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- Title
Impact of South Carolina's Medicaid fluoride varnish reimbursement policy on children's receipt of fluoride varnish in medical and dental settings.
- Authors
Veschusio, Christine N.; Probst, Janice C.; Martin, Amy B.; Hardin, James W.; L. Hale, Nathan
- Abstract
<bold>Objective: </bold>We estimated the effect of South Carolina's (SC) Medicaid fluoride varnish (FV) reimbursement policy on children's receipt of fluoride varnish in medical (MFV) and dental (DFV) settings.<bold>Methods: </bold>We obtained data from SC Medicaid enrollment and claims files for children ≤ 47 months of age across State Fiscal Years (SFY) 2008-2013 and created a panel dataset of 52,841 children representing 126,464 child-years of observation. Pooled multivariate logistic regression models were estimated to identify factors associated with a higher likelihood of a child receiving one or more MFV or DFV treatments.<bold>Results: </bold>The FV rates per child-year were 1 percent for physicians and 23 percent for dentists, respectively. The child-year rate for receipt of FV from both a physician and a dentist was less than one-third of one percent.<bold>Conclusions: </bold>A policy designed to increase access to FV treatments from physicians and dentists for children up to forty-seven months of age was not successful for physicians; however, the positive findings for dentists were promising.
- Subjects
SOUTH Carolina; UNITED States; FLUORIDE varnishes; MEDICAID; MEDICARE reimbursement; DENTAL care; PEDIATRIC dentistry
- Publication
Journal of Public Health Dentistry, 2016, Vol 76, Issue 4, p356
- ISSN
0022-4006
- Publication type
journal article
- DOI
10.1111/jphd.12163