Welcome to the training on First Dental Home provided by the Texas Health and Human Services Commission (HHSC) and the University of Texas Health Science Center at San Antonio (UTHSCSA).
Required Steps To Be Certified As A First Dental Home Provider
If you are a dentist and wish to be certified to bill Medicaid for First Dental Home Services, you must complete the following requirements.
- Complete this First Dental Home training and obtain a CE certificate.
- Submit a First Dental Home Certification Application (fillable PDF) to be certified as a First Dental Home provider.
- Include the following required information on the application form:
- Individual National Provider Identifier (NPI) number
- Individual Texas Provider Identifier (TPI) number for each practice location
The completed application form and CE certificate should be emailed to THStepsOEFV.FDH@hhsc.state.tx.us. Alternatively, the completed form and CE certificate can be faxed to 512-483-3979.
Completion of this training is recommended for all members of a provider’s dental team who will be assisting with First Dental Home services.
The goal of this module is to train general and pediatric dentists enrolled in Texas Health Steps on the requirements of becoming a First Dental Home provider for children ages 6 months through 35 months.
Completing this course is a required prerequisite to applying for certification as a First Dental Home provider.
Texas Health Steps providers and other interested health-care professionals.
Specific Learning Objectives
After completing the activities of this module, you will be able to:
- Summarize the challenges that young Texans face in accessing oral health care and the importance of the First Dental Home model.
- Specify the required components of initial and subsequent First Dental Home checkups.
- Determine the recommended periodicity of First Dental Home checkups based on use of the caries risk assessment.
Please note this module expires on 8/31/2022.
This module was released on 8/27/2021.
Continuing Dental Education
The University of Texas Health Science Center at San Antonio has approved this course for continuing education from the Office of Continuing Dental Education.
The mission of the Office of Continuing Dental Education at The University of Texas Health Science Center at San Antonio is to provide professional growth opportunities and quality continuing education programs as the needs of the profession demand.
It is our firm belief that Continuing Dental Education courses should present the newest developments in patient evaluation, treatment, techniques, products, materials, and equipment even though some of them may be controversial. The Dental School does not endorse the content and philosophy of any Continuing Education course but offers various viewpoints to better serve the practicing dental professional.
One of the requirements of continuing education is disclosure of the following information to the learner:
- Notice of requirements for successful completion of continuing education activity. To receive continuing education credit the learner must successfully complete the following activities:
- Create a Texas Health Steps account.
- Complete on-line registration process.
- Thoroughly read the content of the module.
- Complete the on-line examination.
- Complete the evaluation.
- Commercial Support.
The THSTEPS Web-based Continuing Education Series has received no commercial support.
- Disclosure of Relevant Financial Relationships.
The THSTEPS Continuing Education Planning Committee and the authors of these modules have no relevant financial relationships to disclose.
- Non-Endorsement Statement.
Accredited status does not imply endorsement of any commercial products or services by the Department of State Health Services, Continuing Education Service; Texas Medical Association; or American Nurse Credentialing Center.
- Off-Label Use.
Using a disclosure review process, the THSTEPS Continuing Education Planning Committee has examined documents and has concluded that the authors of these modules have not included content that discusses off-label use (use of products for a purpose other than that for which they were approved by the Food and Drug Administration).
The following are policies and definitions of terms related to continuing education disclosure:
The intent of disclosure is to allow Department of State Health Services (DSHS) Continuing Education Service the opportunity to resolve any potential conflicts of interest to assure balance, independence, objectivity and scientific rigor in all of its Continuing Education activities.
All faculty, planners, speakers and authors of Department of State Health Services (DSHS) Continuing Education Service sponsored activities are expected to disclose to the Department of State Health Services (DSHS) Continuing Education Service any relevant financial, relationships with any commercial or personal interest that produces health care goods or services concerned with the content of an educational presentation. Faculty, planners, speakers and authors must also disclose where there are any other potentially biasing relationships of a professional or personal nature.
