OAR 333-028-0320
Local School Dental Sealant Programs: Certification Requirements
(1)
A representative responsible for coordinating and implementing the Local School Dental Sealant Program must attend a one-time certification training provided by the Program. If the Local School Dental Sealant Program experiences personnel changes that impact the representative responsible for coordinating and implementing the Local School Dental Sealant Program, then a new representative must attend the one-time certification training before applying for recertification. Any templates or materials provided by the Program during the certification training that are modified or utilized by the Local School Dental Sealant Program must acknowledge the Program on such templates or materials.(2)
A Local School Dental Sealant Program must provide an annual clinical training to all providers rendering care within their scope of practice in a school setting. This requirement may be met by one of these methods:(a)
A Local School Dental Sealant Program develops and implements its own training.(b)
A Local School Dental Sealant Program sends their providers to an annual training provided by the Program. The Program will only include application techniques for resin-based sealants. Local School Dental Sealant Programs applying glass ionomer sealants can attend the Program’s training, but then must conduct their own training on glass ionomer sealant application.(3)
Before initially contacting any school to offer services, a Local School Dental Sealant Program must contact the Coordinated Care Organizations (CCOs) operating in the community so that the CCOs are aware of services being provided in their area. When multiple local school dental sealant programs want to serve the same school, the CCO in consultation with the Program and school will determine which local program is best to provide the services. This collaboration will ensure access and minimize the duplication of services.(a)
Priorities should be given to the most cost-effective dental sealant delivery model that meets certification requirements.(b)
Existing relationships with schools and providers should be considered when multiple delivery models meet requirements.(c)
The Program will provide the CCOs with a list of school dental sealant programs and the schools they serve from the Certification Application and Renewal Certification Application forms.(4)
A Local School Dental Sealant Program must ensure Medicaid encounters for dental sealants are entered into the Medicaid system.(5)
A Local School Dental Sealant Program shall first target elementary and middle schools where 40 percent or greater of all students attending the school are eligible to receive assistance under the United States Department of Agriculture’s National School Lunch Program.(6)
A Local School Dental Sealant Program must offer, at a minimum, dental sealant services to students regardless of insurance status, race, ethnicity or socio-economic status in these grade levels:(a)
Elementary school students in first and second grades or second and third grades; and(b)
Middle school students in sixth and seventh grades or seventh and eighth grades.(7)
A Local School Dental Sealant Program must develop and implement a plan to increase parental/guardian permission return rates.(8)
A Local School Dental Sealant Program must adhere to these standards for school dental sealant programs:(a)
Dental equipment must be used on school grounds during normal course instruction hours;(b)
A medical history is required on the parent/guardian permission form;(c)
Use the four-handed technique to apply sealants in elementary schools. The second provider does not need to be a dental professional. Volunteers and non-dental professionals must be trained on equipment, infection control guidelines, confidentially and security guidelines, and internal policies and procedures;(d)
Use the two-handed technique using an Isolite or equivalent Program approved device or the four-handed technique to apply sealants in middle and high schools;(e)
Apply resin-based or glass ionomer sealants according to manufacturer guidelines; and(f)
Use compressor and suction capabilities at all times except in rare situations as determined by the provider’s professional judgment.(9)
A Local School Dental Sealant Program must comply with all scope of practice laws as determined by the Oregon Board of Dentistry.(10)
A Local School Dental Sealant Program must comply with Oregon Board of Dentistry oral health screening guidelines.(11)
A Local School Dental Sealant Program must comply with infection control guidelines established in OAR 818-012-0040 (Infection Control Guidelines).(12)
A Local School Dental Sealant Program must comply with the Health Insurance Portability and Accountability Act (HIPAA) and Federal Educational Rights and Privacy Act (FERPA) requirements.(13)
A Local School Dental Sealant Program must respect classroom time and limit demands on school staff. Services must be delivered efficiently to ensure a child’s time out of the classroom is minimal.(14)
A Local School Dental Sealant Program must conduct retention checks at one year for quality assurance and meet the national benchmark of 80 percent to 90 percent. If a Local School Dental Sealant Program does not meet the benchmark, then the Local School Dental Sealant Program must develop and implement a plan to increase one-year retention rates.(15)
A Local School Dental Sealant Program must submit a data report to the Program annually. The information required to be included in such data report will be defined by the Program. Aggregate-level data will be required for each school.(16)
A Local School Dental Sealant Program must include the certification logo provided by the Program on all parent/guardian permission forms and written communication to schools, or provide schools with a letter provided by the Program indicating the Local School Dental Sealant Program is certified.
Source:
Rule 333-028-0320 — Local School Dental Sealant Programs: Certification Requirements, https://secure.sos.state.or.us/oard/view.action?ruleNumber=333-028-0320.