Follow-Up Study Concerning Denti-Cal

Follow-Up Study Concerning Denti-Cal

Full Report

Executive Summary

Press Release

Fact Sheet

Study Description

Agenda

Overview

The Little Hoover Commission is examining the Denti-Cal program as a follow up to the Commission’s report Fixing Denti-Cal (April 2016). That report found the state program, which cares for half the state’s children, fell disastrously short. Primary reasons for poor utilization rates were the lack of providers and dismal reimbursement rates.

In response to the Commission’s findings California lawmakers passed SB 1098 (Cannella, 2016), which requires DHCS to issue a report on October 1, 2017 on progress made towards the goal of raising the Denti-Cal utilization rate to 60 percent and AB 2207 (Wood, 2016), which made several reforms intended to improve access to the 6 million children who are eligible for the program.

On October 26, 2017, the Little Hoover Commission heard an update from DHCS Director Jennifer Kent on the improvements underway based on the Commission’s recommendations and recent law.

Following the meeting, the Commission on November 20, 2017, issued a letter to the Governor and Legislature documenting continued concerns regarding the level of reform still needed to fix the broken Denti-Cal program. The Commission will continue to monitor developments made by DHCS and will hold a public meeting in the spring.

If you would like more information regarding this study, please contact Tamar Lazarus at tamar.lazarus@lhc.ca.gov or at 916-445-2125. To be notified electronically of meetings, events, or when the review is complete, please send a request to littlehoover@lhc.ca.gov.


Little Hoover Commission Letter

Letter to Governor Brown and Legislature: Denti-Cal Program Still Broken
(Report #241, November 2017)

Previous Studies

Fixing Denti-Cal
(Report #230, April 2016)
 

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			Agenda
  • March 22
    2018
    Follow-Up Study Concerning Denti-Cal
    9:30 a.m., State Capitol, Room 437, Sacramento, CA
    Event
    Agenda

    AGENDA

    Public Hearing on Denti-Cal
    Thursday, March 22, 2018, at 9:30 a.m.
    State Capitol, Room 437
    Sacramento, CA 95814

    A Day in the Life: Patient Experiences in Obtaining Denti-Cal Services

    1. Robin Blanks-Guster, parent and grandparent of Denti-Cal patients, Sacramento County
       
    2. Laurie James, grandparent of Denti-Cal patient, Amador County (Written Testimony)

    A Day in the Life: Provider Experiences in Delivering Denti-Cal Services

    1. Dr. Nagaraja Murthy, D.D.S, Golden State Dental Group (Written Testimony)
       
    2. Dr. John Luther, D.D.S, Chief Dental Officer, Western Dental (Written Testimony)
       
    3. Dr. Elizabeth Johnson, D.D.S,  Dental Director, WellSpace Health
       
    4. Viveka Rydell-Anderson, CEO, and Dr. Mark Hagele, DDS, Dental Director, PDI Surgery Center (Written Testimony)

    A New Way Forward: Modernizing Denti-Cal

    1. Dr. Paul Glassman, D.D.S, Professor of Dental Practice, University of the Pacific, Arthur A. Dugoni School of Dentistry
      (Written Testimony)

    Administrators: Overseeing and Implementing California’s Dental Policies

    1. Jennifer Kent, Director, and Alani Jackson, Chief, Medi-Cal Dental Services Division, Department of Health Care Services
      (Written Testimony)
       
    2. Dr. Jayanth Kumar, D.D.S, State Dental Director, California Department of Public Health (Written Testimony)

    Comments Submitted by Members of the Public

    Justice in Aging

    California Dental Association

    California Dental Hygienists' Association

    Health Consumer Alliance

    Gary & Mary West Senior Dental Center

    Center for Oral Health

    Melinda Lancaster

    Children Now

    Cavity Free SF

    Donna Jackson

    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    March 9, 2018

    For Additional Information Contact:
    Terri Hardy, Executive Director (A)
    (916) 445-2125

     

    Notice of Meeting

    On Thursday, March 22, 2018, the Little Hoover Commission will conduct a public hearing to examine the progress the Department of Health Care Services (DHCS) has made in addressing recommendations from the Commission’s April 2016 report, Fixing Denti-Cal. The Commission will hear from key stakeholders, including Denti-Cal patients and providers, about their experiences with the program.  The hearing will begin at 9:30 a.m. in Room 437 of the State Capitol in Sacramento.

    At the hearing, the Commission will first hear from a panel consisting of family members of Denti-Cal patients, who will discuss the challenges of obtaining dental care and services.  Next, the Commission will hear from several Denti-Cal providers, including representatives from Golden State Dental Group, Western Dental Services, WellSpace Health and PDI Surgery Center, on the potential financial and procedural obstacles that may limit access to care. The Commission will then hear from a leading oral health policy thought leader, who will discuss the importance of ensuring stakeholder oversight and delivering preventative care for Denti-Cal patients.  Lastly, the Commission will hear from representatives of DHCS who will provide updates on implementation of the Commission’s recommendations and discuss how recent reforms are striving to improve the oral health of Medi-Cal children.  The State Dental Director will describe the California Department of Public Health’s role in shaping state dental policy.

