1

Volume 97 Number 1 SpriNg 2012

A Publication of the Kansas Dental Association www.ksdental.org
In This Issue...
KDA Announces KIND Program 1
Presidents Message 2
KanCare Medicaid Reforms 3
Non-Dentist Providers 3
From the Ofce 6
KDCF Update 9
Professional 401K Advice 10
Classifed Advertisements 15
The KDAs 2012 Comprehensive Oral Health Initiative has found its way working through the
2012 Legislature in the form of HB 2631. The bill comes from the KDAs belief that all Kansans
deserve access to quality oral health care for their comprehensive oral health needs.
HB 2631 is a comprehensive approach to improving dental care to Kansans as it seeks to safely
and responsibly improve the delivery of oral healthcare throughout the state by increasing the
supply of dentists available in underserved areas of Kansas, improving the dentist access of
Kansas most vulnerable citizens, and by using the existing infrastructure to allow dental hy-
gienists to perform more dental procedures to deliver more care without a dentist being pres-
ent.
Specifcally, HB 2631 would:
Extend the level of care that a registered dental hygienist can provide outside a dental of-
fce by creating an Expanded Care Permit (ECP) III dental hygienist,
Educate more dental students and designate them to practice in underserved areas of our
state,
Comprehensive oral health initiative
moves through legislature
KDA Announces KInD LoAn RepAyment pRogRAm
Though the state of Kansas provides loan repayment
incentives to physicians, optometrists, and other health-
care professionals as an incentive to locate in rural or un-
derserved areas, there are NO similar state funded loan
repayment programs for dentists.
The National Health Service Corp (NHSC) ofers a loan
repayment program for dentists
who setle in and/or serve under-
served populations within a Dental
Health Professional Shortage Area
(DHPSA). The NHSC requires the
dentist to make a four year service
commitment. This program is prob-
lematic for dentists entering private
practice because the NHSC requires
dentists to bill all patients based on
a sliding fee schedule as determined
by the patients insurance or income.
Though this may seem appropriate,
it makes it very difcult for a new
dentist in private practice to generate
enough income in smaller commu-
nities to make their practices viable
as they tend to atract lower income
patients who dont pay full fees.
Another problem is that the NHSC
criteria for determining a DHPSA
is so broad that virtually all of Kan-
sas with the exception of the largest
counties are included and the areas
that really need a dentist are over-
looked.
The new Kansas Initiative for New
Dentists (KIND) Program is de-
signed to recruit dentists to sparsely
populated areas of Kansas. Working
with leaders throughout the state,
the Kansas Dental Association and
the Delta Dental of Kansas Foun-
dation have created a private loan
repayment program they will fund
to help communities atract dentists
At 8:00 PM on Thursday evening,
February 16, 2012, Kenneth Gay
stood at the front of a line, waiting
to enter an old Walmart building
in Kansas City, KS. His wife had
dropped him of two hours before.
He had come to receive free dental
care at the Kansas Mission of Mercy,
dental care he could not aford after
he was laid of from his job a few
months earlier.
I lost my job and my insurance,
he said. I couldnt aford to keep
going to the dentist. It seems now
that about every two weeks, I have a
chunk of my tooth that falls of and
without this, I dont see any way that
anytime soon, Ill be able to shell out
the money to get this taken care of.
milestone reached at 2012 Kmom 20,000
th
patient treated
continued on page 8
When Gay entered the building, he was the frst of 2,151
patients who were eventually treated at the two-day
Kansas Mission of Mercy Dental Clinic in Kansas City,
KS at a building currently being re-
modeled to become part of the Kan-
sas City Kansas Community College
campus. A total of $1.51 million in
care was provided.
Among those patients was a ner-
vous, but extremely appreciative
Roxanne Brown of Kansas City, KS,
who had hoped to have a partial
denture made to fx her two front
teeth she had lost a few years earlier.
I came to get my front tooth fxed.
I couldnt aford it. Litle did I
know that when I arrived, I was
going to receive a beautiful bless-
ing. My teeth are fxed, she said
with a beaming smile after returning
the next day to receive her fnished
partial. Actually, I couldnt hardly
Roxanne Brown was the 20,000
th
KMOM patient and was presented
with balloons and a $50 gift card to Longhorn Steakhouse by KDCF
President Mark Herzog (left) and Governor Sam Brownback (right).
continued on page 5
continued on page 4
2
Greetings,
I write this Presidents Message on
the eve of going to Topeka to testify
in support of the KDAs Compre-
hensive Oral Health Initiative. This
initiative, HB 2631, demonstrates
the KDAs commitment to improve
access to quality, safe, and doctor
supervised oral health care for all
Kansans. It is consistent with the
principle that the dental patients
of Kansas deserve to have dental
disease diagnosed by, and irrevers-
ible dental procedures performed
by, a dentist and only a dentist. As
such, I believe this bill is worthy
of the support of everyone who is
sincerely interested in solving the
multifaceted access to oral health
care issue.
Each year, the KDA Dental Day in
Topeka gives dentists the oppor-
tunity to meet their state leaders
face to face. This direct interaction
allows us to dialogue with those
Legislators who make oral health-
care policies for Kansas. It allows
the voice of organized dentistry to
be heard at a time when it needs to be heard the most.
This years KDA Dental Day was held in Topeka on
February 2. Several State Representatives and Sena-
tors, in addition to Governor Brownback, atended our
luncheon. It was a great day for Kansas dentistry and
the patients of Kansas. I want to thank everyone who
took time out of his or her busy schedules to atend. In
particular I would like to thank Dr. Ken Dillehay, Dr.
Chuck Squire, and the KDA Staf for their eforts in
making the day a success. Lastly, I would like to en-
courage everyone to plan on atending next years KDA
Dental Day in Topeka.
