​​Dental Transformation Initiative

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.

Due to COVID-19 impacts and the delay of the California Advancing and Innovating Medi-Cal (CalAIM) initiatives, DHCS submitted a request to the Centers for Medicare & Medicaid Services (CMS) for federal approval to extend the Medi-Cal 2020 Waiver for 12 months ending on December 31, 2021. On December 29, 2020, CMS approved DHCS' request for an extension of the Medi-Cal 2020 Waiver, which included DTI Domains 1, 2, and 3.
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.​​​ 

​Please direct your comments, questions, or suggestions regarding the DTI to the following email address: DTI@dhcs.ca.gov.​

Stakeholder Engagement

Next Webinar: TBD

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.

(See Domain eligible codes on Page 2)​

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. 

(See Domain eligible codes on Page 3)

​Domain 3

The goal for Domain 3 is to increase continuity of care for beneficiaries ages 20 and under for 2, 3, 4, 5, 6, and 7 continuous periods. 

(See Domain eligible codes on Page 2)

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 partnerships



Last modified date: 6/13/2022 8:48 AM