Access to Dental Care Survey

The NJ Division of Medical Assistance and Health Services has requested NJAAP to develop a survey for Pediatricians to obtain information concerning their dental referral patterns intended to support the NJ Smiles program/ Fluoride Varnish Medicaid policy in alignment with the AAP/AAPD recommendation "Dental Home by age 1".

Question Title

* 1. Contact Information

First Name *

Last Name *

Practice Name

City/Town *

ZIP/Postal Code

Email Address *

Question Title

* 2. Which of the following Medicaid Managed Care organizations (NJ Family Care Programs) your practice participate in?

Horizon NJ Health

United Community Health Plan

Amerigroup

Wellcare

Aetna Better Health

None

Question Title

* 3. In what county (or counties) your pediatric office is located? Check all that apply.

Hunterdon

Somerset

Morris

Bergen

Middlesex

Monmouth

Sussex

Ocean

Union

Warren

Burlington

Mercer

Passaic

Hudson

Cape May

Gloucester

Essex

Salem

Camden

Atlantic

Cumberland

Question Title

* 4. Are you applying fluoride varnish and referring patients to the Dentist?

Yes, both

Only referring patients to a dentist

None

Question Title

* 5. What is the age range of your patient population that you are performing fluoride varnish (FV) applications in your practice?

Birth to 15 month

15 month to 36 Month

36 month to 6 years old

None

Question Title

* 6. What are the barriers that prevent you from conducting oral health assessments and applying FV to your patients?

Lack of professional training in oral health care

Inadequate time during health supervision

Not enough time to support this service

Lack of ability to bill separately for oral health assessments

Fluoride varnish claims denied

Other (please specify)

Question Title

* 7. What are the barriers that prevent your practice from making direct referrals to Dentists?

I do not have adequate office staff

I know a limited number of dentists in my community

I do not have a relationship with dentists in my community

Other (please specify)

Question Title

* 8. Looking at your Medicaid/NJ Family Care Panel, are you successful in referring patients (within 12 months to 24 months) to a local dentist?

	Yes	No
Horizon NJ Health	Horizon NJ Health Yes	Horizon NJ Health No
If you selected no, why not?
United Community Health Plan	United Community Health Plan Yes	United Community Health Plan No
If you selected no, why not?
Amerigroup	Amerigroup Yes	Amerigroup No
If you selected no, why not?
Wellcare	Wellcare Yes	Wellcare No
If you selected no, why not?
Aetna Better Health	Aetna Better Health Yes	Aetna Better Health No
If you selected no, why not?

Question Title

* 9. Has COVID-19 exacerbated the wait time for Dental appointments?

Yes

I do not know

Question Title

* 10. Do you use the NJ Smiles Directory of Dentists seeing children under 6 years old to assist with dental referrals?

Yes

Not aware of this Directory