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ARNG DENTAL READINESS Case Management Conference 24 -27 September 2012

ARNG DENTAL READINESS Case Management Conference 24 -27 September 2012. COL April M. Snyder Chief Dental Officer, ARNG. Purpose. Dental Readiness Dental Programs/Funding Documentation Case manager’s role in dental programs It’s all about teeth!. Dental Readiness. What’s the big deal

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ARNG DENTAL READINESS Case Management Conference 24 -27 September 2012

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  1. ARNG DENTAL READINESS Case Management Conference24 -27 September 2012 COL April M. Snyder Chief Dental Officer, ARNG

  2. Purpose • Dental Readiness • Dental Programs/Funding • Documentation • Case manager’s role in dental programs It’s all about teeth!

  3. Dental Readiness What’s the big deal about teeth?

  4. Washington crossing the Delaware 25 December 1776

  5. What’s the big deal about teeth?

  6. What’s the big deal about teeth?

  7. Dental Readiness Classification • Several years ago, the Department of Defense (DOD) adopted a system that allows rapid classification of dental status based upon four categories of need • The system provides a means to track the oral health status of the military, and thus allows for targeting resources to those who need the most immediate care

  8. Dental ReadinessClassification • Class 1: Oral Health • Class 2: Conditions not expected to cause a dental emergency in the next 12 months • Class 3: Conditions expected to cause a dental emergency in the next 3 months (aka: the bad tooth club) • Class 4: unknown?

  9. Dental Readiness Classification • Class 1 and Class 2 – dentally deployable • Class 3 and Class 4 – not dentally deployable Conversion rate of DRC 4 to DRC 3 is usually 20% – 30% (depending on the state)

  10. Dental Programs/Funding What can be done for the bad tooth club? • Mobilization - 2020 funding • Readiness - 2065/NG6H funds (ASDRS) • DENCOM initiatives to increase dental readiness First Term Dental Readiness, FTDR Demobilization Dental Reset, DDR Dental Readiness Information Center, DRIC • Self pay • Tricare Dental Plan (Met Life), Active Duty Dental Plan (United Concordia)

  11. Dental Treatment Of Alerted Soldiers • Utilize 2020 funding for mobilization • Access to early eligibility for Active Duty Dental Plan (ADDP) when 180 days from mobilization • Start early, avoid last minute fixes • Continue with methods that have proven successful in the past

  12. Army SELRES Dental Readiness System(ASDRS) • Utilize 2065/NG6H funds for Dental Care of all DRC 3 & 4 Soldiers not in alert status (not for AGR or ADOS >30day Soldiers) • SM can be put on orders for up to 4 UTAs for medical readiness • RHRP and local contract for exams and treatment C

  13. BLACKBERRY BREAK!!!

  14. Implementation of Program • Query DENCLASS for DRC 3 Soldiers • Work with unit to determine who receives care • Start correcting DRC 3 conditions as soon as possible • Provide exams to DRC 4 Soldiers internally or with contracted events • Utilize 2065 funding or 2020 funding as appropriate

  15. First Term Dental Readiness (FTDR) • Goal is for 95% of all soldiers treated to DRC 2 by end of basic/AIT • No increase in training time • MEDPROS pull to determine DRC upon arrival to State • Remaining DRC 3 treatment can be fixed using 2065 funding at State

  16. Demob Dental Reset (DDR) • Dental exams for all demobilizing Soldiers & try to correct “easy” DRC 3 Soldiers • No delay of demob process • 85% reset goal • 8-12% increase in dental readiness baseline anticipated • 7-10% of returning Soldiers • “hard” DRC 3 will need treatment by State using 2065 funding

  17. Self Pay Individual fitness is a personal responsibility • Dental treatment outside of DRC 3 or DRC 4 is the responsibility of the Service Member • Encourage your soldiers to maintain his/her own level of fitness, to include their dental fitness. Strive for wellness!

  18. Tricare Dental Plan • A dental benefit plan offered to Guard and Reserve Service members through MetLife • Relatively inexpensive (less then $20.00/mo) • Fully covers examinations, routine cleanings, and needed radiographs • Low cost shares for most other needed treatment • Can be used to complete Class 2 treatment needs

  19. Update Dental Classification with DD2813

  20. Oversight • Complete documentation with DENCLASS entry • Ensure funds are not spent on DFC 2 treatment • Ensure fees charged are Usual, Customary and Reasonable (UCR) for the area • Guidelines for Dental Procedure Codes and Dental Weighted Values • State Dental Officers should review treatment plans from contractors and update classification in DENCLASS

  21. Case Managers Role in Dental Programs • Two programs Annual exams – contracted operations SRP/Mobilization – green suit operations • Support assigned unit and commanders Work w/ MedReadiness NCOs to assist Service Members to gain access to care • Support Soldiers to receive dental care Help SM develop the life skills necessary to take care of his/her teeth.

  22. Supporting Dental Readiness • Unit driven Med Readiness NCOs/Case Managers Counseling statements Specific instructions to SM and provider • State supported Utilize 2065 and 2020 funds (ADDP when eligible) Local dental offices for treatment Contracted events for exams and treatment State Dental Officer oversight

  23. Life is Short, SMILE while you still have teeth!

  24. Questions? COL April M. Snyder, D.D.S. Chief Dental Officer, ARNG 703-607-2669 april.m.snyder@us.army.mil

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