Evaluation of the Medicaid Prepaid Dental Health Program in Miami-Dade County
Contractor: University of Florida, Department of Epidemiology and Health Policy Research and the Institute for Child Health Policy
Agency Contract Number: M0532
Contract Period: 5/1/05 - 6/30/07
Summary:
The Vendor will conduct an evaluation of the Prepaid Dental Health Program to answer questions such as level of need, family and provider satisfaction, access to services, costs, etc.
UF will survey families/enrollees and providers of the dental program, and will present the results of the surveys in two reports. Questions to be answered by the evaluation include but are not limited to:
- What is the level of unmet dental care needs reported at baseline?
- What is the level of family satisfaction with their children’s dental care at baseline, as measured by the Consumer Assessment of Health Plans Survey (CAHPS), supplemented with additional questions designed to measure specific aspects of the prepaid dental program?
- How does family satisfaction with the prepaid dental program and reports of unmet dental care needs compare to satisfaction and unmet dental care needs findings obtained from the Florida KidCare evaluation?
- Have all Medicaid enrollees selected or been assigned to a Medicaid network dentist?
- Does the number of assigned enrollees differ on a per dentist basis across the two types of providers (individuals vs. organizations/corporations)?
- Have all dentists in the ADI network undergone a comprehensive credentialing process as required by the contract?
- Do all children served under the contract have access to emergency dental services on a 24/7 basis within 30 minutes travel time as required by the contract? If not, how do they access such care?
- To what extent has the ADI pilot program provided dental services equivalent to the previous Medicaid fee-for-service dental program? To what degree do the services (procedure codes) differ?
- Under the ADI pilot program, has access to dental care for children improved? Compare the dollar amounts paid for Miami-Dade County for state fiscal year 2003-2004 (Medicaid fee-for-service only) and 2004-2005 (Medicaid managed care only through ADI) and the bundle of services available.
- To what extent have providers filed complaints with ADI? To what extent have patients filed complaints with ADI?
Summary of Significant Amendments:
The contract is to be amended soon (expected 11/05). This amendment will change deliverable dates. A draft report is expected from the Vendor in mid-December 2005.
Deliverables:
# |
Deliverable |
Date Due |
1. |
Upon submission of a comprehensive work plan. |
May 31, 2005 |
2. |
Upon submission of a report that includes the following:
- Final sampling design and methodology for the family and provider surveys; and
- Final survey instruments for the family and provider surveys.
|
June 15, 2005 |
3. |
Interim Quarterly report. |
July 19, 2005 |
4. |
Upon submission of a draft report that includes descriptive statistics, charts and tables (as deemed necessary) of the family and provider surveys’ results. |
July 27, 2005 |
5. |
Upon submission of the draft report, which includes draft statistical model results that examined the relationship between child socio-demographic and health characteristics and unmet dental needs, family satisfaction with program. |
August 15, 2005 |
6. |
Upon submission of Final year 1 report. |
September 1, 2005 |
7. |
Interim Quarterly report. |
January 1, 2006 |
8. |
Upon submission of draft follow-up report. |
March1, 2006 |
9. |
Upon submission of the Final year 1 follow-up report. |
May 1, 2006 |
Betsy Shenkman, PhD
Director, Institute for Child Health Policy
University of Florida
Chairperson, Health Policy and Epidemiology
1329 SW 16th Street, Room 5130
Gainesville, FL 32608
Phone: (352) 265-7220, ext. 86333
Fax: (352) 265-7221
Agency Contact: Susan R. McNamara, M.S.
Top
|
