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Dental Transformation Initiative (DTI) 

Return to the Medi-Cal Dental Program Homepage​
Within the Medi-Cal 2020 Waiver, the Dental Transformation Initiative (DTI) represents a critical mechanism to improve dental health for Medi-Cal children by focusing on high-value care, improved access, and utilization of performance measures to drive delivery system reform. More specifically, this strategy aims to increase the use of preventive dental services for children, prevent and treat more early childhood caries, and increase continuity of care for children. Given the importance of oral health to the overall health of an individual, California views improvements in dental care as critical to achieving overall better health outcomes for Medi-Cal beneficiaries, particularly children.


DHCS has created an e-mail service for interested stakeholders such as advocates, consumers, counties, legislative staff, providers, and state associations to register to receive relevant updates on the Dental Transformation Initiative.

Subscribe if you wish to be added to the DTI Stakeholder email service.​​​ 

Safety Net Clinic (SNC) Update for Domains 1 and 3:

DHCS released an SNC DTI Fact SheetSNC FAQs, and Encounter Data Submission Guide (Revised May 22, 2017) for SNCs participating in DTI Domain 1 and Domain 3. These documents will assist SNC providers, step-by-step, for the encounter data submission process. Note: DHCS recommends that SNCs submit data electronically, rather than via proprietary form.

  • For June 2017 Domain 3 and July 2017 Domain 1 payments, providers submitting the proprietary form must submit encounter data to Delta Dental as soon as possible but no later than May 31, 2017.
  • For June 2017 Domain 3 and July 2017 Domain 1 payments, providers submitting electronic data must instruct their clearinghouse to submit electronic encounter data to Delta Dental between June 1, 2017 and June 23, 2017.


 *REMINDER*  The deadline for Electronic Data Interchange encounter data submissions is June 23, 2017. The Domain 1 & 3 eligible codes list is also available for reference.


​Please direct your comments, questions, or suggestions regarding the DTI to the following email address:​


​General Information  

​Stakeholder Engagement

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Domain 1​

The goal of Domain 1 is to increase statewide proportion of children ages 1 through 20 enrolled in Medi-Cal who receive a preventive dental service by 10 percentage points over a five-year period.

Domain 1 Fact Sheet​

More information is available on the Domain 1 webpage.​

Domain 2​

The goal of Domain 2 is to diagnose early childhood caries by utilizing Caries Risk Assessments (CRA) to treat it as a chronic disease and to introduce a model that proactively prevents and mitigates oral disease. 

Domain 2 Fact Sheet

More information is available on the Domain 2 webpage.

​Domain 3

The goal for Domain 3 is to increase continuity of care for beneficiaries ages 20 and under for 2, 3, 4, 5, and 6 continuous periods. 

Domain 3 Fact Sheet

More information is available on the Domain 3 webpage.

Domain 4

The goal for Domain 4 is to address one or more of the three domains through alternative programs, potentially using strategies focused on rural areas, including local case management initiatives and education partnerships.

Domain 4 Fact Sheet​

More information is available on the Domain 4 webpage.

Last modified on: 6/19/2017 3:20 PM