The KDAs commitment to providing quality, safe,
and dentist supervised care to the underprivileged was
further demonstrated by this years KMOM in Kan-
sas City, Kansas. It was the largest KMOM ever. Over
2,100 patients were treated and approximately $1.5
million in free dental care was provided. Dentists are
charitable, caring, and compassionate professionals.
Dentists, on average, donate $33,000 of free dental care
annually; many dentists donate much more than that.
Dentists are dedicated to helping all patients access
the care they need. But as the only true authorities on
oral healthcare, dentists realize that problems must be
solved in a thoughtful, comprehensive, compassion-
ate, practical, and above all, SAFE manner. As doctors,
we realize in a way that only doctors can, that the frst
rule of all healthcare is to DO NO HARM! This is
true whether
providing actual
healthcare or
making health-
care policies.
In closing, I want to thank all of
our volunteer dentists who have
taken time out of their ofces and
away from their families on behalf
the KDA this past year. Many have
pledged money to the Kansas Den-
tal Charitable Foundation and the
K-D-PAC. Others have made phone
calls to their Legislators. Still more
have donated their time to care
for the underprivileged. All have
done these things, not for personal
gain or glory, but because they care
about the profession of dentistry
and the patients of Kansas. Thus,
I can confdently say that the frst
and foremost motivation of the
KDA and its member dentists in all
healthcare policy debates has al-
ways been, and remains, the safety
and wellbeing of the patients of
Kansas.
Dr. Hal E. Hale
KDA President
PresIdenTs Message
3
JKda
Journal of the Kansas Dental Association
ISSN# 08887063
PUBLISHED QUARTERLY BY
Kansas Dental Association
5200 SW Huntoon
Topeka, KS 66604-2398
EDITOR
Eugene F. McGill, D.D.S.
MANAGING EDITOR
Kevin J. Robertson, CAE
PRINTING
Jostens
4000 SE Adams
Topeka, KS 66609
PRODUCTION
Niki Sadler
KDA Executive Committee
PRESIDENT
Dr. Hal Hale
PRESIDENT-ELECT
Dr. Craig Herre
VICE PRESIDENT
Dr. Jason Wagle
SECRETARY
Dr. Steven Hechler
TREASURER
Dr. Cynthia Sherwood
IMM. PAST PRESIDENT
Dr. David Hamel
Although the KDA publishes authoratative news,
commitee reports, articles and essays, it is in no
respect responsible for contents or opinions of the
writers. Advertising rates and circulation data will be
furnished by request.
Annual subscription price is $5.00 for member den-
tists, $25.00 for non-members, and $40.00 for Canada
and foreign mailings. Single issue price is $10.00.
May
11 Dental Lifeline Network Board Mtg, Wichita
7-9 ADA Washington Leader Conference, Wash. D.C.
18-19 South Central States Meeting, New Orleans
June
7-9 KDA Annual Session, Hotel at Old Town, Wichita
July
16-19 ADA Management Conference, Chicago
august
2-4 Mid States Dental Leaders Conference, Kansas City, MO
25-26 ADA District 12 Caucus, Dallas
Kda
Calendar
of events
With Medicaid currently making up a third
of the total state budget at $2.8 billion and
federal matching funds likely to dry up as
the U.S. government tightens its belt, the
state of Kansas is in the process of imple-
menting signifcant Medicaid reforms known as Kan-
Care geared to cut costs while also improving health
outcomes.
Kansas faces major challenges in its Medicaid pro-
gram that require swift and efective policy changes
to continue serving vulnerable Kansans. The Gover-
nors FY 2012 budget sustained Medicaid through the
current fscal year and provided Kansas the time to
reinvent its Medicaid program to beter serve Kansans
in need and maintain fscal responsibility.
Kansas Medicaid costs have grown at an annual rate
of 7.4 percent over the last decade. Long-run trends in
Medicaid are driven by widespread increases in en-
rollment and spending per person. While exacerbated
by the economic downturn, Medicaid growth is not
just tied to the economy. Kansas is in the midst of a
sustained period of accelerated growth as baby boom-
ers reach the age of acquired disability. Yet the cost
drivers in Medicaid are not confned to one service
area or population; the projected sources of growth
in Kansas Medicaid spending cut across populations.
Tackling the structural defcit facing Medicaid cannot
be accomplished by excluding or focusing solely on
one population or service.
Kansas will implement reforms in the current Medic-
aid program to improve outcomes and reduce costs.
As highlighted in the Deloite report on the public
input and stakeholder consultation process, the Kansas approach will
be based on the themes of:
Integrated, whole-person care,
Preserving or creating a path to independence,
Alternative access models and an emphasis on home and com-
munity based services.
The reform process will align the fnancial incentives for the payers,
providers and consumers to best serve the needs of the whole person
and the taxpayer, without adding to the administrative burden of the
program.
The idea is to leverage private sector innovation to achieve public goals
by selecting three statewide KanCare contracts which guarantee:
Population-specifc and statewide outcome measures will be
integral to the contracts and will be paired with meaningful
fnancial incentives.
The reforms explicitly call for creation of health homes, with an
initial focus on individuals with a mental illness, diabetes, or
both.
Contractors are encouraged to use established community part-
ners, including hospitals, physicians, community mental health
centers (CMHCs), primary care and safety net clinics, centers for
independent living (CILs), area agencies on aging (AAAs), and
community developmental disability organizations (CDDOs).
Safeguards for provider reimbursement and quality are included.
non-Denti st provi ders
Noticeable activity during this leg-
islative session regarding the Regis-
tered Dental Practitioner non-dentist
provider proposal has been slow. In
January, the House Commitee on
Health and Human Services, Chair-
person Rep Brenda Landwehr, held
an informal roundtable discussion
on the mid-level concept. Opposing
the concept at the roundtable were,
Dr. Hal Hale, Dr. Cindi Sherwood,
Dr. Paul Kitle, Dr. Jef Stasch, Dr.
