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DHCS is committed to improving the accessibility of Medi-Cal dental services and improving oral health outcomes for Medi-Cal members statewide for children and adults. DHCS set a goal to achieve at least a 60 percent dental utilization rate for Medi-Cal eligible children. In order to progress toward achieving that goal and based on lessons learned from the Dental Transformation Initiative (DTI), DHCS will implement the following reforms to be made statewide to provide better care and align with national dental care standards. The California Advancing and Innovating Medi-Cal (CalAIM) dental initiatives include:

• Expanded pay-for-performance (P4P) payments that reward increasing the use of preventive services and establishing/maintaining continuity of care through a dental home;
• Caries Risk Assessment (CRA) Bundle for young children;
• Silver Diamine Fluoride (SDF) for young children and specified high-risk and institutional populations