Disease and Case Management Work Aid

Title:	SNBC Dental Access Initiative
Program(s):	SNBC	Effective Date:	8/1/2017
Frequency:	Monthly	System(s):	CarePartner
Process Owner:	SNBC Supervisor	Back-up Owner:	SNBC Manager
Revised by:	Sue Oestreich	Last Revision:	12/12/2017
Work Aid Location:
Preparation/Materials:	DHS Dental Webinar presented on 8/17/17

Purpose: Increase dental access for SNBC members.

When to use: On a monthly basis HealthPartners will identify SNBC members who have not seen a dentist in the past 12 months or members that have recently accessed the emergency department for treatment of a non-urgent dental condition. For those members identified with no annual visit, the assigned Care Coordinator is expected to outreach to the member on their next scheduled follow up call or health risk assessment. Upon outreach, the care coordinator will provide education on the value of seeing a dentist and facilitate making a dental appointment as requested by the member or their representative. This may include calling HealthPartners and working with a Dental Navigator in order to find a dentist that will see an SNBC member in their geographical location.

Members that have been identified as recently seen in the emergency room, will require outreach within the month of notification.

Expectations on outreach are as following:

Outreach at next scheduled follow up call or health risk assessment *those members on ED report require outreach within the month of notification received (see HP_CM Care Coordination Guide & Oral Care Tip Sheet)

Annual dental education is the expectation to be done at time of health risk assessment (see Oral Care Tip Sheet)

If unable to reach by phone after 2 attempts, please send dental unable to reach letter and a copy of the member guidelines on Oral Care Tip Sheet

Members on ED report and unable to reach by phone after 2 attempts, please send ED dental letter and a copy of the member guidelines on Oral Care Tip Sheet

Document outcome of all outreach attempts- including education and assistance provided or if dental unable to reach letter was mailed *you may use SNBC Dental Access Tool for your documentation needs, but must be in chart.

Incorporate dental care needs into care plan as identified by member or their representative.

Talking points with members:

Inquire about their well-being in regards to their dental health needs

Does/did the member have a recent dental exam with their primary dental provider within the last 6 months or next few months? If not, please encourage them to schedule an appointment.

Does the member have a primary dental provider; discuss the importance and value of having a primary dental provider using the Oral Health Tip Sheet

Discuss HealthPartners dental benefits: access to annual preventive dental visits which includes a dental cleaning and exam.

If member does not have a primary dental provider, offer and provide assistance in securing a provider for an annual dental visit.

Educate member regarding when to see their dental provider for dental concerns and when to go to the hospital emergency room.

Discuss HealthPartners transportation benefit and explain how to set up a ride/offer assistance

Verify current address before ending the call

The Care Coordinator should also:

Verify if the member needs transportation and assist with utilizing RideCare as requested by the member.

Verify current address and contact information