Richard McFadden, Dental Board
President Dr. Glenn Hemberger and
Kansas Dental Association Executive
Director Kevin Robertson. The Reg-
istered Dental Practitioner support-
KanCare meDi Cai D reforms
continued on page 11
ers included representatives from the Kansas Action
for Children, Kansas Association of Medically Under-
served, Kansas Dental Hygienists Association, Fort
Hays State University President Dr. Ed Hammond,
United Methodist Health Ministries Fund Executive
Director Kim Moore, Pitsburg dentist Dr. Dan Minnis
and Hays dentist Dr. Melinda Miner.
The four-hour roundtable discussion was essentially a
stalemate, but Chairman Brenda Landwehr pushed for
some common ground, eventually geting the mid-lev-
el proponents to agree that the KDA-backed extended
care permit III concept was a step in the right direc-
tion.
HB 2631 was introduced following the roundtable
discussion and the House Commitee on Health and
continued on page 9
4
continued from page 1
KIND Program
to key areas identifed by the state as
underserved.
Trying to recruit and create incen-
tives for dentists to practice in rural
Kansas is not a new concept for the
KDA. The KDA has introduced bills
and discussed the idea of a dental
loan repayment program with the
legislature from time to time over
the past several years. Those pro-
posals have all mirrored the physi-
cians Bridging Loan program
and would have allowed dentists to
practice in large portions of the state.
The programs required a substan-
tial state commitment for the loans
as well as state stafng to provide
administrative support.
We know that for communities
in our state to remain viable, three
things are critical: preserving good
schools, maintaining our infra-
structure and ensuring access to
healthcare. Were pleased today to be unveiling a program we know can be
efective in addressing access to dentists. Loan repayment or forgiveness
programs are a time-tested model when it comes to recruiting health care
professions in our state. Kansans
have long benefted from programs
like the one were launching in at-
tracting physicians, optometrists
and other healthcare professionals
to some of our more rural commu-
nities, noted Hal Hale, President
of the Kansas Dental Association.
Thats why were confdent that
the same success can be realized in
Helping dentists buy & sell practices for over 40 years.
AFTCO is the oldest and largest dental practice transition
consulting firm in the United States. AFTCO assists dentists
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retirement plans. We are there to serve you through all stages
of your career.
Jeffery A. Higgins, D.D.S. has acquired the practice of
(UMKC 2008)
Charles E. Leins, D.D.S. - Olathe, Kansas
(UMKC 1977)
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(UMKC 2008)
Arnold F. Nadler, D.D.S. - Wichita, Kansas
(UMKC 1970)
AFTCO is pleased to have represented all
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bringing more dentists to rural areas. While in the past
we have asked the state to fund a program to atract
dentists to rural areas, we are fortunate to have found
fnancial support for the efort from the Delta Dental of
Kansas Foundation.
The KIND program will target the location of new den-
tists within the key four areas of Kansas identifed by the
Kansas Department of Health and Environment Bureau
of Oral Health as dental deserts. That study identi-
fed the limited areas of our state where Kansans are
not within 20 miles of a dentist ofce. That data is what
will guide the loan repayments and grants made under
22
Map 5. Drive Time Buffers around Primary Care Dentists Offce with Four Dental Care Service Deserts
Drive Time Buffers around Primary Care Dentists Office with Four Dental care Service Deserts
continued on page 6
5
Expand the liability protection
of the Charitable Healthcare
Provider Act to include orga-
nized in-ofce charitable proj-
ects,
Create a Special Volunteer Li-
cense for dentists, and;
Lengthen the time from 12
months to a maximum of 30
months (for good cause) that
the estate of a deceased or sub-
stantially disabled dentist has
to sell or close the practice.
Section 1 of the bill contains an
expansion of services for dental
hygienists. In 2002, the KDA and
Kansas Dental Hygienist Association
hammered out the agreement that
became the Extended Care Permit
(ECP) Dental Hygienist. The KDA
was also involved and supported
changes to the ECP I and II legisla-
tion in 2007. HB 2631 is a further ex-
pansion to the Dental Hygienist Ex-
tended Care Permit law to create an
ECP III. An ECP III would have the
same infrastructure, practice loca-
tions/populations and dental super-
vision that the current ECP I and II
have. These include nursing homes,
prisons, indigent health clinics,
head start programs and children in
schools. The ECP III dental hygienist
would be allowed to use additional
procedures that would assist them in
treating these patients:
continued from page 1
Oral Health Initiative The new procedures that the ECP III dental hygienist
could perform are:
(A) Removal of extraneous deposits, stains and
debris from the teeth and the rendering of smooth
surfaces of the teeth to the depths of the gingival
sulci;
(B) Application of topical anesthetic if the dental
hygienist has completed the required course of
instruction approved by the dental board;
(C) Application of fuoride;
(D) Dental hygiene instruction;
(E) Assessment of the patients apparent need for
further evaluation by a dentist to diagnose the pres-
ence of dental caries and other abnormalities;
(F) Identifcation and removal of decay using hand
instrumentation and placing a temporary flling,
including glass ionomer and other palliative mate-
rials;
(G) Adjustment of dentures, placing soft reline in
dentures, checking partial dentures for sore spots
and placing permanent identifcation labeling in
dentures;
(H) Smooth a sharp tooth with a slow speed dental
handpiece;
(I) Use of local anesthetic, including topical, infl-
tration and block anesthesia, when appropriate to
assist with procedures where medical services are
available in a nursing home, health clinic, or any
other setings if the dental hygienist has completed
a course on local anesthesia and nitrous oxide as
required in this act;
(J) Extract deciduous teeth that are partially exfoli-
ated with class 4 mobility.
