CONTENTS • Medicaid Update • Alliance of the TDA • TDA Smiles Foundation • President’s Post - Teresa Kim, TDA Perks
• Member Spotlight
- Jodi Danna, DDS, Plano
• TDA Perks
AVAILABLE ON TDA.ORG
The Annual Session of the Texas Dental Association May 1-4, 2014 • San Antonio, TX
Thousands Attend 2014 TEXAS Meeting A total of 10,434 dental professionals registered for the 2014 TEXAS Meeting, the TDA’s 144th annual session, May 2-4 in San Antonio.
• Meet the Staff
VOLUME 15, ISSUE 5
- TDA Perks Supplies Makes Perks History
• TSBDE Rule Update
May Texas Dental Journal Special Issue — Oral Cancer
Around the State June 13 • TDA Component Executive Directors Meeting • TDA Component Presidents
This year, the TDA annual session featured more than 250 booths representing over 300 companies. The new and improved exhibit hall layout provided attendees with an opportunity for fast and easy shopping. The hall also featured an exclusive aisle for TDA Perks Partners and an exclusive aisle for the 3 Texas dental schools. Attendees had access to more than 95 clinicians and 200 sessions that provided educational opportunities for the entire dental team. Continuing education verification documents are available at texasmeeting.com. Non-member dentists from Texas had the opportunity to attend the TEXAS Meeting at a discounted registration fee, and 59 TDA non-members attended. The TDA Board of Directors and Council on Annual Session continue to support activities to increase TDA membership and to promote the value of the TEXAS Meeting each year. The support of the TDA leadership and President Dr David A. Duncan is invaluable to the work of the Council on Annual Session and the many volunteers. The 2014 host society, District 10, was a very important member of the planning and on-site facilitation team. Dr Matthew Steinberg and his team’s organizational skills and commitment were very much appreciated. Near year’s TEXAS Meeting is scheduled May 7-10, in San Antonio. Program information will be available in late summer and housing information will be available December 1 on texasmeeting.com.
THE TEXAS MEETING I HENRY B. GONZALEZ CONVENTION CENTER I SAN ANTONIO, TX
TDA Election Results The House of Delegates convened at the 144th annual session of the Texas Dental Association in early May in San Antonio. Members of the House elected the 2014-145 TDA officers, including: TDA President Dr David H. McCarley of McKinney, TDA President-elect Dr Craig S. Armstrong of Houston, TDA Secretary-Treasurer Dr Ron Collins of Houston, TDA Speaker of the House Dr John W. Baucum of Corpus Christi, and TDA Editor Dr Daniel L. Jones of Dallas.
Committee Meeting • TDA Council/Committee/Affiliate Training • TDA Leadership Conference • TDA New Board Members Orientation
TDA President Dr David H. McCarley McKinney
TDA President-elect Dr Craig S. Armstrong Houston
TDA Secretary-Treasurer Dr Ron Collins Houston
TDA Speaker of the House Dr John W. Baucum Corpus Christi
TDA Editor Dr Daniel L. Jones Dallas
For a complete list of the elected 2014-15 TDA Board of Directors, please see page 2.
happy healthy smiles... that’s our mission! Using your smart phone, scan this QR code to access the TDA Today on TDA.org.
Mineral Wells Texas Mission of Mercy On June 14, Mineral Wells will host its third Texas Mission of Mercy (TMOM) event. Please consider signing up for this exciting 14-chair 1-day event! TMOM events depend on the generous involvement of Texas dentists. To sign up to volunteer for upcoming TMOM events, or to make a monetary contribution to support TDASF’s efforts, please visit tdasmiles.org.
