Virginia Oral Health Coalition Update

September 2018

In This Issue
Register Today for the Virginia Oral Health Summit
November 8 | Richmond
Registration is open for the 2018 Virginia Oral Health Summit! The event will feature health equity scholar Dr. Camara Jones and motivational interviewing expert Dr. Matt Allen, along with community leaders who will discuss health in vulnerable populations, the importance of fluoridated water, and more! Early registration ends October 5.

On the Blog:

Community Tool Box Training Recap: Read our key takeaways to help improve health outcomes for all Virginians.
- Home Visitor Training Recap: Discover how our event series "Impacting Oral Health in the Community" helps prepare home visitors to discuss oral health and its role in overall health with families. 
- Three messages to Reinforce With Parents and Caregivers This Back to School Season: Help make oral health a priority for students and families with these three messages.

Upcoming VaOHC Meetings

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Check out our 
event calendar to view meeting times and exact locations for all dates listed above.

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Virginia Oral Health Coalition

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Glen Allen, Virginia 23060


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Advocacy Update - State and Federal Policies Impacting Virginians

From changes in immigration policy to next steps in Medicaid expansion, September was a busy month in Virginia and on Capitol Hill. Of note:
  • Medicaid Expansion: Roll out is right around the corner. Medicaid expansion goes into effect January 1, which means efforts are underway to educate and enroll individuals who will be eligible for coverage. Virginia's Medicaid agency, DMAS, has multiple consumer and provider resources available through CoverVA; the website also includes updates and enrollment details. 
  • Medicaid Expansion: DMAS shares 1115 waiver for public comment. When Virginia's legislature passed Medicaid expansion, they did so with the stipulation that expansion would include work requirements and other program changes that require a waiver from the federal government to implement. Last week DMAS shared a draft of the 1115 waiver application which will begin the process of negotiating with the federal government to implement these changes. This process can be long, up to 18 months for other states in the past. The waiver draft details several key components of the proposed changes:

- A work requirement that includes multiple exemptions including people who are disabled, pregnant women, and primary caregivers.

A monthly premium and co-pays for non-emergency visits for people earning more than the poverty level.

A new housing and employment program for high-need populations.

  • Public Charge: Trump administration announces changes to public charge rule. The proposed changes would redefine the definition of a "public charge" to include use of health and nutrition programs like Medicaid, FAMIS, and SNAP. "Public charge" is a category used to determine whether someone seeking permanent resident status is likely to become primarily dependent on government assistance. The current definition of "public charge" is limited to use of cash assistance (TANF) or federal help paying for long term care. (Immigrants must be in the country legally for five years before being eligible for TANF or SSI). Expanding the rule to include health and nutrition programs has significant ramifications for the health and well-being of immigrants and their citizen-family members. A public comment period will open in the coming weeks; you can stay up to date with Protecting Immigrant Families Advancing Our Future and learn about the impact public charge changes could have on Virginians
  • Dental in Medicare: Letter circulates Capitol Hill to include medically-necessary dental coverage in Medicare. This month members of the House of Representatives and Senate signed on to letters asking the Center for Medicare and Medicaid Services to cover certain "medically-necessary" dental services for individuals enrolled in Medicare. None of the members of the Virginia congressional delegation signed on to the letter, offering all of us an opportunity to educate our congressional delegation about the importance of oral health services. Learn about the issue and ways to get involved through our friends at Families USA, and contact your congressional representatives

Of Interest
Oral Health and Overall Health

Oral health and overall health are fundamentally intertwined. The following links present current information on how oral health and other social factors impact overall health and well-being.
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Virginia Dental Hygienists' Association Offers Resources on Remote Supervision

Dental hygienists in Virginia who are interested in practicing under remote supervision now have access to the Virginia Dental Hygienists' Association's (VDHA) online continuing education course, "Remote Supervision: Guidelines for Practice." The course is free for all through the end of September and complies with the Board of Dentistry's requirements for hygienists wishing to practice under remote supervision. Resources are always available on the VDHA website

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Toolkit Launched to Increase Enrollment in Medicaid and CHIP

Insure Kids Now has launched a back-to-school and school-based outreach toolkit to encourage children's enrollment in Medicaid and CHIP. Materials include posters, social media messages, and tips to engage with parents and school leaders about opportunities to enroll children and improve health outcomes. Virginia Medicaid and CHIP (FAMIS) programs offer comprehensive dental benefits for children. Access all the materials and more