    There will be an opportunity for public comment at the end of the hearing.  Public comments will be limited to three minutes per person.  The Commission also encourages written comments. 

    Immediately following the hearing, the Commission will hold a business meeting in the lower level conference room at 925 L Street in Sacramento.

    If you need reasonable accommodation due to a disability, please contact Commission Acting Executive Director Terri Hardy at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, March 15, 2018.

    Video

  • October 26
    2017
    Business Meeting
    9:30 a.m., 925 L Street, Room 175, Sacramento, CA
    Business Meeting
    Agenda

    AGENDA

    Business Meeting
    Thursday, October 26, 2017, at 9:30 a.m.
    925 L Street, Room 175
    Sacramento, CA 95814
     

    1. Business Meeting Minutes from September 28, 2017
       
    2. Presentation from Jennifer Kent, Director, Department of Health Care Services (Written Testimony)
    3. Closed Session
              PERSONNEL
              The Commission will meet in closed session to discuss personnel matters consistent with Government Code section 11126, subdivision (a)(1).
       
    4. Subcommittee Reports
      a.  Forest Management – Status update
           – Discussion on Draft Recommendations

      b.  Voter Participation - Status update

      c.  Artificial Intelligence – Status update
       
    5. Commission Survey
       
    6. Project Selection
       
    7. Implementation and Impact Activity
       
    8. Reports from the California State Auditor’s Office
    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    October 12, 2017

    For Additional Information Contact:
    Terri Hardy, Deputy Executive Director
    (916) 445-2125

    Notice of Meeting

    On Thursday, October 26, 2017, the Little Hoover Commission will conduct a business meeting to hear an update on a prior Commission report and study and conduct regularly scheduled activities.  The meeting will begin at 9:30 a.m. in Conference Room 175 located on the first floor of 925 L Street in Sacramento. 

    At the meeting, the Commission will hear from Jennifer Kent, director of the California Department of Health Care Services, who will provide an implementation update on the recommendations from the Commission’s April 2016 report, Fixing Denti-Cal.  The Commission will learn about the department’s progress in achieving a 60 percent utilization goal for children and efforts to streamline and automate enrollment for dentists.

    Following this discussion, the Commission will meet in closed session to discuss personnel matters consistent with Government Code section 11126, subdivision (a)(1).  The Commission will then reconvene in open session and publically announce any actions taken in closed session consistent with Government Code section 11126.3, subdivision(f).

    The Commission will then discuss the potential recommendations for its forest management study.  The Commission will also receive status updates on two ongoing studies on voter participation and artificial intelligence.

    Following these updates, the Commission will conduct other business as detailed on the agenda.  

    If you need reasonable accommodation due to a disability, please contact Commission Deputy Executive Director Terri Hardy at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, October 19, 2017.

    Video

Print 
		Agenda
  • March 22
    2018
    Follow-Up Study Concerning Denti-Cal
    9:30 a.m., State Capitol, Room 437, Sacramento, CA
    Event
    Agenda

    AGENDA

    Public Hearing on Denti-Cal
    Thursday, March 22, 2018, at 9:30 a.m.
    State Capitol, Room 437
    Sacramento, CA 95814

    A Day in the Life: Patient Experiences in Obtaining Denti-Cal Services

    1. Robin Blanks-Guster, parent and grandparent of Denti-Cal patients, Sacramento County
       
    2. Laurie James, grandparent of Denti-Cal patient, Amador County (Written Testimony)

    A Day in the Life: Provider Experiences in Delivering Denti-Cal Services

    1. Dr. Nagaraja Murthy, D.D.S, Golden State Dental Group (Written Testimony)
       
    2. Dr. John Luther, D.D.S, Chief Dental Officer, Western Dental (Written Testimony)
       
    3. Dr. Elizabeth Johnson, D.D.S,  Dental Director, WellSpace Health
       
    4. Viveka Rydell-Anderson, CEO, and Dr. Mark Hagele, DDS, Dental Director, PDI Surgery Center (Written Testimony)

    A New Way Forward: Modernizing Denti-Cal

    1. Dr. Paul Glassman, D.D.S, Professor of Dental Practice, University of the Pacific, Arthur A. Dugoni School of Dentistry
      (Written Testimony)

    Administrators: Overseeing and Implementing California’s Dental Policies

    1. Jennifer Kent, Director, and Alani Jackson, Chief, Medi-Cal Dental Services Division, Department of Health Care Services
      (Written Testimony)
       
