Article: The impact of an innovative reform to the South Carolina Dental Medicaid system.(Competition, Markets, and Insurance)

The Medicaid program was established in 1965 (Mitchell 1991), and amendments to the Medicaid program instituted in 1968 required all states to include dental care for individuals under 21 years of age as part of the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) service (U.S. Department of Health and Human Services 2000). Low levels of provider participation, by both physicians and dentists, have plagued the Medicaid program since its inception (U.S. Department of Health and Human Services 2000). This relative shortage of willing suppliers has persisted in the face of numerous reforms to the Medicaid program. Historically, low levels of reimbursement have ...

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