Improving Dental Care for Medicaid-Insured Children in Washington State

Improving Dental Care for Medicaid-Insured Children in Washington State

Dental care is the greatest unmet need for health services among children. A new brief from Pew Center on the States surveys the remarkable impact that one program in Washington state made in confronting dental disease among Medicaid-insured children under age six.

Since its inception in 1994, the Access to Baby and Child Dentistry (ABCD) program has been established in 30 of Washington's 39 counties and demonstrated impressive results:

  • Between 1997 and 2004, the number of Medicaid-enrolled children who received annual dental care more than doubled, from 40,000 to 107,000.
  • The number of enrolled children visiting the dentist before their second birthday has more than quadrupled.
  • Children in ABCD averaged 2.4 dental visits per year, while children on Medicaid but not enrolled in the program averaged less than one visit per year.

ABCD fosters strong collaboration between dentists, public health leaders and parents to achieve its goals, including:

  • enrolling Medicaid-eligible children by age one;
  • educating their families and caregivers about dental hygiene and eating habits; and
  • training dentists in the best care practices for young children.

The program's resilience, even amid state budget shortfalls, is a tribute to its solid results and efficient public-private financing model.  Other states would be smart to consider the approach taken by Washington's policy makers and dental health community.

Download the brief for a full examination of how the successful ABCD program was built.

Downloads ABCD brief web
Downloads ABCD brief web
The front facade of the Supreme Court of the United States in Washington, DC.

Agenda for America

A collection of resources to help federal, state, and local decision-makers set an achievable agenda for all Americans

Quick View

Data-driven policymaking is not just a tool for finding new solutions for emerging challenges, it makes government more effective and better able to serve the public interest. In the coming months, President Joe Biden and the 117th Congress will tackle a number of environmental, health, public safety, and fiscal and economic issues—nearly all of them complicated by the COVID-19 pandemic. To help solve specific, systemic problems in a nonpartisan fashion, Pew has compiled a series of briefings and recommendations based on our research, technical assistance, and advocacy work across America.


States of Innovation

Data-driven state policy innovations across America

Quick View

Data-driven policymaking is not just a tool for finding new solutions for difficult challenges. When states serve their traditional role as laboratories of innovation, they increase the American people’s confidence that the government they choose—no matter the size—can be effective, responsive, and in the public interest.