Glossary of Terms
Conflict of Interest: Circumstances create a conflict of interest when an individual has an opportunity to affect Continuing Education content about products or services of a commercial interest with which she/he has a financial relationship or where there are any other potentially biasing relationships of a professional or personal nature.
Commercial Interest: Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.
Financial Relationships: Those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, teaching, membership on advisory committees or review panels, board membership, and other activities for which remuneration is received or expected. Relevant financial relationships would include those within the past 12 months of the person involved in the activity and a spouse or partner. Relevant financial relationships of your spouse or partner are those of which you are aware at the time of this disclosure.
Off Label: Using products for a purpose other that that for which it was approved by the Food and Drug Administration (FDA).
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- American Academy of Pediatrics, Campaign for Dental Health. I Like My Teeth (ilikemyteeth.org), a bilingual website for health-care providers that focuses on fluoridation and other key issues.
- American Academy of Pediatric Dentistry. Policy on the Dental Home (2020).
- Texas Department of State Health Services. Texas Primary Care Office (TPCO).
- Texas Health Steps Periodicity Schedule.
- Online Provider Lookup. To find a dental provider: Providers can call Texas Health Steps toll-free at 877-847-8377 (877-THSTEPS) Monday through Friday from 8 a.m. to 6 p.m. Central Time, or log on to the TMHP online provider lookup (OPL). Providers can also contact the Medicaid dental managed care organizations (DMOs) to locate Texas Health Steps First Dental Home providers in a specific geographic area.
- Texas Health and Human Services Commission. First Dental Home web page, including the Oral Health History Questionnaire and the Dental Risk Assessment Questionnaire.
- Texas Health and Human Services Commission, First Dental Home training and certification request form. (Click on “Materials”)
- Texas Health and Human Services Commission. Children with Special Health Care Needs (CSHCN) Services Program.
- Texas Health Steps Resource Catalog. Download all of the DSHS resource materials — Keep Your Child Smiling pamphlet, The Benefits of Fluoride Varnish poster, Stages of Tooth Decay poster, and Sealants and Fluoride Varnishes poster — free of charge.
- Texas Medicaid & Healthcare Partnership. (2021). Texas Medicaid Provider Procedures Manual (TMPPM).
- Texas Oral Health Coalition. (2021). Texas Oral Health Report Card.
- Texas State Board of Dental Examiners. (2019). Dental Practice Act.
- Texas State Legislature. Texas Occupations Code § 258.001.
- Texas State Legislature. Texas Occupations Code § 258.002.
- Think Teeth from insurekidsnow.gov. Provides free customizable outreach materials in both English and Spanish that can help health professionals improve access to dental services for eligible children through enrollment in Medicaid and CHIP.
- National Health Service Corps. A health-care provider education loan repayment program offered by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA).
- U.S. Department of Health and Human Services. (2020). Healthy People 2030. Oral Health.
- American Academy of Pediatric Dentistry. Frequently Asked Questions (for parents and caregivers).
- American Academy of Pediatric Dentistry. Mychildrensteeth.org, website for families.
- American Academy of Pediatrics. HealthyChildren.org, a website for families with information about everything related to a child’s oral health. The website is available in Spanish.
- American Academy of Pediatrics, Campaign for Dental Health. I Like My Teeth, a bilingual website (ilikemyteeth.org)
- American Academy of Pediatrics. Brush, Book, Bed, a website with resources to help families structure their child’s nighttime routine, including tooth brushing. The website is available in Spanish.
- American Dental Association. How to Care for Your Child’s Teeth.
- American Dental Association. Find Dental Care for Your Kids, a web page that helps families search for dental clinics using their home address.
- CavityFreeKids.org. Sponsored by the Washington Dental Service Foundation, this website offers a wealth of resources about oral health care for young children and their families.
- Texas Department of State Health Services. Brush-Up on Healthy Teeth.
- Texas Department of State Health Services. Healthy Mouths: What You Need to Know About Your Teeth.
- American Academy of Pediatric Dentistry. (2020-2021). Definitions, oral health policies, and recommendations.
