Fearing Deportation, Parents Worry About Enrolling Undocumented Kids In Medi-Cal
Undocumented Children's New Access to Medi-Cal Could Help Combat 'Epidemic of Tooth Disease'
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American Academy of Pediatrics recommends that all children be screened for autism and other developmental disorders.","publishDate":1455649040,"status":"inherit","parent":148703,"modified":1494886899,"caption":null,"credit":"B Busco/Getty Images","description":"The American Academy of Pediatrics recommends that all children be screened for autism and other developmental 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\u003cstrong>\u003ca href=\"http://californiahealthline.org/news/author/ana-b-ibarra/\" target=\"_blank\">Ana Ibarra\u003c/a>\u003c/strong>","isLoading":false},"byline_stateofhealth_237513":{"type":"authors","id":"byline_stateofhealth_237513","meta":{"override":true},"slug":"byline_stateofhealth_237513","name":"\u003cstrong>Ana B. 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Now, she worries that the information she provided to the government health program could put her family at risk of deportation.\u003c/p>\n\u003cp>Luz’s son is one of nearly 190,000 children who have enrolled in Medi-Cal since California opened it to undocumented children last year. Luz, her husband and her son came to Merced, California, from Mexico without papers about 10 years ago. Luz asked that the family’s last name not be used, for fear of being identified by federal immigration authorities.\u003c/p>\n\u003cp>In the current political climate, immigration and health advocates worry that children, like Luz’s son, will drop out of Medi-Cal and that new kids won’t enroll out of concern that personal information may be used to deport families.\u003c/p>\n\u003cp>Luz would need to renew her son’s coverage in October, but she remains undecided even though the program paid for his hospital visit when he injured a foot. “I’m still thinking about it,” she said.\u003c/p>\n\u003cp>Last May, the state Department of Health Care Services (DHCS) implemented the new “Health For All Kids” law allowing California children under 19 to receive full Medi-Cal benefits, including dental care and mental health, regardless of their immigration status. Previously, undocumented children could receive only emergency care through Medi-Cal.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California followed Illinois, Massachusetts, New York, Washington and the District of Columbia in offering state-supported health coverage to children in the country illegally.\u003c/p>\n\u003cp>Medi-Cal is California’s version of the federal Medicaid program for people with low incomes. The federal government pays for a significant portion of the California program, as it does for all states. But coverage for undocumented kids is entirely funded by the state.\u003c/p>\n\u003cp>From last May to through April 6, 189,434 undocumented children signed up for the program, according to the most recent state data. The health care services department estimates that another 61,000 children are eligible but not enrolled. Advocates say now is the time for a push to sign up these “harder-to-reach” children and to encourage those already in the program to stay.\u003c/p>\n\u003cp>Immigrant families have become more reluctant to share personal information with government programs because of the Trump administration’s planned changes in health care and immigration policies, according to a \u003ca href=\"https://www.childrennow.org/files/6714/9374/6391/H4AK-SurveyUPDATE_4_25_17FINAL.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">recent survey\u003c/a> of 62 individuals working for pediatric practices, community clinics, local public health departments and hospitals serving immigrant communities throughout the state.\u003c/p>\n\u003cp>Immigrants are also increasingly skipping doctor appointments because of similar concerns, according to the survey, conducted in March by the advocacy group Children Now.\u003c/p>\n\u003cp>Kelly Hardy, Children Now’s managing director of health policy, said some families even have \u003ca href=\"http://californiahealthline.org/news/some-immigrants-fearful-of-political-climate-shy-away-from-medi-cal/\" target=\"_blank\" rel=\"noopener noreferrer\">sought to withdraw\u003c/a> their children from the Medi-Cal program because they fear that their immigration status might be shared with immigration officials.\u003c/p>\n\u003cp>“Holding on to the kids who have recently enrolled is going to become critically important,” Hardy said. She said she hopes families will see that the coverage is a boon to their health and will not be scared away.\u003c/p>\n\u003cp>In an email last week, the DHCS reiterated to California Healthline that an applicant’s immigration status is “only used for the purposes of determining Medi-Cal eligibility.”