The state of Kansas has a formal arrangement with the
state of Missouri to allow 85 dental students to atend
the UMKC School of Dentistry along with 12 optom-
etry students at UM-St. Louis School of Optometry in
Kansas Dental Association
Annual Meeting
June 7-9, 2012
Hotel at Old Town
Wichita, Kansas
exchange for 491 undergraduate
architecture design students from
Missouri to atend KU, K-State or
Wichita State.
As recently as 2004, Kansas had only
NINE dental students graduate from
UMKC School of Dentistry. The
KDA was very involved in rework-
ing the agreement between Missouri
and Kansas at that time and the past
fve classes at UMKC have gradu-
ated 19, 19, 21, 23 and 27 Kansas
students respectively.
Section 2 of HB 2631 directs the
Board of Regents to investigate 3-5
additional seats for Kansas residents
with the stipulation that they return
to practice dentistry in underserved
areas of the state. The KDA believes
it is important that dental students
in additional seats be directed to
underserved areas even though this
may disqualify them from receiving
loan repayment from the National
Health Service Corp which is used
for this purpose. Existing Kansas
students at UMKC and other dental
schools would remain eligible for
such grants which are incentives to
practice in rural areas and commu-
nity health clinics. The KDA believes
other funding opportunities, like
our own private Kansas Initiative
for New Dentists (KIND) Program
funded by Delta Dental of Kansas
Foundation, could provide assis-
tance to these 3-5 new dentists who
would be required to practice in an
underserved area.
continued on page 15
6
Kevin Robertson, CAE
KDA Executive Director
FroM The oFFICe
The KDA is involved in a variety of eforts
and programs to reduce barriers of care and
increase access to dentists in Kansas. These ef-
forts promise to help Kansans across our state
receive beter dental care. Heres a quick list of the eforts weve
supported, implemented and are following through on, in just the
past year:
Undertaking the Medicaid 140 Initiative geared at increasing
the number of dentists participating as Medicaid providers;
Creating with Delta Dental of Kansas Foundation - the
KIND Grant Program to create incentives for dentists to
locate in Kansas dental deserts
Working with the Kansas Board of Regents Oral Health Task
Force looking at increasing the number of Kansans that have
the ability to become dentists and where they are located;
Creating the Extended Care Permit III dental hygienists
who could provide more preventative and palliative care in
schools and nursing homes;
Funding for the Donated Dental Services program so dis-
abled and elderly adults have access to receive dental care;
Creating a new Special Volunteer License for retired dentists
so they can continue to provide dental care in charitable and
other setings without compensation;
Limiting liability to encourage dentists to provide more
charitable care within their ofce seting; and,
Expanding the time for the estate of a deceased dentist to
transition the dental practice to reduce the risk of (usually
rural) these practices from simply closing.
The KDA continues to also support water fuoridation in all
Kansas communities and expanding Medicaid to cover all
adults.
Kansas needs your ongoing assistance! I encourage each
of you to take advantage of the various changes in Kansas
law and the programs the KDA has to ofer to help Kansans
across the state improve their oral health.
Correction: It was incorrectly reported in the last issue of JKDA
that Pitsburg dentist Dr. Dan Minnis had recently visited Alaska
to learn about the dental health aid therapist mid level model.
Though Dr. Minnis enthusiastically supports the creation of a mid
level in Kansas, he has informed the KDA that he has never been
to Alaska on such a mission.
DENTAL PRACTICE TRANSITIONS
THE PARAGON DIFFERENCE
After handling thousands of transactions over the
past two decades, PARAGON consultants know
that no two clients and no two transactions are the
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A practice transition is a very personal event that
requires very special attention. Nothing is taken for
granted. We customize every single transaction to
satisfy the needs and goals of our clients. We
handle each transaction as if we are the client. This
is just one of the many reasons why PARAGON is
so unique.
Judge for yourself! Call us for a complimentary
consultation. No obligation just a very
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Your local PARAGON consultant is Kathy Johnson
Contact her at 866.898.1867 or info@paragon.us.com
Approved PACE ProgramProvider
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Approval does not imply acceptance by a state or
provincial board of dentistry or AGD endorsement
4/1/2012 to 3/31/2016
Provider ID# 302387
C
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K
KS_Paragaon Difference_Consultant.pdf 1 3/13/12 5:51 PM
KIND Program
continued from page 6
this program. The KIND
program will target the
location of dentists within
these dental deserts which
include communities like
Greensburg, Medicine
Lodge, Coldwater, Sublete, Satanta, Ness City, Sharon Springs
and others.
Working with communities in the areas identifed by the state,
we hope the funding weve pledged can be further leveraged in
successfully atracting dentists to these areas, added Dr. Stan
Wint, a member of the Delta Dental of Kansas Foundation Board
of Directors. We are pledging up to $150,000 a year for each of
the next three years to support this initiative. Depending on the
level of funding awarded, recipients will be required to make
either a three or four year service agreement. Mirroring a success-
ful efort in Iowa, the Kansas initiative ofers our state a proven
program to help dentists local in those areas.
The Delta Dental of Kansas Foundation, the Kansas Dental Asso-
ciation, and the Kansas Dental Charitable Foundation will serve
as the fduciary for the KIND program.
In addition to providing fnancial support for the students, the
KIND program will work with local communities to determine
other kinds of support that might be available to make the recruit-
ment successful. Kansas citizens, regardless of where they live,
deserve access to dentists. To that end, KDA Executive Director
Kevin Robertson and Delta Dental of Kansas Foundation Execu-
tive Director Karen Finstad are discussing the KIND Program
with students at the dental schools at UMKC, Nebraska, Oklaho-
ma, Creighton and Colorado and are meeting with local ofcials
from communities within the identifed dental deserts.