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Texas Dental Program Medicaid/CHIP
Announcing the 2014-15 TDA Board of Directors President
Parental Accompaniment Rules
Dr David H. McCarley
Dr William H. Gerlach (NE)
Speaker of the House
Dr Karen A. Walters (SE)
Dr John W. Baucum III
The Texas Health and Human Services Commission (HHSC) administrative rules that govern parental accompaniment of children who receive Medicaid screenings, treatments, and Medical Transportation Program rides were fully implemented starting April 15, 2014. The new rules require a parent, guardian or another adult selected by the parent to accompany a child age 15 or younger while the child is getting a Medicaid service, including transportation services. “Another adult” may be a person who is enumerated in §32.001(a), Family Code, as a person who is authorized to make medical decisions for a child in the absence of a parent or guardian, but “another adult” cannot be a provider of Medicaid services or be employed by or affiliated with a provider of Medicaid services for which reimbursement is sought. As it pertains to medical transportation, •
The parent must tell HHSC the name of the adult who will go with the child to the medical/dental visit. The authorized adult cannot be the doctor or specialist providing the child’s Medicaid services, an employee of that Medicaid provider, or someone paid by that provider. The parent also can choose a backup adult in case the first adult chosen cannot go with the child.
Dr John B. Mason (SW)
Dr Craig S. Armstrong
Dr Charles W. Miller (NW)
Parliamentarian Dr Arthur C. Morchat
Dr David A. Duncan
Dr Dennis E. Stansbury (NE)
Dr James R. Foster (SE)
Dr Daniel L. Jones
Dr Duc “Duke” M. Ho (SW)
Dr Jerry J. Hopson (NE)
Dr W. Kurt Loveless (NW)
Executive Director Mike Geeslin
Dr William S. Nantz (SE) Dr Joshua A. Austin (SW)
Dr Steven J. Hill (NW)
Dr Ron Collins
Legal Counsel William H. Bingham
Alliance of the TDA Attends Conference In New Mexico
The parent must fill out a Parent Authorization Form and send it in so HHSC will know which adult is authorized to go with the child. Parents and guardians may continue to use the Parent Authorization Form provided by HHSC to designate up to 2 adults who can go with their child to Medicaid visits. •
The adult who goes with the child must be present when the child is picked up, show a photo ID to the driver, and sign the driver log.
The Medical Transportation Form is available on the TDA’s Medicaid and CHIP Webpage under “Program Updates.” Dental offices will likely need to create their own form for authorized adults accompanying the child if the child is not utilizing the Medical Transportation Program. The form may be created by the office and must follow rule 1 Texas Administrative Code §354.1133 Parental Accompaniment Requirement. Keep a signed form in the patient’s chart. For more information, call 956-661-5300.
Crowns and Onlay As a reminder, effective for dates of service on or after January 1, 2014, all crowns and onlay restorations require prior authorization. The April 2014 release of the Texas Medicaid Provider Procedures Manual, Children’s Services Handbook, Subsection 4.2.16, “Restorative Services” has been updated to include this information. Note: This article applies to claims submitted to the Texas Medicaid and Healthcare Partnership (TMHP) for processing. For claims processed by a Medicaid managed care organization (MCO), providers must refer to the MCO for information about benefits, limitations, prior authorization, and reimbursement. For more information, call the TMHP Contact Center at 1-800925-9126. This is a follow up to an article titled “THSteps Dental Therapeutic Benefits to Change Effective January 1, 2014,” which was posted on the TMHP website at www.tmhp.com on December 20, 2013.
