No mother should ever have to bury a child. No child should ever die of a toothache.
That tragic and unnecessary fate befell 12-year-old Deamonte Driver and his family in Prince George's County. His death last year, when an untreated tooth infection spread to his brain, prompted an effort by Maryland to ensure that poor and indigent residents receive the type of preventive and restorative dental services that would have saved the boy's life.
Today, the state is finally infusing much-needed funds into the Medicaid system, to ensure care for children from disadvantaged families. As a result, dentists will be fairly compensated for caring for Medicaid patients, meaning more children can get the dental care they need, and wholly preventable or easily curable ailments won't become life-threatening conditions.
A $7 million-per-year cash infusion (matched by another $7 million annually from the federal government) will increase funding for Medicaid dental services over the next three years. Maryland is now on its way toward becoming a regional leader in oral care.
Funding has been so poor in this state that many dentists could not afford to provide care to Medicaid patients. In some cases, reimbursement rates were less than the cost to the dentist for the procedure. Yet Maryland dentists, whether they participate in the Medicaid program or not, routinely donate thousands of hours and hundreds of thousands of dollars each year to treating patients who cannot pay for services.
Now the state is augmenting the volunteer efforts of dentists and all oral health practitioners by providing additional funding to improve access to oral health, and the Maryland State Dental Association is issuing a call to action for its members to get involved. A study by the California Healthcare Foundation found that when states raised Medicaid reimbursement rates to a reasonable level, dentists' participation as much as doubled.
Red tape compounded the problem of dental services provided through Medicaid. However, the legislature made strides there, too. When a new statewide system comes on line a year from today, dentists and their Medicaid patients will have just one type of form to fill out, which has the potential to vastly simplify the administrative burdens on all concerned. The hope is that this encourages more dentists to participate in the Medicaid program and eliminates another barrier for families seeking dental care.