Interested students and/or dentists will complete an application
and submit it prior to May 15, 2012. The KIND Oversight Com-
mitee will review all applications and announce the winning
grantees this summer. For more information and/or to submit an
application for KIND funds go to www.KINDgrants.com.
50% rule Satellite Practice Carve Out
In 2008 the Kansas Legislature adopted a KDA-backed bill to
amend the Kansas Dental Practice Act to allow a dentist to have
up to two satellite practices in counties with populations of 10,000
or less within 175 miles of the primary practice. Dentist practice
owners that have a satellite within these guidelines are NOT
required to be physically present in the ofce and therefore are
allowed to have an associate or partner dentist wok in those satel-
lite practice location 100% of the time. Dentists interested in set-
ting up a satellite practice in one of the dental desert communities
are encouraged to complete an application for a KIND Grant.
7
When Jennifer Jones and Greg Hill of the Kansas Dental Association say theyve traveled to the far corners of the state, take their word
for it. Theyve done it. Theyve also hit the center of the United States, spent the night in an old bank in Oberlin, and even traveled
home by train.
With 140 dentists to photograph across the state, there is almost no place in Kansas the two havent traveled, including the two west
corners. Jones and Hill are photographing KDA member dentists as part of the KDAs 140 Years, 140 Stories project. The photography
project will focus on KDA member dentists and their unique interests, hobbies and locations across the state. The photos will be pub-
lished in a book this summer.
When we went west in early November, we had some time in the morning between shoots so we traveled to the far Northwest corner
of Kansas, actually entering Colorado before the road took us back around to the corner of Kansas,
Nebraska and Colorado, Hill says. For someone who had never been to that far corner of the state, it
was an exciting opportunity to see the unique geological features of this area.
For Jennifer Jones, who traveled to the far Southwest corner of the state, the chance to see Kansas has
been an enjoyable part of this project.
Throughout my years at the KDA, Ive had the pleasure of meeting many of our members at vari-
ous meetings and projects, says Jones. However, this project has allowed me to see and visit with
dentists in the context of their practices and communities in the near and far corners of our state.
Seeing the level of commitment and passion shared by our members to their communities, families, and interests has been a delight.
Each has
taken their
own trips
around the
state, but for
a few of the
longer trips,
they have
traveled
together,
sometimes
spliting up
as they did
on the trip
to Southwest
Kansas.
KDa staff travel s far and Wi de to get the shot
Jennifer drove
west out of Garden
City to take photo-
graphs and I went
out on a 4X4 ride
in a jeep with Jake
Juhl,
Dr. Paul Kittle in
Leavenworth was
very passionate about
loving his country and
the three generations
of his family that
have served in the
military.
Jennifer drove
west out of Gar-
den City to take
photographs
and I went out
on a four-by-
four ride in a
jeep with Jake
Juhl, Hill joked
about a photo
shoot he took
with Dr. Juhl
who practices
in Lakin. Jones
meanwhile trav-
eled to Wichita
County to pho-
tograph Joanne
Brown in Leoti
and to Hugoton
to photograph
Efe Gaskell
with her horses.
For Hill though,
the adventure
was not over.
At two o-clock
in the morning,
he boarded an
Amtrak train in
Garden City and
traveled back to
Topeka.
I had never rid-
den a passenger
train here in the
United States,
Hill said. It
defnitely add-
ed a level of
uniqueness to
the traveling aspect of this project that Ill always remember.
Jones says that the dentists have been tremendously receptive to the project. They are always interested in sharing their passions
and information about their communities. Dr. Paul Kitle in Leavenworth was very passionate about loving his country and the
three generations of his family that have served in the military. I hope that by sharing these stories in the 140 Years, 140 Stories
publication, our members will enjoy geting to know other dentists and develop new friendships and bonds within the organiza-
tion.
While the two have taken more than seventy photographs for the book, the two will continue to travel, mostly now focusing on
Wichita and the Kansas City area and look to have the book completed this summer.
Plans are also well underway for the ofcial unveiling of the project at the
2012 KDA Annual Meeting in Wichita.
Among the photographs to be unveiled for the frst time will be the den-
tists numbered 1 and 140 who were selected for what they represent
in organized dentistry.
We are very excited about what these two dentists represent both for the
history of the KDA, but too, for its future, said Hill.
8
sleep last night I was so excited. When I looked in the mirror I couldnt be-
lieve how I looked because I hadnt had my teeth in so long. They told me
to take them [partial] out, but I dont want to.
Roxanne, who goes by Roxie, became the 20,000th patient that the Kansas
Mission of Mercy has treated since it began in 2003. Kansas Governor Sam
Brownback made a stop at the clinic and received a tour by Kansas Dental
Charitable Foundation President, Dr. Mark Herzog. Brownback had the
opportunity to share in the celebration as Brown was presented a handmade
sign, balloons and a gift certifcate for dinner at a restaurant in the Kansas
City Legends.
I cant express what you have done for me. I was afraid to smile and
would put my hand over my mouth or kind of give of a litle grin. But
now, Im happy.
A total of 1277 people, including 163 dentists, 136 dental hygienists and 188
dental assistants, volunteered for the event, the largest volunteer event in
the nine year KMOM history. Since inception, KMOM has treated 21,317
patients with dental care valued at more than $11 million.
Its about Giving more than you Receive
Dr. John Fales, a pediatric dentist from nearby Olathe who has participated
in ten KMOM projects, says it all comes back to a lesson he learned as a kid
in the Boy Scouts.
I thought it was a wonderful opportunity to give back to the community,
Fales said. Not just to my local community, but the community in a larger
sense. Ever since I was a young boy in the Boy Scouts I was taught that you
give back more than you receive. Thats a tenant that I try and live by and
this is a wonderful vehicle that allows me to do that.
Fales modestly explained that he was given a gift to be able use his hands to
help people with their dental needs.