Medicaid: Informed Consent Required for Dental Check-Ups Although the Texas State Board of Dental Examiners rule governing informed consent — 22 Texas Administrative Code (TAC) §108.7 Minimum Standard of Care, General — requires a dentist to maintain written informed consent for all treatment plans and procedures where a reasonable possibility of complications from the planned treatment or procedure exists, Medicaid regulations go a step further. In addition to informed consent required prior to Medicaid treatment, Medicaid providers, including dentists, are mandated to obtain legally effective, written informed consent prior to the provision of a Texas Health Steps (ie, Medicaid) check-up or Texas Health Steps treatment (25 TAC §33.6 (b)). MAY 2014 • TDA Today • 2
Pictured at the April 2014 Alliance of the American Dental Association Conference in Albuquerque, NM, are ADA and ATDA members: (L-R, standing) Dr Alan Bryant, Dr Harold Anderson, Dr Al Burns, Dr Doug Bogan, Dr Tommy Russell, Dr David and Mrs Karen Cox, Dr Terry Moore, Mrs Jill Kralicke, and Dr Steve Kralicke; (L-R, sitting) Mrs Sharon Bryant, Mrs Telia Anderson, Mrs Lisa Burns, Mrs Diane Bogan, Mrs Marthiel Russell, Mrs Debbie Moore, and Mrs April Cobb. Alliance of the TDA (ATDA) members attended the Alliance of the ADA (AADA) Conference in Albuquerque, New Mexico, on April 3-5, 2014. Alliance members are dental spouses who actively participate in local, state, and national events that directly support or impact dentistry. The annual AADA conference helps members collaborate on dental health education projects, strengthen legislative relations with dentistry, and focus on the well-being of the dental family. Each year during the conference, AADA recognizes members with the Beulah K. Spencer Awards for their outstanding service to the organization, to their community, and to dentistry. This year, AADA honored Diane Bogan of Houston (wife of Dr Doug Bogan) with this prestigious honor. Mrs Bogan represented the ATDA as the liaison to the TDA Smiles Foundation for 6 years, served as ATDA president, volunteered for more than 23 Texas Mission of Mercy (TMOM) events, and she continues to work tirelessly as an office manager in her husband’s practice. If you know of a dental spouse or dental student spouse who might be interested in learning more about the ATDA or becoming a member, please contact April Cobb at email@example.com.
TDA Perks Supplies Makes Perks History. TDA Perks Supplies is one of the fastest-growing programs in TDA Perks Program’s history. The program enables TDA members to save on dental supplies by leveraging the group buying power of TDA’s 7,400+ members. In just 6 months since its launch, the program has 624 registered TDA members, with 204 ordering from 24 of 26 TDA districts. To date, the program has saved members an estimated $104,000. Download a price-comparison form at tdaperks.com (Programs by Company, TDA Perks Supplies). You must have your ADA number to access TDAPerksSupplies.com or TDA Perks Supplies customer service (512-270-6999, support@TDAPerksSupplies.com). Contact TDA Perks Program at 512-443-3675.
President’s Post David McCarley, DDS, TDA President Congratulations to the TDA Council on Annual Session and the TDA staff for another successful meeting. I found the quality of the speakers and the exhibits to be exceptional and the meeting seemed to run seamlessly. This, by the way, is not an accident. Our annual session team works year round to provide our members with a Top-10 dental meeting. I had the opportunity, as many of you did, to meet with ADA President Dr Charles Norman. He was impressed by the quality and depth of our meeting. “What did he mean by depth?” I thought. Dr Norman felt that there was a real commitment to our profession and the public found deep within this meeting. He attended our House of Delegates and complimented the topics tackled and the in-depth discussions both in the House and Reference Committees that influence the path dentistry will take in Texas and the nation. It is no wonder why Texas sends so many leaders to the ADA and how well they are prepared to take on their leadership roles. I would like to thank TDA Speaker of the House Dr John Baucum for a well-run House. I always impressed the level of commitment in both the time and effort of our delegates, alternate delegates, officers, and past presidents as they not only carry out the duties of the House, but initiate new ideas that will guide us into the future. To this I say, “Thank you and good job!” I would also like to thank our TDA Perks Program. From insurance programs to dental supplies, TDA Perks is there for our members. These benefits make being a TDA member essential to be competitive in this new dental world. This is my first TDA Today post. I just want you to know that I consider this a great honor and privilege to serve as your president. I thank all of you that make this job possible. “Thank you and good job!”
