AC4OH Agenda OHP State of Nevada Health Program



ADVISORY COMMITTEE ON THE STATE

PROGRAM FOR ORAL HEALTH MEETING

APPROVED Meeting NOTES

March 5, 2021

NO QUORUM – no action voted on at this meeting

Attend Teleconference / Audio Only

Teleconference:

First dial 1- 408-638-0968, Meeting ID is 839 6214 7200 followed by the #. Password is 007641.

* Please announce yourself when you call in. Then, mute phone unless speaking.

Due to the COVID-19 outbreak, Board members will be attending remotely. Members of the public will also participate via teleconference and Zoom link.

Board Members Present In Person and Via Phone:

Dr. Lisa Collier

Ms. Terri Chandler

Ms. Cara Kirby-Lutes

Ms. Kelly Taylor

Board Members Not Present:

Dr. Tina Brandon-Abbatangelo

Dr. Prashanti Bollu

Dr. David Cappelli

Dr. Max Coppes

Ms. Cathie Davenport

Ms. Mary Liveratti

Mr. Benjamin Prohaska

Dr. Bryce Putnam

Division of Public and Behavioral Health Staff:

Ms. Robyn Gonzalez, Policy Specialist DHCFP

Ms. Paula Pence, Policy Specialist DHCFP

Dr. Antonina Capurro, State Dental Health Officer, DPBH

Ms. Jessica Woods, State Interim Public Health Dental Hygienist, DPBH

Ms. Loretta Moses, Executive Administrative Assistant, DPBH

Public Participants:

Ms. Michele Reeder, Executive Director, Nevada Dental Association

Dr. Amy Tongsiri, Nevada State Dental Officer, Liberty Dental Plan

Deb Goldman, Executive Director, Nevada Dental Hygienists’ Association Representing - Ms. Minette Galura- Boquiren, President-Elect, Nevada Dental Hygienists’ Association (Deb Goldman)

|1. Agenda Item |Call to Order |Lisa Collier, DDS |

| |Roll Call |Chief Dental Officer, Community Health Alliance |

| | |Interim Chair |

|Discussion |Dr. Collier called the State Advisory Committee for Oral Health (AC4OH) meeting to order.| |

| |Roll call taken and NO quorum. NO MOTIONS OR ACTIONS TAKEN IN THE MEETING. | |

|2. Agenda Item |Approval of January 29, 2021 minutes. |Lisa Collier, DDS |

| | |Chief Dental Officer, Community Health Alliance |

| | |Interim Chair |

|Discussion |Dr. Collier asked for comments on the January 29, 2021 draft meeting minutes presented. | |

| |Several corrections recommended to draft. Table approval to next meeting. | |

| | | |

| |Public comment: None | |

|3. Agenda Item |Update on the Oral Health Program, Nevada Action Network, and Children’s Dental Health |Antonina Capurro, DMD, MPH, MBA Nevada State Dental |

| |Month |Health Officer, Division of Public and Behavioral |

| | |Health |

| | | |

| | |Jessica Woods, MPH, RDH |

| | |State Public Health Dental Hygienist (Interim) |

|Discussion |• Department of Education (DOE) Licensed Childcare project (LCC) is moving along and | |

| |almost at the finish line. To date we have provided almost 400 dental sreenings, visited | |

| |33 LCC, 3-5 year age target audience, classroom toothbrush stations and personal hygiene | |

| |kits delivered to 880. Delivered seven Nevada Registry approved CE webinars to 49 LCC | |

| |administrators and teachers. | |

| |• Nevada Action Network project with the Division of Health Care Financing & Policy and | |

| |Liberty Dental Plan is in progress. Aimed to provide oral healthcare services to the 300K| |

| |children enrolled in Liberty’s Medicaid program. We are focused on our communication | |

| |plan to distribute the information to all enrolled in the Medicaid program. | |

| |• Emergency Room Diversion Project – this is the medical integration pilot project with | |

| |UMC. We trained to GPR residents, so they are equipped to utilize the technologies. | |

| |• National Children Dental Health Month Campaign was huge success. The #sipNflip4NVkids | |

| |helped to raise awareness and educate the public. We received proclamations from across | |

| |the state, media coverage on CW and delivered more than 400 oral hygiene kits at the | |

| |Three Square event. Thank you to all our stakeholder partners for helping to make this a | |

| |success. | |

| |• We continue to work with the Nevada Dental Foundation to establish a clinic in Tonopah.| |

| |Working on a feasible study. More updates as information becomes available. | |

|4. Agenda Item |Presentation on Nevada Medicaid Dental Benefits |Paula Pence |

| | |Social Services Program Specialist 3 |

| | |Managed Care Quality and Control |

| | |Division of Health Care Financing and Policy |

| | | |

| | |Robyn Gonzalez |

| | |Social Services Program Specialist I - Dental |

| | |Division of Health Care Financing and Policy |

|Discussion |• Working on updating dental codes provided by CMS. | |

| |• Chapter revision to the Medicaid Service Manual approved with the change now allowing | |

