GAO Finds Dental Care Improvement in States, But Barriers Remain

The GAO recently issued a report that examined how the states track the effectiveness of Medicaid dental care for children. The report recommends that CMS develop a plan to review dental services in states with low utilization rates and ensure that states share best practices nationwide.

The report also contained interesting data on children's dental care, including:

• CMS reports that dental utilization rates have improved since 2000 from a national average of 27 percent to 35 percent in 2007.

• Utilization rates remain low: only 1 state in 2007 reported a dental utilization rate among Medicaid kids above 50 percent.

• 12 states reported utilization rates below 30 percent.

• Fewer than half of all states reported undertaking initiatives to improve children's access to dental care.

• Nearly all states reported that the barriers contributing to low use of dental services in 2000 by Medicaid beneficiaries still exist today.

Clearly, more work needs to be done to improve children's dental care. The network of Small Smiles dental centers will continue to work with states and communities to increase access to quality dental care for low-income children.