SPOTLIGHT Jodi Danna, DDS Plano Jodi Danna, DDS, starts her day at 4:30 AM. She works from 6:30 AM until 6:00 PM some days as a general dentist, and then she goes home to another similarly challenging, if not more important, job as a mother. Dr Danna and her husband Pate Denton have 2 daughters, 18-year-old Mallory and 16-year-old McKenna. Her family believes Dr Jodi Danna of Plano is pictured with her in philanthropy and in giving back to their daughters, McKenna (left) and Mallory (right). community. So much so, that between the Dr Danna and her daughters volunteer together 3 Danna-Denton girls, they have logged through the National Charity League. on average of 75 hours in charitable and community service through the National Charity League (NCL) per year. “It’s a good bonding time for us,” explains Dr Danna. “I work all day, so the time I spend with them is important. We get to do it together.” Mallory and McKenna joined NCL when they were in 7th grade. Mallory graduates high school this month and will attend the University of Alabama. She alone has performed 270 hours in community service since she became a member of NCL, which operates off of a blind draw of applicants from different schools and backgrounds. Dr Danna says the involvement gives her daughters an opportunity to meet people. “At first they don’t know anyone, and for a 7th grader, that can be hard. But this allows them to meet girls from other schools, private and public.” In addition to logging community and event hours each month, the girls meet monthly with a speaker on a topic of importance for young women like internet safety or self-defense. Dr Danna says it makes an impact, beginning at an early age. “It lets them know that community service is not what they have to do, it’s what they need to do. And, they get something out of it.”
TDA P Teresa K erks P im Comm rogram Mu ltimed unicati ia ons M anage r
TDA Perks Program negotiates lower rates or other benefits for TDA members on its top-tier endorsed vendors. Teresa works to communicate practical and educational information to the membership through articles, podcasts, videos and ads. For more information on TDA Perks, visit tdaperks.com or call 512-443-3675.
Dr Danna performs all of her philanthropy with her daughters, and she says that they love to volunteer at the Susan G. Komen Race for the Cure and local nursing homes. Decorating the Christmas trees at Children’s Medical Center of Plano ranks at the top of their list as a favorite philanthropic event because the children are just so enchanted. “You should see the lights in their eyes. It’s worth every hour you’ve spent putting it together. It makes it all worth it.” Dr Danna graduated from Texas A&M University Baylor College of Dentistry in 1996. She has a private practice in general dentistry in Plano. Earlier this month, she served as a delegate at the TDA House of Delegates, and she is the current chair of the Council on Membership. This recurring section highlights the lives of TDA members outside of the office. If you have an interesting story about yourself, if you are working on a project that your peers might find interesting, or if you have a hobby that keeps you busy, please contact TDA Managing Editor Nicole Scott, firstname.lastname@example.org, 512-443-3675.
Where did you grow up? I was born in New York and lived in New Jersey until I was 5. But I’ve lived in Austin ever since. What is one thing about you that might surprise people? I have a film and music publishing company, Mist & Nimbus, for my personal projects. A short narrative film, “In this Wood,” is almost complete; and my first single is available on iTunes and Amazon. (mistandnimbus.com, theresekim.com) What is your favorite thing about the job? Getting to be creative. I also like communicating information that’s helpful to TDA members in ways that can bring it to life like podcasts and videos. What is your educational background? I have a Bachelor of Arts in Journalism and Bachelor of Arts in Government from The University of Texas at Austin. Hook ‘em! Why did you decide to come to the Texas Dental Association? Back in 1998, I was working as an administrative assistant at UT Austin. I saw an opening at TDA for a Program Coordinator. It required just the skills set I had — and wanted to further develop.
MAY 2014 • TDA Today • 3
TSBDE Rule Update
This recurring section is designed to help TDA members keep up with important Texas State Board of Dental Examiners (TSBDE) rules, other regulations, and state law affecting their practices.
EDITORIAL STAFF Daniel L. Jones, DDS, PhD, Editor Nicole Scott, Managing Editor Billy Callis, Publications Coordinator Barb Donovan, Art Director Paul H. Schlesinger, Consultant
Recording Patient’s Blood Pressure and Pulse/Heart Rate
Board of Directors Dr David H. McCarley, President Dr Craig S. Armstrong, President-elect Dr David A. Duncan, Immediate Past President Vice Presidents Dr Jerry J. Hopson (NE) Dr William S. Nantz (SE) Dr Joshua A. Austin (SW) Dr Steven J. Hill (NW) Senior Directors Dr William H. Gerlach (NE) Dr Karen A. Walters (SE) Dr John B. Mason (SW) Dr Charles W. Miller (NW) Directors Dr Dennis E. Stansbury (NE) Dr James R. Foster (SE) Dr Duc “Duke” M. Ho (SW) Dr W. Kurt Loveless (NW)
Question: Do I need to take a patient’s blood pressure or pulse measurement every time the patient has an appointment at my dental office?