    2. Dr. Jayanth Kumar, D.D.S, State Dental Director, California Department of Public Health (Written Testimony)

    Comments Submitted by Members of the Public

    Justice in Aging

    California Dental Association

    California Dental Hygienists' Association

    Health Consumer Alliance

    Gary & Mary West Senior Dental Center

    Center for Oral Health

    Melinda Lancaster

    Children Now

    Cavity Free SF

    Donna Jackson

    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    March 9, 2018

    For Additional Information Contact:
    Terri Hardy, Executive Director (A)
    (916) 445-2125

     

    Notice of Meeting

    On Thursday, March 22, 2018, the Little Hoover Commission will conduct a public hearing to examine the progress the Department of Health Care Services (DHCS) has made in addressing recommendations from the Commission’s April 2016 report, Fixing Denti-Cal. The Commission will hear from key stakeholders, including Denti-Cal patients and providers, about their experiences with the program.  The hearing will begin at 9:30 a.m. in Room 437 of the State Capitol in Sacramento.

    At the hearing, the Commission will first hear from a panel consisting of family members of Denti-Cal patients, who will discuss the challenges of obtaining dental care and services.  Next, the Commission will hear from several Denti-Cal providers, including representatives from Golden State Dental Group, Western Dental Services, WellSpace Health and PDI Surgery Center, on the potential financial and procedural obstacles that may limit access to care. The Commission will then hear from a leading oral health policy thought leader, who will discuss the importance of ensuring stakeholder oversight and delivering preventative care for Denti-Cal patients.  Lastly, the Commission will hear from representatives of DHCS who will provide updates on implementation of the Commission’s recommendations and discuss how recent reforms are striving to improve the oral health of Medi-Cal children.  The State Dental Director will describe the California Department of Public Health’s role in shaping state dental policy.

    There will be an opportunity for public comment at the end of the hearing.  Public comments will be limited to three minutes per person.  The Commission also encourages written comments. 

    Immediately following the hearing, the Commission will hold a business meeting in the lower level conference room at 925 L Street in Sacramento.

    If you need reasonable accommodation due to a disability, please contact Commission Acting Executive Director Terri Hardy at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, March 15, 2018.

    Video

  • October 26
    2017
    Business Meeting
    9:30 a.m., 925 L Street, Room 175, Sacramento, CA
    Business Meeting
    Agenda

    AGENDA

    Business Meeting
    Thursday, October 26, 2017, at 9:30 a.m.
    925 L Street, Room 175
    Sacramento, CA 95814
     

    1. Business Meeting Minutes from September 28, 2017
       
    2. Presentation from Jennifer Kent, Director, Department of Health Care Services (Written Testimony)
    3. Closed Session
              PERSONNEL
              The Commission will meet in closed session to discuss personnel matters consistent with Government Code section 11126, subdivision (a)(1).
       
    4. Subcommittee Reports
      a.  Forest Management – Status update
           – Discussion on Draft Recommendations

      b.  Voter Participation - Status update

      c.  Artificial Intelligence – Status update
       
    5. Commission Survey
       
    6. Project Selection
       
    7. Implementation and Impact Activity
       
    8. Reports from the California State Auditor’s Office
    Public Notice

    PUBLIC NOTICE

    FOR IMMEDIATE RELEASE
    October 12, 2017

    For Additional Information Contact:
    Terri Hardy, Deputy Executive Director
    (916) 445-2125

    Notice of Meeting

    On Thursday, October 26, 2017, the Little Hoover Commission will conduct a business meeting to hear an update on a prior Commission report and study and conduct regularly scheduled activities.  The meeting will begin at 9:30 a.m. in Conference Room 175 located on the first floor of 925 L Street in Sacramento. 

    At the meeting, the Commission will hear from Jennifer Kent, director of the California Department of Health Care Services, who will provide an implementation update on the recommendations from the Commission’s April 2016 report, Fixing Denti-Cal.  The Commission will learn about the department’s progress in achieving a 60 percent utilization goal for children and efforts to streamline and automate enrollment for dentists.

    Following this discussion, the Commission will meet in closed session to discuss personnel matters consistent with Government Code section 11126, subdivision (a)(1).  The Commission will then reconvene in open session and publically announce any actions taken in closed session consistent with Government Code section 11126.3, subdivision(f).

    The Commission will then discuss the potential recommendations for its forest management study.  The Commission will also receive status updates on two ongoing studies on voter participation and artificial intelligence.

    Following these updates, the Commission will conduct other business as detailed on the agenda.  

    If you need reasonable accommodation due to a disability, please contact Commission Deputy Executive Director Terri Hardy at (916) 445-2125 or littlehoover@lhc.ca.gov by Thursday, October 19, 2017.

    Video