This is a way in which I can use this gift to beter other peoples situations.
One of the people that I spoke to was the pastor in my church and he told
me that the one word he heard over and over was that this was a blessing.
I think that sometimes when we as volunteers come and do these kinds of
things that we dont really understand how much and how dramatically we
touch the lives of the people that we are caring for.
A Sense of Appreciation
Marvita Oliver came to KMOM for the same reason as every other patient,
but as a broadcast journalism student at Johnson County Community Col-
lege, she also brought along a video camera and spoke to a number of pa-
tients who, like her, were waiting to receive dental care.
She said that many of the people that she spoke to really understood how
the economy had impacted the need for dental care and to her that was a
litle surprising.
The [volunteers] are to be commended. So many of the patients are very
appreciative and thats one thing that I saw from the people I spoke to.
Some of the patients I saw were in pain for a long time, she said. Every
time I interviewed someone, they would say how appreciative they were for
the clinic. That was very humbling for me because I could feel it. I knew
what they were talking about.
Adult Medicaid would make a Difference
JoAnn Anderson drove from Emporia with her two sons, a one-month old
daughter, her mother and her sister. They left at 12:30 AM and arrived at
the KMOM clinic about 4:00 AM. When she entered the clinic, she was pa-
tient number 776.
I believe it is very important when people dont have insurance to be able
to come to a place like this and have their teeth taken care of, she said.
My boys have dental care through the [Medicaid Program] but I dont. If
I had Medicaid, I would not have to worry about my teeth. The same with
my mother, she has been having a lot of problems with her teeth. This has
been a great opportunity for her.
Dr. Cindi Sherwood of Independence believes without question that the lack
of Medicaid access for adults plays a tremendous role in the number of pa-
tients that come to the KMOM dental clinic needing extensive dental work.
In my humble opinion, that is the number one reason why we have an ac-
cess to care problem in Kansas, she says. I think the majority of children
who are covered by Medicaid have the opportunity to be seen. But adults
do not have a safety net and many of them have to sufer.
Sherwood says she sees patients, particularly those to her west, who may
drive ffty miles to her practice. But they are also coming to Independence
to go grocery shopping or to buy a pair of shoes because those services
arent available where they live. In most of these litle towns, there is a con-
continued on page 13
continued from page 1
KMOM A Success
Kenneth Gay (left) is the first patient in line for the Kansas Mission of
Mercy in Kansas City having arrived at 6:00 PM the evening prior to
the clinic opening on Friday.
Dr. Mark Herzog (right) gives Governor Sam Brownback (center) a
tour of the KMOM clinic in Kansas City stopping to talk to Olathe
pediatric dentist, Dr. John Fales (left).
The patient waiting area filled as patients filed in to be treated at the
Kansas Mission of Mercy in Kansas City.
Rows of tables, dental chairs and lights filled the old Wal-Mart build-
ing ad 65th and State Avenue in Kansas City, Ks for the eleventh
Kansas Mission of Mercy dental clinic.
A mother and her children wait for treatment at the Kansas Mission
of Mercy in Kansas City.
9
KdCF UPdaTe
Greg Hill, JD
KDCF Executive Director
Connecting in a Fun and Creative Way
If you use social media, then by now, you have prob-
ably at least heard of Pinterest. If not, Pinterest essen-
tially is one of the fastest growing social media websites
designed to connect people based on shared tastes and
interest. Many not-for-profts are using the social site to
connect with people and to leverage social good.
The Kansas Dental Charitable Foundation has joined
the Pinterest craze as a way to share
things that we fnd interesting. Of
course, our primary purpose is to
increase interest in our foundation;
but at the same time, share things we
think might beneft oral health edu-
cation. Weve discovered creative
ideas for tooth cupcakes and health
snacks as well as a collection of old
dental cabinets and signs. We think
the opportunity to connect with
potential volunteers and donors in
a new, exciting, and engaging way
shouldnt be discounted.
More than 10 million users have
already began
pinning con-
tent and the site
remains invita-
tion only, 87% of which are women
and the average age is between 25
and 54. Recognizing this, we think
there is a tremendous opportunity to
connect with people who share the
interest of oral health in an exciting
and creative way. To connect with
us, visit www.pinterest.com/ksden-
talfound or if you need an invitation,
drop me an email at greg@ksdental-
foundation.org.
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Human Services eventually held hearings and passed that bill favorably.
HB 2631 is currently making its way through the Kansas Legislature (see
related article).
There have been no other commitee hearings or debates about the Regis-
tered Dental Practitioner non-dentist provider concept, but eforts con-
tinue to promote the idea by the Kellogg-backed advocates as the Kansas
Health Foundation has recently introduced its Truth About Teeth cam-
paign and Fill the Gap billboards can be found along most major high-
ways in Kansas. At this point, no state other than Minnesota has passed a
mid-level law, though the idea is now being discussed in several states.
10
Although many investors manage their 401(k)
s themselves, others may seek a more hands-
on approach and seek ongoing advice for
their personal 401(k) portfolio. Many dentists
and their staf may not have the time or the
interest in handling their own portfolio and
therefore seek the advice of a professional
advisor.
Why seek advice in your 401(k)? We know the
stock market has been volatile and there can be many drawbacks
to leaving your portfolio alone and not adjusting asset allocations
to take advantage of current market and economic conditions.
Many participants do not adjust their investment mix for years at
a time. While buy and hold investing can be an efective strat-
egy, it also can be equally problematic during volatile times.
Core problems with using a reactive approach to investing. Often
a participants investment changes are a reaction to a bad quarter
or even a bad year. Such an approach can lead to missing out on
substantial market gains by not being invested. Having a profes-
sional advisor to consult with can help avoid this knee jerk
reaction and maintain a more consistent level of performance.