\u003c/p>\n\u003cp>But that doesn’t eliminate the worry for some parents.\u003c/p>\n\u003cp>“This fear is horrible. We don’t know who to trust,” Luz said.\u003c/p>\n\u003cp>Before the coverage-for-all law took effect last year, undocumented children could get coverage through the Healthy Kids insurance program in some California counties. However, many of those children have been transferred to Medi-Cal, and the Healthy Kids programs are closing down.\u003c/p>\n\u003cp>Carlos Jimenez, a health policy advocate at the Mixteco Community Organizing Project in Oxnard, Calif., said the nonprofit doubled its enrollment assistance efforts after the law was implemented.\u003c/p>\n\u003cp>Community health educators known as \u003cem>promotoras\u003c/em>, spread word about the new law in farm fields, in front of supermarkets and outside churches. Last year, enrollment counselors saw up to 400 people a month who had questions about Medi-Cal, the majority looking to enroll their children, Jimenez said.\u003c/p>\n\u003cp>But after the November presidential election, enrollment counselors at Mixteco saw the number of people seeking help drop by nearly half, Jimenez said. Staffers had expected more inquiries about renewals by now, he said.\u003c/p>\n\u003cp>Most people ask whether enrolling an undocumented child would bring any problems with the U.S. Immigration and Customs Enforcement agency, Jimenez said. “We tell them their information is safe. But even then, they’re afraid.”\u003c/p>\n\u003cp>The Children Now survey showed that participants had questions about the future of Medi-Cal for undocumented children — in particular, whether it would continue if the Affordable Care Act were replaced.\u003c/p>\n\u003cp>In an \u003ca href=\"http://californiahealthline.org/news/qa-efforts-to-extend-health-coverage-to-undocumented-immigrants/\" target=\"_blank\" rel=\"noopener noreferrer\">interview\u003c/a> with California Healthline in February, Sen. Ricardo Lara (D-Bell Gardens), who authored the Health for All Kids law, said there was no reason for people to be concerned about the program’s durability.\u003c/p>\n\u003cp>Democratic Gov. Jerry Brown continues to make this program a priority, Lara said, noting that California is spending \u003ca href=\"http://www.ebudget.ca.gov/2017-18/pdf/GovernorsBudget/4000/4260.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">$279.5 million\u003c/a> to continue benefits for undocumented kids this year. That’s up from the $188 million it provided for the program last year.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Health advocates in California are hoping to extend the program to young adults. Earlier this month, the California Immigrant Policy Center and Health Access California, launched an online \u003ca href=\"https://act.myngp.com/Forms/7315664987463485440\" target=\"_blank\" rel=\"noopener noreferrer\">petition\u003c/a> requesting that full Medi-Cal benefits be made available to people ages 19 to 26.\u003c/p>\n\n","blocks":[],"excerpt":"A 2016 California law allowed children without papers to sign up for full Medi-Cal benefits. More than 189,000 children have been covered, but some families now fear renewing coverage or signing up their kids for the first time.","status":"publish","parent":0,"modified":1494956541,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":951},"headData":{"title":"Fearing Deportation, Parents Worry About Enrolling Undocumented Kids In Medi-Cal | KQED","description":"A 2016 California law allowed children without papers to sign up for full Medi-Cal benefits. More than 189,000 children have been covered, but some families now fear renewing coverage or signing up their kids for the first time.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Fearing Deportation, Parents Worry About Enrolling Undocumented Kids In Medi-Cal","datePublished":"2017-05-16T11:00:31.000Z","dateModified":"2017-05-16T17:42:21.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"330339 https://ww2.kqed.org/stateofhealth/?p=330339","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/05/16/fearing-deportation-parents-worry-about-enrolling-undocumented-kids-in-medi-cal/","disqusTitle":"Fearing Deportation, Parents Worry About Enrolling Undocumented Kids In Medi-Cal","nprByline":" \u003cstrong>\u003ca href=\"http://californiahealthline.org/news/author/ana-b-ibarra/\" target=\"_blank\">Ana Ibarra\u003c/a>\u003c/strong>","path":"/stateofhealth/330339/fearing-deportation-parents-worry-about-enrolling-undocumented-kids-in-medi-cal","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Luz felt relieved and grateful when she learned that her 16-year-old son qualified for full coverage under Medi-Cal. Now, she worries that the information she provided to the government health program could put her family at risk of deportation.