Answer: The initial limited physical examination should include, but shall not necessarily be limited to, blood pressure, and pulse/heart rate as may be indicated for each patient. The Texas State Board of Dental Examiners has determined that the minimum standard of care requires the recording of at least an initial baseline blood pressure/pulse reading during the initial limited physical examination of a dental patient. The dental practitioner should also record blood pressure and pulse heart rate as indicated for invasive procedures and as required by Board rules regarding procedures involving sedation and anesthesia. If the dental practitioner is unable to obtain a patient’s vital signs, the dental practitioner must document in the patient’s record an acceptable reason why the attempt to obtain vital signs was unsuccessful. Also, please note that blood pressure and pulse measurement need not be taken on a patient that is twelve (12) years of age or younger unless there is a specific medical need. The information in this TSBDE Update came from the TSBDE’s Legal FAQ and 22 Texas Administrative Code §108.7 (2)(B) — Minimum Standard of Care, General. For more information, please contact TDA Policy Manager Diane Rhodes at 512-443-3675, email@example.com.
Dr Ron Collins, Secretary-Treasurer Dr John W. Baucum III, Speaker of the House Dr Arthur C. Morchat, Parliamentarian Dr Daniel L. Jones, Editor Mike Geeslin, Executive Director William H. Bingham, Legal Counsel TDA Today (USPS 022-007) is published monthly except for December by the Texas Dental Association, 1946 S IH-35 Ste 400, Austin, Texas 78704-3698, 512-443-3675. Periodicals Postage Paid at Austin, Texas and at additional mailing offices. POSTMASTER: Send address changes to TDA TODAY, 1946 S IH-35 Ste 400, Austin, TX 78704-3698. Copyright 2014 Texas Dental Association. All rights reserved. Annual subscriptions: Texas Dental Association (TDA) members, $5. In-state American Dental Association (ADA) affiliated, $15 + tax. Out-of-state ADA affiliated, $15. In-state non-ADA affiliated, $30 + tax. Out-of-state non-ADA affiliated, $30. Single issue price: TDA members $1. In-state ADA affiliated, $3 + tax. Out-of-state ADA affiliated, $3. In-state non-ADA affiliated, $6 + tax. Out-of-state non-ADA affiliated, $6. Contributions: Manuscripts and news items of interest to the membership of the Association are solicited. Manuscripts should be typewritten, double spaced, and the original copy should be submitted. Please refer to Instructions for Contributors in the annual September Directory of the Texas Dental Journal for more information. The Information for Contributors is available at tda.org. All statements of opinion and of supposed facts are published on authority of the writer under whose name they appear and are not to be regarded as the views of the Texas Dental Association, unless such statements have been adopted by the Association. Articles are accepted with the understanding that they have not been published previously. Authors must disclose any financial or other interests they may have in products or services described in their articles. Advertisements: Publication of advertisements in this publication does not constitute a guarantee or endorsement by the Association of the quality of value of such product or of the claims made of it by its manufacturer.
Haven’t submitted a price-comparison form yet? MAY 2014
VOLUME 15, ISSUE 5
AVAILABLE ON TDA.ORG
What are you waiting for? Find out how much you can save on dental supplies by leveraging the group buying power of 7,400+ TDA members. And why TDA Perks Supplies is one of the fastest-growing programs in Perks history. In just 6 months since its launch, TDA Perks Supplies has: • • • •
624 registered TDA members. 204 members ordering. Saved members an estimated $104,000. Orders from 24 of 26 TDA districts. Download a price-comparison form at tdaperks.com Programs by Company, TDA Perks Supplies
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