- American Academy of Pediatric Dentistry. (2020-2021). Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents. Reference Manual of Pediatric Dentistry, 232-241.
- American Academy of Pediatric Dentistry. (2017). Policy on Social Determinants of Children’s Oral Health and Health Disparities.
- American Academy of Pediatric Dentistry, Council on Clinical Affairs. (2018). Policy on the dental home.
- American Academy of Pediatric Dentistry. (2020). Guideline on Fluoride Therapy.
- American Dental Association. (2018). HPI report: More Medicaid kids seeing dentists. ADA news release.
- American Dental Association Council on Scientific Affairs. (2006). Professionally applied topical fluoride: Evidence-based clinical recommendations. The Journal of the American Dental Association, 137(8), 1151-1159.
- Annie E. Casey Foundation, Kids Count Data Center. (2021). Medicaid Enrollment (0-18) in Texas.
- Child and Adolescent Health Measurement Initiative, Data Resource Center for Child & Adolescent Health. (2019). 2018-2019 National Survey of Children's Health.
- Blackburn, J., Morrissey, M., & Sen, B. (2017). Outcomes Associated With Early Preventive Dental Care Among Medicaid-Enrolled Children in Alabama. JAMA Pediatrics, 171(4):335-341.
- Dye, B. A., Li, X., & Thornton-Evans, G. (2012). Oral health disparities as determined by selected healthy people 2020 oral health objectives for the United States, 2009–2010. Centers for Disease Control and Prevention, National Center for Health Statistics [NCHS], Data Brief No. 104.
- Garish Babu, K. L. & Doddamani, G. M. (2012). Dental home: Patient centered dentistry. Journal of International Society of Preventive and Community Dentistry, 2(1): 8-12.
- Kaiser Family Foundation. (2020). State Health Facts: Dental Care Health Professional Shortage Areas (HPSAs).
- National Resource Center for Patient/Family-Centered Medical Home. (2020). What is Medical Home?
- Sohn, W., Burt, B. A., & Sowers, M. R. (2006). Carbonated soft drinks and dental caries in the primary dentition. Journal of Dental Research, 85(3), 262-266.
- Steele, J. S., & Buchi, K. F. (2008). Medical and mental health of children entering the Utah foster care system. Pediatrics, 122(3), e703-e709.
- Texas Department of State Health Services. (2019. Texas Supply and Demand Dental Projections, 2018-2030.
- Texas Health and Human Services Commission. (2021). First Dental Home web page.
- Texas Health and Human Services Commission. (2021). First dental home training and certification request form. (Click on “Materials”)
- Texas Health and Human Services Commission. (2021). Texas Health Steps Catalog, including dental resources.
- Texas Medicaid & Healthcare Partnership. (2021). Texas Medicaid Provider Procedures Manual.
- Texas Oral Health Coalition. (2021). Texas Oral Health Report Card
- The National Child & Adolescent Health Measurement Initiative, Data Resource Center for Child & Adolescent Health. (2019). 2018-2019 National Survey of Children's Health.
- National Resource Center for Patient/Family-Centered Medical Home. (2020). What is Medical Home? Medical Home Definition.
- U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality. (2020). Health Literacy Universal Precautions Toolkit, 2nd Edition.
- U.S. Department of Health and Human Services. (2013). The National Survey of Children with Special Health Care Needs Chartbook 2009–2010. U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. (2013). Keep Kids Smiling: Promoting Oral Health Through the Medicaid Benefit for Children & Adolescents.
The medical definitions provided in this module were obtained from the American Academy of Pediatric Dentistry, the American Dental Association, the Texas Department of State Health Services and the U.S. Department of Health and Human Services’ National Center for Health Statistics.
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Learn how and why to create and sustain a medical home in your primary care practice.
Oral Evaluation and Fluoride Varnish
Implement practices required for physicians, advanced practice nurses and physician assistants to perform Oral Evaluation and Fluoride Varnish services in Texas. Completion of this course and additional certification are required to bill Medicaid for the service.