Journal article
State Medicaid Eligibility Criteria and Unmet Preventive Dental Care Need for CSHCN
Maternal and child health journal, Vol.20(2), pp.456-465
02/2016
DOI: 10.1007/s10995-015-1843-6
PMID: 26520157
Abstract
To determine if Medicaid eligibility is associated with unmet preventive dental care need for Medicaid-enrolled CSHCN.
We analyzed the 2009-2010 National Survey of CSHCN and focused on Medicaid-enrolled children ages 3-17. The outcome measure was parent-reported unmet need for preventive dental care. The predictor variable was state Medicaid eligibility criteria, categorized as broad [>250 % Federal Poverty Level (FPL)], moderate (200-249 % FPL), and narrow (<200 % FPL). Multiple variable multilevel logistic regression models estimated the association between state-level eligibility criteria and variability in unmet need.
The multilevel models indicated no significant association between Medicaid eligibility criteria and unmet preventive dental care need. CSHCN with more severe chronic health conditions had significantly greater odds of unmet need (OR 1.52; 95 % CI 1.28, 1.82) and CSHCN with a medical home had significantly lower odds (OR 0.61; 95 % CI 0.50, 0.75).
There is significant state variability in unmet need for preventive dental care for Medicaid-enrolled CSHCN. Broadening Medicaid eligibility criteria alone is not likely to address the preventive dental care needs of CSHCN, which has policy implications for improving oral health disparities for publicly-insured CSHCN.
Details
- Title: Subtitle
- State Medicaid Eligibility Criteria and Unmet Preventive Dental Care Need for CSHCN
- Creators
- Beth M McManus - Colorado School of Public HealthDonald Chi - University of WashingtonAdam Carle - University of Cincinnati
- Resource Type
- Journal article
- Publication Details
- Maternal and child health journal, Vol.20(2), pp.456-465
- DOI
- 10.1007/s10995-015-1843-6
- PMID
- 26520157
- ISSN
- 1092-7875
- eISSN
- 1573-6628
- Language
- English
- Date published
- 02/2016
- Academic Unit
- Public Policy Center (Archive)
- Record Identifier
- 9984283560602771
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