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dc.contributor.authorMeisha, Dalia Ebrahimen_US
dc.date.accessioned2019-05-16T13:27:57Z
dc.date.available2019-05-16T13:27:57Z
dc.date.issued2013
dc.date.submitted2013
dc.identifier.urihttps://hdl.handle.net/2144/35620
dc.descriptionDissertation (DScD) --Boston University, Henry M. Goldman School of Dental Medicine, 2013 (Department of Dental Public Health).en_US
dc.descriptionIncludes bibliographic references: leaves 102-110.en_US
dc.description.abstractIt is left to each state to specify its own criteria of what defines a handicapping malocclusion and accordingly determine its own eligibility criteria for orthodontic converge under Medicaid. OBJECTIVES: This study aims to examine variation in eligibility criteria for Medicaid orthodontic coverage across the states. Since some states use photographs only and others use both photographs and casts to make treatment coverage decisions, this study aims also to investigate whether using photographs only is valid to assess orthodontic treatment need by comparing occlusal indices scoring on plaster models and photographs. The occlusal indices used are Handicapping Labia-Lingual Deviation (HLD), Salzmann, Treatment Priority Index (TPI),. Peer Assessment Rating (PAR), Index of Treatment Need (IOTN), and Discrepancy Index (DI). A simulated population was utilized to explore variations in eligibility determination for Medicaid orthodontic services as a result of utilizing different indices / criteria across the states using Generalized Estimated Equations (GEE) models. METHODS: Collection of orthodontic eligibility criteria used by each state's Medicaid dental program by searching the state Medicaid website or e-mailing the dental director. The study data collection form was designed to include all states' measures/ criteria ...en_US
dc.language.isoen_US
dc.publisherBoston Universityen_US
dc.rightsThis work is being made available in OpenBU by permission of its author, and is available for research purposes only. All rights are reserved to the author.en_US
dc.subjectInsurance, dentalen_US
dc.subjectUnited Statesen_US
dc.subjectMedicaiden_US
dc.subjectDental public healthen_US
dc.titleVariation in the Medicaid eligibility for orthodontic coverage across the Statesen_US
dc.typeThesis/Dissertationen_US
etd.degree.nameDoctor of Science in Dentistryen_US
etd.degree.leveldoctoralen_US
etd.degree.disciplineDental Public Healthen_US
etd.degree.grantorBoston Universityen_US
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