Specifications include, but are not limited to: The purpose of the Oral Health Workforce Program is to expand the roles of dental hygienists to the limit of their license using Tele-dentistry in school based programs and nursing home programs. Then to start fluoride varnish programs in WIC programs. Therefore improving access to preventive dental care and improve the tooth decay rate in Missouri. Goals of the Oral Health Workforce Program are as follows: 6.2.1 provide education to students of dental schools and dental hygiene programs, 6.2.2 provide workshop education to dentists and hygienists, 6.2.3 provide start up funding for Tele-dentistry programs in schools and nursing home, 6.2.4 provide start up funding for WIC programs to provide preventive dental services, 6.2.5 improve the utilization of dental hygienists in delivering preventive dental services to underserved populations, and 6.2.6 improve the oral health of Missourians. 6.3 Goal of this Contract is to provide the evaluation of the impact of this project on the dental practice community’s attitudes and willingness to expand this area of dental hygiene practice as well as the effectiveness of the project.