Volume 80, Issue 2 pp. 107-113

ORIGINAL ARTICLE

The implementation of the Handicapping Labio-Lingual Deviation index on access to orthodontic care

Jennifer Caplin DM, DMS,

Corresponding Author

Jennifer Caplin DM, DMS

[email protected]

orcid.org/0000-0003-3216-2517

Department of Orthodontics, University of Illinois at Chicago College of Dentistry, Chicago, IL, USA

Correspondence

Jennifer Caplin, Department of Orthodontics, University of Illinois at Chicago College of Dentistry, Chicago, IL. Tel.: 312-996-0230; Fax: 312-996-0873; e-mail: [email protected]. Jennifer Caplin, Matan Farhi, Grace C. Viana, and Benjamin Z. Belavsky are with the Department of Orthodontics, University of Illinois at Chicago College of Dentistry. Alexandria Rozgony is with the Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry. Malik Al-Grouz is with the Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry.

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Alexandria Rozgony BS BS,

Alexandria Rozgony BS BS

Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry, Chicago, IL, USA

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Matan Farhi DMD, BS,

Matan Farhi DMD, BS

Department of Orthodontics, University of Illinois at Chicago College of Dentistry, Chicago, IL, USA

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Grace C. Viana MSc,

Grace C. Viana MSc

Department of Orthodontics, University of Illinois at Chicago College of Dentistry, Chicago, IL, USA

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Malik Al-Grouz DMD, BDS,

Malik Al-Grouz DMD, BDS

Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry, Chicago, IL, USA

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Benjamin Z. Belavsky DDS, MS,

Benjamin Z. Belavsky DDS, MS

Department of Orthodontics, University of Illinois at Chicago College of Dentistry, Chicago, IL, USA

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Jennifer Caplin DM, DMS,

Corresponding Author

Jennifer Caplin DM, DMS

[email protected]

orcid.org/0000-0003-3216-2517

Department of Orthodontics, University of Illinois at Chicago College of Dentistry, Chicago, IL, USA

Correspondence

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Alexandria Rozgony BS BS,

Alexandria Rozgony BS BS

Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry, Chicago, IL, USA

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Matan Farhi DMD, BS,

Matan Farhi DMD, BS

Department of Orthodontics, University of Illinois at Chicago College of Dentistry, Chicago, IL, USA

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Grace C. Viana MSc,

Grace C. Viana MSc

Department of Orthodontics, University of Illinois at Chicago College of Dentistry, Chicago, IL, USA

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Malik Al-Grouz DMD, BDS,

Malik Al-Grouz DMD, BDS

Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry, Chicago, IL, USA

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Benjamin Z. Belavsky DDS, MS,

Benjamin Z. Belavsky DDS, MS

Department of Orthodontics, University of Illinois at Chicago College of Dentistry, Chicago, IL, USA

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First published: 15 December 2019

https://doi.org/10.1111/jphd.12352

Citations: 1

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Abstract

Objectives

In 2017, the state of Illinois changed the system by which they define severe malocclusion from the DentaQuest Orthodontic Criteria Index to the Handicapping Labio-Lingual Deviation Index (HLD). The purpose of this study was to compare subjects who were submitted for coverage under either the DentaQuest Orthodontic Criteria Index or the HLD index to see if a difference exists in the number of subjects who received coverage and the type of malocclusions that were covered.

Methods

All subjects evaluated for orthodontic coverage by the Illinois Department of Human Services for treatment at the University of Illinois, College of Dentistry during the years 2016 and 2017 were included in this study. One hundred consecutively approved and 100 consecutively denied subjects from both 2016 and 2017 were selected for further analysis.

Results

There was a statistically significant decrease in the overall rate of approval in 2017 compared to 2016. No difference was found in the approval rate of Class I, II, or III subjects, but there was a significant decrease in the approval rate of subjects with impacted teeth.

Conclusions

The implementation of the HLD index has significantly decreased access to orthodontic care for Medicaid patients in Illinois.

Conflict of interest

One of the authors is a credentialed provider for orthodontic treatment for Medicaid patients. The author has submitted ~20 patients for evaluation. All fees are paid directly to the office for which she is employed and she receives a per diem salary.

One of the authors is an independent consultant that reviews cases to determine their eligibility for medically necessary orthodontics based on objective criteria provided by the state. There was no financial compensation or remuneration of any sort from any entity for the author's part in this study. The author used his expert knowledge to help with case classification and scoring based on the same objective criteria he uses daily as a consultant.

The other authors declare that they have no competing interests.

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Volume80, Issue2

Spring 2020

Pages 107-113

The implementation of the Handicapping Labio-Lingual Deviation index on access to orthodontic care

Abstract

Objectives

Methods

Results

Conclusions

Conflict of interest

References

Citing Literature

References

Information

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The implementation of the Handicapping Labio-Lingual Deviation index on access to orthodontic care

Abstract

Objectives

Methods

Results

Conclusions

Conflict of interest

References

Citing Literature

References

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