To create an ABCD Program, you need:

• A supportive Medicaid program able to pay the enhanced dental fees and contract with a local government agency to draw down Federal HCFA Administrative Match funds for program operation. Statewide Legislation that sets up the extra fee structure for ABCD Medicaid patients is also needed.. This provides an incentive for dentists to become involved.

• A local dental society (and state dental association) which will encourage its members to participate. While a few key members can be the original advocates, at least 1/2 of the local general dentists and pediatric specialists should agree to be ABCD providers.

• A dental school with a pediatric dentistry department that is willing to develop and deliver the training, certification and ongoing monitoring of participating dentists and provides guidance to dentists who may otherwise hesitate in providing services to infants and toddlers.

• A local government entity, i.e., local health district, to administer the program and be eligible for federal matching funds. This entity may provide the nonfederal funding for program operation, or funding may come from private sources for the other half of the administrative budget.

• An Oversight Task Force composed of representatives from each of the involved entities. This Task Force works together to set up and maintain the program, meeting monthly during the planning process. Meetings should be held regularly, allowing for an exchange of ideas, planning strategies, and input in handling challenges and developing solutions. These gatherings also provide an opportunity to share accomplishments and recognize stakeholders in the program.

• Support of the community oral health coalition, dental community, and other child health advocates or agencies who recognize and/or participate in the need for action.

WHY IT WORKS