| |Dental Providers to use any ADA form regardless of the version. | |

| |• Preparing the RFP. | |

| | | |

| |Public comment: None | |

|5. Agenda Item |Liberty Dental Plan |Amy Tongsiri, DMD, Nevada Dental Officer Liberty |

| |Discussion |Dental Plan |

| | | |

| | |Chris Pierrott, Liberty Dental Plan |

|Discussion |• Working on Nevada Action Network as people still seem to be worried about returning to | |

| |the dentist office. | |

| |• We have seen an increase in membership. Providers seem to be busier too. | |

| |• We are recruiting more providers as the state begins to open back up. | |

| |• Working to increase our outreach activities. | |

| | | |

| |Public comment: None | |

|6. Agenda Item |Coalition Update and Report from Oral Health Nevada |Syd McKenzie, RDH, BSDH Oral Health Nevada, Secretary |

| | | |

| | | |

|Discussion |Not Present – No report given | |

|7. Agenda Item |Organized Dentistry Update and Report from |Michele Reeder |

| |Nevada Dental Association |Executive Director |

| | |Nevada Dental Association |

|Discussion |• NDA moving forward with in-person opioid dinner meeting next week. | |

| |• NDA annual meeting slated in-person in Reno June | |

| |• On the Legislative front. Issues high on NDA lists are insurance transparency and | |

| |consumer protection. NDA is collaborating with the Nevada State Medical Association on a| |

| |issues. | |

|8. Agenda Item |Organized Dentistry Update and Report from |Deb Goldman |

| |Nevada Dental Hygienists’ Association |Executive Director, Nevada Dental Hygienists’ |

| | |Association |

| | | |

| | |Minette Galura-Boquiren, RDH,BS President, Nevada |

| | |Dental Hygienists’ Association |

|Discussion |Deb Goldman reported on behalf of NDHA president Minette Boquiren. | |

| |• NDHA continues to support the bill language for Dentist & Dental Hygienist to | |

| |administer vaccines. | |

| |• NDHA created an info graphic for Oral Health Matters Legislative Day. | |

| |• NDHA is hosting an education webinar to educate hygienist how to apply to for an NPI | |

| |number and utilize the NPI system. | |

| |• NDHA is offering multiple continuing education programs in Southern and Northern | |

| |Nevada. Info available on their website. | |

|9. Agenda Item |Discussion of Endodontic Services in Nevada Medicaid |Robyn Gonzalez |

| | |Social Services Program Specialist I - Dental |

| | |Division of Health Care Financing and Policy |

| | | |

| | |Paula Pence |

| | |Social Services Program Specialist 3 |

| | |Managed Care Quality and Control |

| | |Division of Health Care Financing and Policy |

|Discussion |Robyn wanted to bring the committee’s attention the topic of Nevada’s shortage of | |

| |enrolled Medicaid Endodontist. | |

| |• Currently, we have only one Medicaid enrolled Endodontist at the UNLV SDM. | |

| |• Three most common reasons for NOT enrolling: | |

| |Low provider reimbursement rates | |

| |Administrative burden on staff | |

| |Did not want their name listed on the Medicaid roster to provide services to Medicaid | |

| |recipients | |

| |Discussion pursued and a consensus from the committee and decided the AC4OH would begin | |

| |the conversation on addressing this crisis by holding a special meeting on this issue, | |

| |and begin to formulate a position or whitepaper. | |

|10. Agenda Item |Oral Health Legislative Updates |Antonina Capurro, DMD, MPH, MBA Nevada State Dental |

| |BDR 40-455, Revises provisions governing dentistry; BDR 54-645, Authorizes licensed |Health Officer, Division of Public and Behavioral |

| |dentists, dental hygienists, and dental therapists to administer vaccines and makes |Health |

| |certain other changes related to the practice of dentistry; BDR 54-457, provides for the | |

| |collection of certain data concerning providers of health care. |Jessica Woods, MPH, RDH |

| | |State Public Health Dental Hygienist (Interim) |

|Discussion |There are a number of oral health related bills we are monitoring effecting the | |

| |profession of the dental community in the areas of expanding scope of practice, Medicaid | |

| |reimbursement, and insurance transparency. We are focused on the following bill drafts: | |

| |• BDR 40-455, Stakeholder meeting held on 2/23 for language feedback – bill sponsor is | |

| |Senator Ratti. | |

| |• BDR 54-645, bill sponsor is Assemblyman O’Neill | |

| |• BDR 54-457. | |

| |The committee recommended, legislative update be added to the special meeting agenda as | |

| |the legislature will close prior to our next June 4 AC4OH meeting. | |

|11. Agenda Item |Strategic Planning for Nevada Oral Health Program |Antonina Capurro, DMD, MPH, MBA Nevada State Dental |

| | |Health Officer, Division of Public and Behavioral |

| | |Health |

| | | |

| | |Jessica Woods, MPH, RDH |

| | |State Public Health Dental Hygienist (Interim) |

|Discussion |It is time to update and write our Nevada State Dental Oral Health Plan. Dr. Capurro | |