\u003c/p>\n\u003cp>Luz’s son is one of nearly 190,000 children who have enrolled in Medi-Cal since California opened it to undocumented children last year. Luz, her husband and her son came to Merced, California, from Mexico without papers about 10 years ago. Luz asked that the family’s last name not be used, for fear of being identified by federal immigration authorities.\u003c/p>\n\u003cp>In the current political climate, immigration and health advocates worry that children, like Luz’s son, will drop out of Medi-Cal and that new kids won’t enroll out of concern that personal information may be used to deport families.\u003c/p>\n\u003cp>Luz would need to renew her son’s coverage in October, but she remains undecided even though the program paid for his hospital visit when he injured a foot. “I’m still thinking about it,” she said.\u003c/p>\n\u003cp>Last May, the state Department of Health Care Services (DHCS) implemented the new “Health For All Kids” law allowing California children under 19 to receive full Medi-Cal benefits, including dental care and mental health, regardless of their immigration status. Previously, undocumented children could receive only emergency care through Medi-Cal.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California followed Illinois, Massachusetts, New York, Washington and the District of Columbia in offering state-supported health coverage to children in the country illegally.\u003c/p>\n\u003cp>Medi-Cal is California’s version of the federal Medicaid program for people with low incomes. The federal government pays for a significant portion of the California program, as it does for all states. But coverage for undocumented kids is entirely funded by the state.\u003c/p>\n\u003cp>From last May to through April 6, 189,434 undocumented children signed up for the program, according to the most recent state data. The health care services department estimates that another 61,000 children are eligible but not enrolled. Advocates say now is the time for a push to sign up these “harder-to-reach” children and to encourage those already in the program to stay.\u003c/p>\n\u003cp>Immigrant families have become more reluctant to share personal information with government programs because of the Trump administration’s planned changes in health care and immigration policies, according to a \u003ca href=\"https://www.childrennow.org/files/6714/9374/6391/H4AK-SurveyUPDATE_4_25_17FINAL.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">recent survey\u003c/a> of 62 individuals working for pediatric practices, community clinics, local public health departments and hospitals serving immigrant communities throughout the state.\u003c/p>\n\u003cp>Immigrants are also increasingly skipping doctor appointments because of similar concerns, according to the survey, conducted in March by the advocacy group Children Now.\u003c/p>\n\u003cp>Kelly Hardy, Children Now’s managing director of health policy, said some families even have \u003ca href=\"http://californiahealthline.org/news/some-immigrants-fearful-of-political-climate-shy-away-from-medi-cal/\" target=\"_blank\" rel=\"noopener noreferrer\">sought to withdraw\u003c/a> their children from the Medi-Cal program because they fear that their immigration status might be shared with immigration officials.\u003c/p>\n\u003cp>“Holding on to the kids who have recently enrolled is going to become critically important,” Hardy said. She said she hopes families will see that the coverage is a boon to their health and will not be scared away.\u003c/p>\n\u003cp>In an email last week, the DHCS reiterated to California Healthline that an applicant’s immigration status is “only used for the purposes of determining Medi-Cal eligibility.”\u003c/p>\n\u003cp>But that doesn’t eliminate the worry for some parents.\u003c/p>\n\u003cp>“This fear is horrible. We don’t know who to trust,” Luz said.\u003c/p>\n\u003cp>Before the coverage-for-all law took effect last year, undocumented children could get coverage through the Healthy Kids insurance program in some California counties. However, many of those children have been transferred to Medi-Cal, and the Healthy Kids programs are closing down.\u003c/p>\n\u003cp>Carlos Jimenez, a health policy advocate at the Mixteco Community Organizing Project in Oxnard, Calif., said the nonprofit doubled its enrollment assistance efforts after the law was implemented.\u003c/p>\n\u003cp>Community health educators known as \u003cem>promotoras\u003c/em>, spread word about the new law in farm fields, in front of supermarkets and outside churches. Last year, enrollment counselors saw up to 400 people a month who had questions about Medi-Cal, the majority looking to enroll their children, Jimenez said.