care. The results from this 2015 survey were compared to data gathered in 2006 (1).Materials and methodsMedicaid officials were contacted by email, telephone, or postal mail regarding the age limit for treatment, practitioner type who can determine eligibility and provide treatment, records required for case review, and rate and frequency of reimbursement. When not attained by direct contact, the information was gleaned from online websites, provider manuals, and state orthodontists.ResultsInformation gathered from 50 states and the District of Columbia documents that Medicaid program characteristics and expenditures continue to vary by state. Expenditures and reimbursement rates have decreased since 2006 and vary widely by geographic region. Some states have tightened restrictions on qualifiers and increased submission requirements by providers.ConclusionThe variation and lack of uniformity that still exists among Medicaid orthodontic programs in different states creates disparities in orthodontic care for US citizens. Barriers to care for Medicaid-funded orthodontic treatment have increased since 2006.

【 授权许可】

Unknown   

  文献评价指标  
  下载次数:0次 浏览次数:1次