| |asked the committee to begin to think about a Strategic Planning Retreat: | |

| |• Format (in person, zoom) | |

| |• Location | |

| |• When | |

| |• Facilitator | |

| |Discussion followed. The importance of a facilitator was mentioned for a successful | |

| |plan. Chair Collier asked to add the Strategic Plan to special meeting agenda. | |

|12. Agenda Item |Update on Nevada’s Invitation to Dr. Ricks, Chief |David Cappelli, DMD,MPH, PhD Professor and Chair, |

| |Dental Officer, U.S. Public Health Service |Department of Biomedical Sciences, UNLV School of |

| | |Dental Medicine |

| | | |

| | |Cara Kirby-Lutes, RDH,BSDH,MPH, College of Southern |

| | |Nevada |

|Discussion |Not present – No update given | |

|13. Agenda Item |Recommendation for Appointment of Members for Open Positions |Lisa Collier, DDS |

| | |Chief Dental Officer, Community Health Alliance |

| | |Interim Chair |

|Discussion |We have two open positions. Please send recommendations to Dr. Capurro. | |

|14. Agenda Item |Recommendation for Appointment of Vice Chair to Serve on the Advisory Committee on the |Lisa Collier, DDS |

| |State Program for Oral Health |Chief Dental Officer, Community Health Alliance |

| | |Interim Chair |

|Discussion |If anybody is interested in Vice Chair position, please let Dr. Capurro. | |

|15. Agenda Item. |Recommendations for Future Agenda Items |Lisa Collier, DDS |

| | |Chief Dental Officer, Community Health Alliance |

| | |Interim Chair |

|Discussion |Recommend a special meeting next month with agenda items: Strategic Planning Session(s) | |

| |and Facilitator discussion, Medicaid Endodontic Crisis discussion and position paper, and| |

| |Legislative Update. | |

|16. Agenda Item. |Public Comment |Lisa Collier, DDS |

| | |Chief Dental Officer, Community Health Alliance |

| |Public Comment will be taken during agenda item. No action may be taken on a matter |Interim Chair |

| |raised under this item until the matter is included on an agenda as an item on which | |

| |action may be taken. The Chair may elect to allow public comment on a specific agenda | |

| |item when that item is being considered. | |

| | | |

| |No public comments. | |

|17. Agenda Item. |Adjournment | |

|NOTE: We are pleased to make reasonable accommodations for members of the public who have disabilities and wish to attend the meeting. If special arrangements are |

|necessary, please notify Dr. Antonina Capurro, Bureau of Child, Family and Community Wellness, Oral Health Program, by calling (702)774-2573 as soon as possible |

|and at least five days in advance of the meeting. Anyone who wants to be on the Advisory Committee on the State Program for Oral Health mailing list must submit a |

|written request every six months to the Nevada Division of Public and Behavioral Health. |

|Supporting materials for the agenda can be found on the State Oral Health Website: or you may contact Dr. |

|Antonina Capurro, Bureau of Child, Family and Community Wellness, Oral Health Program, in writing to the Oral Health Program Office at 1001 Shadow Lane, MS 7411, |

|Las Vegas, NV 89106 or by calling (702)774-2573. |

| |

|In accordance with Nevada Governor Sisolak’s Declaration of Emergency Directive 006 there will not be a physical location for the Advisory Committee on the State |

|Program for Oral Health Meeting. The public is strongly encouraged to participate by phone using phone number 1- 408-638-0968, Access Code: 151-174-344 and |

|downloading any material provided for the meeting at the website addresses below. |

|As per Nevada Governor Sisolak’s Declaration of Emergency Directive 006; Subsection 3: The requirements contained in NRS 241.020 (4) (a) that public notice agendas|

|be posted at physical locations within the State of Nevada are suspended. |

|As per Nevada Governor Sisolak’s Declaration of Emergency Directive 006; Subsection 4: Public bodies must still comply with requirements in NRS 241.020 (4)(b) and |

|NRS 241.020 (4)(c) that public notice agendas be posted to Nevada’s notice website and the public body’s website, if it maintains one along with providing a copy |

|to any person who has requested one via U.S. mail or electronic mail. |

|As per Nevada Governor Sisolak’s Declaration of Emergency Directive 006; Subsection 5: The requirement contained in NRS 241.020 (3)(c) that physical locations be |

|available for the public to receive supporting material for public meetings is suspended. |

|As per Nevada Governor Sisolak’s Declaration of Emergency Directive 006; Subsection 6: If a public body holds a meeting and does not provide a physical location |

|where supporting material is available to the public, the public body must provide on its public notice agenda the name and contact information for the person |

|designated by the public body from whom a member of the public may request supporting material electronically and must post supporting material to the public |

|body’s website, if it maintains one. |

|Agenda and supporting materials posted online at the Nevada Division of Public and Behavioral Health website: or |

| |

| |

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Advisory Committee on the State Program for Oral Health (AC4OH) Meeting NOTES March 5, 2021

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