\u003c/p>\n\u003cp>But after the November presidential election, enrollment counselors at Mixteco saw the number of people seeking help drop by nearly half, Jimenez said. Staffers had expected more inquiries about renewals by now, he said.\u003c/p>\n\u003cp>Most people ask whether enrolling an undocumented child would bring any problems with the U.S. Immigration and Customs Enforcement agency, Jimenez said. “We tell them their information is safe. But even then, they’re afraid.”\u003c/p>\n\u003cp>The Children Now survey showed that participants had questions about the future of Medi-Cal for undocumented children — in particular, whether it would continue if the Affordable Care Act were replaced.\u003c/p>\n\u003cp>In an \u003ca href=\"http://californiahealthline.org/news/qa-efforts-to-extend-health-coverage-to-undocumented-immigrants/\" target=\"_blank\" rel=\"noopener noreferrer\">interview\u003c/a> with California Healthline in February, Sen. Ricardo Lara (D-Bell Gardens), who authored the Health for All Kids law, said there was no reason for people to be concerned about the program’s durability.\u003c/p>\n\u003cp>Democratic Gov. Jerry Brown continues to make this program a priority, Lara said, noting that California is spending \u003ca href=\"http://www.ebudget.ca.gov/2017-18/pdf/GovernorsBudget/4000/4260.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">$279.5 million\u003c/a> to continue benefits for undocumented kids this year. That’s up from the $188 million it provided for the program last year.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Health advocates in California are hoping to extend the program to young adults. Earlier this month, the California Immigrant Policy Center and Health Access California, launched an online \u003ca href=\"https://act.myngp.com/Forms/7315664987463485440\" target=\"_blank\" rel=\"noopener noreferrer\">petition\u003c/a> requesting that full Medi-Cal benefits be made available to people ages 19 to 26.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/330339/fearing-deportation-parents-worry-about-enrolling-undocumented-kids-in-medi-cal","authors":["byline_stateofhealth_330339"],"categories":["stateofhealth_11","stateofhealth_15","stateofhealth_14"],"tags":["stateofhealth_2808","stateofhealth_99","stateofhealth_2519","stateofhealth_2914"],"affiliates":["stateofhealth_3036"],"featImg":"stateofhealth_148704","label":"stateofhealth_3036"},"stateofhealth_237513":{"type":"posts","id":"stateofhealth_237513","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"237513","score":null,"sort":[1473969431000]},"guestAuthors":[],"slug":"undocumented-childrens-new-access-to-medi-cal-could-help-combat-epidemic-of-tooth-disease","title":"Undocumented Children's New Access to Medi-Cal Could Help Combat 'Epidemic of Tooth Disease'","publishDate":1473969431,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Eight-year-old Erika Andalon recently started treatment for six cavities at an AltaMed dental clinic in eastern Los Angeles near her home. She hadn’t been to a dentist for more than a year. Yet her younger sister, Elaine, has visited the dentist regularly since she was six months old.\u003c/p>\n\u003cp>The difference? Access to coverage.\u003c/p>\n\u003cp>Erika was brought to the U.S. from Jalisco, Mexico, five years ago. Elaine, on the other hand, was born in California, which makes her a U.S. citizen. Because of her citizenship status, and because of her family’s low income, she always has received full benefits under Medi-Cal, the state’s version of Medicaid.\u003c/p>\n\u003cp>Since May 1, a new law (SB 75) has given Erika and other children living in the United States without legal immigration papers full access to Medi-Cal benefits, including dental services.\u003c/p>\n\u003cp>Now Erika gets the same benefits as her little sister — including dental care.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It’s been a huge relief,” Erika’s mother, also named Erika, said Wednesday. “Elaine goes to the dentist twice a year, now we can do the same with [Erika].”\u003c/p>\n\u003cp>Young Erika is one of almost 138,000 undocumented children in California who have gained Medi-Cal coverage under the so-called “Health for All Kids” law, which provides health care for all California children regardless of their immigration status.\u003c/p>\n\u003cp>Dental coverage under the state’s Denti-Cal program is included in the expanded benefits, and there is widespread hope that it will improve pediatric oral care in California. But delivering on that promise could be a stiff challenge for a program in which more than half of children who were covered before the law took effect had not seen a dentist in the previous year.\u003c/p>\n\u003cp>The lack of access has created an “epidemic of tooth disease in which toddlers by the thousands have mouthfuls of cavities,” according to a searing report by the Little Hoover Commission, an independent oversight agency, released earlier this year. A big reason for Denti-Cal’s dysfunction, the report said, are low reimbursement rates that have “thoroughly alienated the dental profession.”