The do-it-yourself approach has potential pitfalls. First, most
participants lack a comprehensive knowledge base that a profes-
sional advisor has. Investing without a proper plan or failing to
consistently review a plan and the investment allocation in place
may result in unwanted portfolio risk. Second, many participants
may not have the time or interest in managing their 401(k) as-
sets. The stock and bond markets do not move once per quarter;
they are constantly moving. A reactive approach to changes in the
market can lead to undesirable results.
Plan participants may choose investment options that move with
the market. Many 401(k) plans ofer diversifed target-date funds
and asset allocation funds. However, their performance and risk
generally track the broad market and may not be the best place to
be for your personal situation or in highly volatile times.
How can professional advice help? If your goal is to minimize
losses in a down or volatile market and enjoy gains in an up
market, seeking professional 401(k) advice may be an appealing
option.
As we begin 2012 with the market of to a strong start, 2011 was
essentially a fat market that experienced periods of extreme
volatility. A passive approach has litle atraction in these types
of markets. Utilizing asset and sector allocations, consistently
monitoring, reallocating, and rebalancing a portfolio may reduce
professional 401(k) advice: Can it make a Difference?
volatility and improve performance over the long term.
What is the cost? On-site, professional advice may lead to overall
higher plan costs but may be a small price to pay if performance
can be improved. Often, costs associated with adding regular
professional advice can remain similar to your current arrange-
ment meaning you may already be paying for the service but
not receiving it.
According to a 2011 report Help in Defned Contribution Plans:
2006-2010 conducted by Aon Hewit and managed accounts
provider Financial Engines, professional advice is worth seeking.
Over a fve year period, participants utilizing managed accounts,
target date funds, or online advisory services earned an annual
average of 2.92 percentage points more, net of fees, than those left
to their own management.
How can I add this service to my existing plan? If you are inter-
ested in learning more about adding professional advice to your
401(k) or receiving a no-cost review of your current arrangement
you can contact Tax Favored Benefts at your convenience.
As we have heard before past performance is no guarantee of
future results adding professional advice may ofer you the po-
tential to lower your investment volatility and improve your long
term results.
Tim Gaigals, CFP is an investment professional, registered investment
advisor and Certifed Financial Planner. Tim is associated with Tax
Favored Benefts in Overland Park and an investment advisor represen-
tative ofering securities and advisory services solely through Ameritas
Investment Corp. (AIC). Member FINRA/SIPC. AIC and Tax Favored
Benefts are not afliated. He has writen numerous articles relating to
qualifed retirement plans, fnancial advising, and retirement planning.
Tim was formerly a power trading expert and director for a nation-
ally known energy company. Tim can be contacted at 913-648-5526 or
tim@taxfavoredbenefts.com.
I have only one yardstick by which I
test every major problem - and that
yardstick is: Is it good for America?
Dwight D. Eisenhower
Weve all heard the stories: a night or two in a hotel and then
telltale itching bites. Sometimes they even hitch a ride back
home with you in your luggage. You guessed it: bedbugs. The
only thing worse is how difcult it is to get rid of them. Fortu-
nately, theres a new way to bite back, as reported in A new
debugger, from The Economist.
The usual remedy for bedbugs is exhaustive cleaning and
copious amounts of insecticide. Hotels have specially trained
detection teams, and even use dogs trained to locate the pests.
Despite all the efort, sometimes these measures are still unsuc-
cessful. James Logan, Emma Weeks and colleagues at the Lon-
don School of Hygiene and Tropical Medicine and Rothamsted
Research have come up with a novel idea, however, and its
one of the oldest in the book. Instead of actively seeking bed-
bugs they designed a trap baited with something the bugs fnd
irresistible-the smell of their own droppings.
Bedbugs use the smell of their droppings to fnd their way back
to their hiding places
after vampire-esque
nights. To develop the
bait for the new trap, Dr.
Weeks therefore analysed
the chemicals given of
by bed-bug faeces and
atempted to work out
which of the components
were acting as sign-
posts.
The exact results are still
a secret, but the team has
reported success. Hope-
fully, hotels will be able
to install small traps
to aid in detection and
eradication in the near
future. Sleep tight!
Dont let the Bedbugs Bite
11
neW MeMBers
Fifth District
Dr. Kenneth Frick, Leawood
Dr. Jef Higgins, Olathe
Dr. Winnie Lam, Overland Park
Dr. Joe Moon, Shawnee
Dr. Julie Skidmore, Lenexa
First District
Dr. Leonard Lausten, Westwood
Dr. Charles Pohl, Kansas City
NW/GB District
Dr. Rawley Philpot, Manhatan
Topeka District
Dr. David Wexler, Topeka
Wichita District
Dr. Dawn Nguyen, Wichita
Do you know of a new dentist in your community, a recent graduate, or even a
new colleague in your practice who is not on this list? Please contact the KDA at
785.272.7360 so we can invite them to become a member.
India may be one of the fastest emerging economies in the world, but
its inability to care for the majority of its population is becoming appar-
ent just as quickly. A huge problem stems from the fact that millions of
Indians are essentially identity-less, at least as far as government welfare
programs are concerned. Due to corruption and mismanagement, many
people never actually receive the aid allocated to them. The Economist
article Reform by numbers addresses the largest atempt so far to solve
the problem.
The atempt to create an identity database began in 2010 and was headed
by Nandan Nilekani. Using fngerprinting and iris scans to set up a
UID, or unique identity, the scheme is supposed to roll out trust-
worthy, unduplicated
identity numbers based
on biometric and other
data. An immedi-
ate beneft of having
a system such as this in place would allow welfare funds to be placed in
individual accounts rather than be allocated to community ofcials who
take advantage of the situation.
Despite a slow start to the program there have now been more than 110
million UIDs issued. Nilekani expects to get 400m by the years end.
