5.4 Use of Public Funding

Medicaid and Maryland Healthy Smiles

photo of childrenBecause Maryland’s dental sealant programs target Title I schools, a large proportion of children that the program serves are expected to be Medicaid beneficiaries. OOH uses federal funds from the Health Resources and Services Administration and the Centers for Disease Control and Prevention (CDC) as well as state funds to support school-based dental sealant programs throughout the state. However, CDC funds cannot be used for direct services but only for support of the infrastructure and policy related to these programs.

It is imperative that school-based dental sealant programs target children at high risk for dental caries to maximize grant funding. For some children, school-based dental sealant programs are their only source of oral health education and preventive oral health services.

Infants, children, and adolescents under age 21 and pregnant women enrolled in Maryland Medicaid are eligible for dental coverage under the Maryland Healthy Smiles dental program. A dental benefit administrative services organization for Maryland Healthy Smiles (currently Scion Dental) handles the coordination of all dental-related customer service for providers and beneficiaries enrolled in Maryland Healthy Smiles. Scion Dental, Inc. can help beneficiaries locate dentists, explain dental benefits, and verify eligibility. Scion Dental, Inc. also enrolls dentists in Maryland Healthy Smiles, provides authorizations for oral health services, and processes claims.