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services are necessary for the target population. MRMIB will report to the legislature on the need for additional services by April 15, 1998. The state will submit an amendment to this plan if it wishes to expand substance abuse services. Oral health. California will use S-CHIP funds, within the 10 percent of the federal S CHIP administrative cost ceiling expenditures, for other child health assistance to address the epidemic of early childhood caries in the State. The funds will be used for a special oral health initiative designed to increase utilization of dental services among low income, uninsured children ages birth to 5 years of age. The initiative will be conducted in partnership with the California First 5 Children and Families Commission (First 5 Commission) for a 3 year period. The First 5 Commission forged this partnership to leverage the resources of an existing dental services delivery system serving of 700,000 children in California. Some health and dental plans participating in the HFP will be funded, through contract amendments, to develop innovative methods to increase the awareness about the importance of preventive oral health among parents and caregivers of young children and reduce the incidence of early childhood caries. The initiative does not change the benefits that will be provided to all children enrolled in the Healthy Families Program (see Attachment 6), but will allow participating health and dental plans to develop innovative ways of delivering these benefits. There are 21 innovative projects that selected health and dental plans will implement to provide one or more of the following services. • Case Management/Individual Oral Health Education Services – Oral health professionals will provide one-one-one oral health education to parents of young children and will follow-up with families to ensure that parents keep their children’s dental appointments, and/or schedule needed follow-up care after receiving their preventive dental visit. Follow-up services will also serve to reinforce the health education patients receive during their dental visit. Health education and follow-up services will be designed to meet the cultural and linguistic needs of the families served. Some follow- up and health education services will be provided in the home. • Innovative Preventive Services – Primary care providers will form special partnerships with dental providers to ensure that young children are receiving appropriate dental screenings and referrals for treatment. Some Effective Date: Approval Date: November 1, 2009 HFP Family Contribution Increase November 1, 2009 HFP Co-Payment Increase November 1, 2009 HFP Limited Dental Plan Choice for New Subscribers
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