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New Jersey only covers 13.3% of what a dentists normally charge, Michigan covers 17% and Rhode Island 22.4%, according to 2022 data analyzed by the American Dental Association.
The reasons for low use are many, but a lack of dental providers who participate in Medicaid is a key factor. [69] [70] Few dentists participate in Medicaid – less than half of all active private dentists in some areas. [71] Cited reasons for not participating are low reimbursement rates, complex forms and burdensome administrative requirements.
It was our (school administration's) belief you should be in a proper dental setting, and the board agreed. We terminated the contract." [5] In response, a mobile dentist who worked with ReachOut, Derryl Brian, said that the dentists under ReachOut had, since 2006, treated 80,000 children, and that there was a high rate of satisfaction. [3]
By 2010, the company was the third largest Medicaid HMO in the country, with $2.5 billion in revenue and 800,000 members across Ohio and Michigan. [12] In 2010, CareSource announced expansion of its provider network in Southeastern Ohio through a partnership with Quality Care Partners (QCP), a physician-hospital organization (PHO). [13]
The National Institute of Dental and Craniofacial Research carried out further research into dental care for minorities and found that black and Hispanic families in lower-income areas had much higher incidences of tooth decay. [11] Similar research shows that poor dental hygiene directly affects educational abilities and school attendance. [12]
Delta Dental provides dental services to Medicaid members, and has provided benefits under the program since the state privatized Medicaid in 2016. DentaQuest is a new entity to the state's program.
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