\u003c/p>\n\u003cp>The head of Denti-Cal, Alani Jackson, told California Healthline earlier this year that newly enrolled children should have no problem getting an appointment with a dentist.\u003c/p>\n\u003cp>But dental professionals said this week that it is still too early to tell how the program will stand up to the new stress of the additional beneficiaries.\u003c/p>\n\u003cp>Before the new law took effect four months ago, immigrant children qualified only for “emergency” Medi-Cal, which gave them coverage for emergency room care. Some qualified for county-level health programs that did not tap Medi-Cal funding.\u003c/p>\n\u003cp>Erika Andalon’s mom relied heavily on free dental exams offered at school to get baseline dental care for her older daughter.\u003c/p>\n\u003cp>“But we had no idea” about the six cavities, she said. “It wasn’t until she got a proper exam with dental X-rays that we learned about the problem.”\u003c/p>\n\u003cp>As more children enroll in Medi-Cal and Denti-Cal as a result of the new law, dental offices and clinics are beginning to see more young patients like Erika.\u003c/p>\n\u003cp>Dr. Rosa Arzu, the dental director at AltaMed, a network of clinics in Los Angeles and Orange counties, said the 24-clinic group has extended hours for patients, including opening on Saturdays.\u003c/p>\n\u003cp>While the clinics are not tracking the number of new immigrant children needing care, Arzu said the dentists at AltaMed have noted that previously uninsured kids who had not visited in years are now in need of more intensive care.\u003c/p>\n\u003cp>AltaMed dentists already had seen many of the children before they qualified for Medi-Cal, because of the clinics’ “sliding fee” – a payment option in which the cost of services depends on the family’s income.\u003c/p>\n\u003cp>“But even though this payment was low, many families were struggling, so they delayed treatment,” Arzu said. Some patients still don’t realize that dental services are included in their newly insured children’s benefits, she said.\u003c/p>\n\u003cp>While all eyes are on the new law, it might be too early to gauge its impact, said Dr. Roseann Mulligan, associate dean of Community Health Programs and Hospital Affairs at the University of Southern California’s dental school.\u003c/p>\n\u003cp>There are still a few “wrinkles,” and newly enrolled families are still figuring out the system, Mulligan said.\u003c/p>\n\u003cp>As members of the USC dental school’s Children’s Health and Maintenance Program (CHAMP), Mulligan and other staff visit Head Start child care centers and WIC nutrition offices, where they provide screenings and refer families to nearby dentists.\u003c/p>\n\u003cp>At those locations, CHAMP staff members have met families who are not aware they are enrolled in an HMO dental plan and therefore can only see certain dentists. If they want a specific dentist, or more options, they must enroll in a fee-for-service plan, and that can take more time, Mulligan explained.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Another 64,500 immigrant children are expected to sign up for full Medi-Cal and Denti-Cal benefits within the next year.\u003c/p>\n\n","blocks":[],"excerpt":"There is widespread hope that expanded access to the state’s Denti-Cal program will improve pediatric oral care in California.","status":"publish","parent":0,"modified":1473970428,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":890},"headData":{"title":"Undocumented Children's New Access to Medi-Cal Could Help Combat 'Epidemic of Tooth Disease' | KQED","description":"There is widespread hope that expanded access to the state’s Denti-Cal program will improve pediatric oral care in California.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Undocumented Children's New Access to Medi-Cal Could Help Combat 'Epidemic of Tooth Disease'","datePublished":"2016-09-15T19:57:11.000Z","dateModified":"2016-09-15T20:13:48.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"237513 http://ww2.kqed.org/stateofhealth/?p=237513","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/09/15/undocumented-childrens-new-access-to-medi-cal-could-help-combat-epidemic-of-tooth-disease/","disqusTitle":"Undocumented Children's New Access to Medi-Cal Could Help Combat 'Epidemic of Tooth Disease'","nprByline":"\u003cstrong>Ana B. Ibarra\u003cbr />\u003ca href=\"http://californiahealthline.org\"/> California Healthline\u003c/a>\u003c/strong>","path":"/stateofhealth/237513/undocumented-childrens-new-access-to-medi-cal-could-help-combat-epidemic-of-tooth-disease","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Eight-year-old Erika Andalon recently started treatment for six cavities at an AltaMed dental clinic in eastern Los Angeles near her home. She hadn’t been to a dentist for more than a year. Yet her younger sister, Elaine, has visited the dentist regularly since she was six months old.