The HKD program is a key component of Michigan’s comprehensive oral health plan. Specific goals include: Leveraging the HKD model to promote good oral health practices among the HKD population that result in: Increased utilization of preventive dental services Increased oral health education that emphasizes the importance of good oral health and practices; Decreased dental anxiety. Promoting a patient-centered approach that recognizes the importance of dental care in overall health care and promoting professional integration and coordination of care across provider types. Increasing the number of dental providers participating in the HKD program. Increasing access to oral health care. Designing and implementing best practices for dental service delivery in dental care health shortage areas with limited dental providers. Collaborating with community organizations and stakeholders resulting in partnerships that leverage existing dental programs (i.e., school based, dental clinics etc.). Increasing education and dental service usage among Enrollees who are pregnant and Children with Special Needs. Scope Contractor will be responsible for total benefit administration including, but not limited to, claims and encounter data, provider network capacity and maintenance, education and outreach, credentialing, quality assurance, community outreach and collaboration, utilization management, and grievance and appeals. In order to meet MDHHS’ oral health goals, Contractor will be required to work collaboratively with relevant community organizations, stakeholders and MDHHS to devise solutions designed to increase preventive dental service utilization, decrease oral disease and caries, and coordinate oral and medical care.