\u003c/p>\n\u003cp>The difference? Access to coverage.\u003c/p>\n\u003cp>Erika was brought to the U.S. from Jalisco, Mexico, five years ago. Elaine, on the other hand, was born in California, which makes her a U.S. citizen. Because of her citizenship status, and because of her family’s low income, she always has received full benefits under Medi-Cal, the state’s version of Medicaid.\u003c/p>\n\u003cp>Since May 1, a new law (SB 75) has given Erika and other children living in the United States without legal immigration papers full access to Medi-Cal benefits, including dental services.\u003c/p>\n\u003cp>Now Erika gets the same benefits as her little sister — including dental care.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It’s been a huge relief,” Erika’s mother, also named Erika, said Wednesday. “Elaine goes to the dentist twice a year, now we can do the same with [Erika].”\u003c/p>\n\u003cp>Young Erika is one of almost 138,000 undocumented children in California who have gained Medi-Cal coverage under the so-called “Health for All Kids” law, which provides health care for all California children regardless of their immigration status.\u003c/p>\n\u003cp>Dental coverage under the state’s Denti-Cal program is included in the expanded benefits, and there is widespread hope that it will improve pediatric oral care in California. But delivering on that promise could be a stiff challenge for a program in which more than half of children who were covered before the law took effect had not seen a dentist in the previous year.\u003c/p>\n\u003cp>The lack of access has created an “epidemic of tooth disease in which toddlers by the thousands have mouthfuls of cavities,” according to a searing report by the Little Hoover Commission, an independent oversight agency, released earlier this year. A big reason for Denti-Cal’s dysfunction, the report said, are low reimbursement rates that have “thoroughly alienated the dental profession.”\u003c/p>\n\u003cp>The head of Denti-Cal, Alani Jackson, told California Healthline earlier this year that newly enrolled children should have no problem getting an appointment with a dentist.\u003c/p>\n\u003cp>But dental professionals said this week that it is still too early to tell how the program will stand up to the new stress of the additional beneficiaries.\u003c/p>\n\u003cp>Before the new law took effect four months ago, immigrant children qualified only for “emergency” Medi-Cal, which gave them coverage for emergency room care. Some qualified for county-level health programs that did not tap Medi-Cal funding.\u003c/p>\n\u003cp>Erika Andalon’s mom relied heavily on free dental exams offered at school to get baseline dental care for her older daughter.\u003c/p>\n\u003cp>“But we had no idea” about the six cavities, she said. “It wasn’t until she got a proper exam with dental X-rays that we learned about the problem.”\u003c/p>\n\u003cp>As more children enroll in Medi-Cal and Denti-Cal as a result of the new law, dental offices and clinics are beginning to see more young patients like Erika.\u003c/p>\n\u003cp>Dr. Rosa Arzu, the dental director at AltaMed, a network of clinics in Los Angeles and Orange counties, said the 24-clinic group has extended hours for patients, including opening on Saturdays.\u003c/p>\n\u003cp>While the clinics are not tracking the number of new immigrant children needing care, Arzu said the dentists at AltaMed have noted that previously uninsured kids who had not visited in years are now in need of more intensive care.\u003c/p>\n\u003cp>AltaMed dentists already had seen many of the children before they qualified for Medi-Cal, because of the clinics’ “sliding fee” – a payment option in which the cost of services depends on the family’s income.\u003c/p>\n\u003cp>“But even though this payment was low, many families were struggling, so they delayed treatment,” Arzu said. Some patients still don’t realize that dental services are included in their newly insured children’s benefits, she said.\u003c/p>\n\u003cp>While all eyes are on the new law, it might be too early to gauge its impact, said Dr. Roseann Mulligan, associate dean of Community Health Programs and Hospital Affairs at the University of Southern California’s dental school.\u003c/p>\n\u003cp>There are still a few “wrinkles,” and newly enrolled families are still figuring out the system, Mulligan said.\u003c/p>\n\u003cp>As members of the USC dental school’s Children’s Health and Maintenance Program (CHAMP), Mulligan and other staff visit Head Start child care centers and WIC nutrition offices, where they provide screenings and refer families to nearby dentists.\u003c/p>\n\u003cp>At those locations, CHAMP staff members have met families who are not aware they are enrolled in an HMO dental plan and therefore can only see certain dentists. If they want a specific dentist, or more options, they must enroll in a fee-for-service plan, and that can take more time, Mulligan explained.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Another 64,500 immigrant children are expected to sign up for full Medi-Cal and Denti-Cal benefits within the next year.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/237513/undocumented-childrens-new-access-to-medi-cal-could-help-combat-epidemic-of-tooth-disease","authors":["byline_stateofhealth_237513"],"categories":["stateofhealth_11"],"tags":["stateofhealth_2850","stateofhealth_2913","stateofhealth_2621","stateofhealth_99","stateofhealth_2519","stateofhealth_2914"],"featImg":"stateofhealth_237527","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. 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Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.","airtime":"MON-FRI 3am-9am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/morning-edition/","meta":{"site":"news","source":"npr"},"link":"/radio/program/morning-edition"},"onourwatch":{"id":"onourwatch","title":"On Our Watch","tagline":"Police secrets, unsealed","info":"For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg","imageAlt":"On Our Watch from NPR and KQED","officialWebsiteLink":"/podcasts/onourwatch","meta":{"site":"news","source":"kqed","order":"1"},"link":"/podcasts/onourwatch","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1567098962","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw","npr":"https://rpb3r.app.goo.gl/onourwatch","spotify":"https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x","tuneIn":"https://tunein.com/radio/On-Our-Watch-p1436229/","stitcher":"https://www.stitcher.com/show/on-our-watch","rss":"https://feeds.npr.org/510360/podcast.xml"}},"on-the-media":{"id":"on-the-media","title":"On The Media","info":"Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us","airtime":"SUN 2pm-3pm, MON 12am-1am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png","officialWebsiteLink":"https://www.wnycstudios.org/shows/otm","meta":{"site":"news","source":"wnyc"},"link":"/radio/program/on-the-media","subscribe":{"apple":"https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2","tuneIn":"https://tunein.com/radio/On-the-Media-p69/","rss":"http://feeds.wnyc.org/onthemedia"}},"our-body-politic":{"id":"our-body-politic","title":"Our Body Politic","info":"Presented by KQED, KCRW and KPCC, and created and hosted by award-winning journalist Farai Chideya, Our Body Politic is unapologetically centered on reporting on not just how women of color experience the major political events of today, but how they’re impacting those very issues.","airtime":"SAT 6pm-7pm, SUN 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Our-Body-Politic-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://our-body-politic.simplecast.com/","meta":{"site":"news","source":"kcrw"},"link":"/radio/program/our-body-politic","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/our-body-politic/id1533069868","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5zaW1wbGVjYXN0LmNvbS9feGFQaHMxcw","spotify":"https://open.spotify.com/show/4ApAiLT1kV153TttWAmqmc","rss":"https://feeds.simplecast.com/_xaPhs1s","tuneIn":"https://tunein.com/podcasts/News--Politics-Podcasts/Our-Body-Politic-p1369211/"}},"pbs-newshour":{"id":"pbs-newshour","title":"PBS NewsHour","info":"Analysis, background reports and updates from the PBS NewsHour putting today's news in context.","airtime":"MON-FRI 3pm-4pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.pbs.org/newshour/","meta":{"site":"news","source":"pbs"},"link":"/radio/program/pbs-newshour","subscribe":{"apple":"https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2","tuneIn":"https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/","rss":"https://www.pbs.org/newshour/feeds/rss/podcasts/show"}},"perspectives":{"id":"perspectives","title":"Perspectives","tagline":"KQED's series of of daily listener commentaries since 1991","info":"KQED's series of of daily listener commentaries since 1991.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Perspectives-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/perspectives/","meta":{"site":"radio","source":"kqed","order":"15"},"link":"/perspectives","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/id73801135","npr":"https://www.npr.org/podcasts/432309616/perspectives","rss":"https://ww2.kqed.org/perspectives/category/perspectives/feed/","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"}},"planet-money":{"id":"planet-money","title":"Planet Money","info":"The economy explained. 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