And if that isnt promising think about this: By 2014, the likely date of
the next general election, over half of all Indians could be signed up. If
welfare also starts fowing direct into their accounts, the electoral conse-
quences could be profound.
The program has its potential setbacks- the mandate for the UID author-
ity will expire within weeks-once the 200 millionth resident is signed
up. There are also prominent political fgures who oppose it, such as the
home minister, Palaniappan Chidambaram. However, given its incred-
ible success so far, it doesnt seem likely that one of Indias brightest
initiatives will be held back for long.
i denti ty Cri si s
It may seem like theres yet another natural disaster in
the news each day, but research actually shows they are
no more prevalent now than they were in the past, and
despite all the hype, theyre actually less deadly as well.
What has unquestionably increased, however, is their
cost. Counting the cost of calamities, printed in The
Economist, tells us why.
It turns out that even as protective measures against
natural disasters become more advanced, more people
have been puting themselves in harms way. This is
because a grow-
ing share of the
worlds popula-
tion and econom-
ic activity is being
concentrated in
disaster-prone
places: on tropical
coasts and river
The state will create a contractual obligation to
maintain existing services and benefciary protec-
tions.
Services for individuals residing in State ICF-MR
facilities will continue to be provided outside these
contracts.
KanCare will include of ramps to transition to private
insurance coverage for Kansans currently on Medicaid,
including a COBRA-like option, and health savings
accounts that can be used to pay private-sector health
insurance premiums. These reforms will aid in the tran-
sition from Medicaid to independence while preserving
relationships with providers.
Increasing opportunities to work, particularly for the
more than 2,000 disabled Kansans on Medicaid who
have told SRS they want to fnd employment, is a key
element of reform. An enhanced Medicaid to Work pro-
gram will include collaboration with the Department of
Commerce to match potential workers with employers.
Other elements include:
Reducing disincentives to work by enhancing
Working Healthy and WORK program.
Creating a disability preference for state employ-
ment.
Leveraging state purchasing and incentive policies
to encourage contractors to hire people with dis-
abilities.
Establishing cash incentives for businesses that hire
people with disabilities who are currently receiving
state services.
Increasing awareness of the Use Law.
The Kansas solution includes long-range changes to the
delivery system by aiding the transition away from in-
stitutional care and toward services that can be provided
in individuals homes and communities. Kansas cur-
rently has the sixth highest percentage of seniors living
in nursing homes in the country. Including institutional
and long-term care in person-centered care coordina-
tion means KanCare contractors will take on the risk and
responsibility for ensuring that individuals are receiv-
ing services in the most appropriate seting. Outcome
measures will include lessening reliance on institutional
care. The reforms also include helping nursing facilities
build alternative HCBS capacity.
KanCare will encourage providers to practice at the
highest level of their licensed training, while reducing
isolated, narrowly focused care provision. An example is
engaging pharmacists to actively collaborate in manag-
ing patient education, compliance and self-management,
particularly for patients with medications from multiple
prescribers.
KanCare Medicaid Reforms
continued from page 3
~ It turns out that even
as protective measures
against natural disasters
become more advanced,
more people have been
putting themselves in
harms way.
deltas, near forests and along earthquake fault lines. This creates a cycle:
people move into dangerous areas and more is spent on protecting these
areas, which often degrades natural environmental protections. As cities
encroach on coasts, wetlands and rivers, natural barriers such as mangrove
swamps and sand dunes are obliterated and artifcial ones-dykes and sea
walls-are erected to keep the water out. The result is to put more people
and property in harms way if those barriers fail. Thus, when defenses are
overwhelmed the costs skyrocket.
The Dutch, who have dealt with catastrophic fooding since time immemo-
rial, have mixed impressive technology with natural fxes to prepare for
disasters. Deepened riverbeds, optionally fooded farmland, foating build-
ings and a 10,000-cubic-meter tank built into a car park, big enough to
catch roughly 25 percent of the water from a once-in-a-century food. All
these are measures to prevent the inevitable.
Can it ever be enough? Perhaps well never completely be able to protect
ourselves from the extremes of our environment. What is absolutely es-
sential, however, after the earthquakes, hurricanes and foods, is to have the
wherewithal to rebuild.
~~unDer Water~~
continued on page 14
12
TransitionPlanning
MergersandAcquisitions
PracticeAppraisalsandValuations
BuyerandSellerRepresentation
AssociateSearch
AssistanceinSecuringFinancing
DetailPracticeEvaluation
Over 90 years of Dental Experience
Robert B. Deloian, D.D.S.
303-814-9541
Ty Pechek, D.D.S.
719-821-2237
Ron Charity D.D.S.
913-660-8665
Kyle Francis, M.B.A.
719-459-1021
FeasibilityProformatoDetermine
AssociateorPurchaseBuyIn
PracticeComparisonSurveys
-PracticeManagement
-PracticeMarketing
OperationReviews
www.professionaltransition.com
NAME: Angie
JOB: Dir. Institutional Relations
Angie passes
savings on to you.
We strive for great relationships with doctors and hospitals. In
fact, 98% of Kansas health care providers rely on us to handle
their claims quickly and accurately. And they appreciate the many
patients who carry our card.
Thats why our network providers agree to accept a lower
reimbursement rate for their services. And we pass those savings
on to our members in lower premiums.
Rely on us for the largest provider network and
competitive premiums.
An Independent Licensee of the Blue Cross and Blue Shield Association
Registered mark of the Blue Cross and Blue Shield Association
P.1005
Left - Olathe
pediatric dentist,
Dr. John Fales and
staff show their
Jayhawk pride
Above - When it came to Mardi Gras,
patients at Dr. John McQuillens office
in Wamego just needed to flash a
smile to get beads
Left - Dr. Michael Browning and his
staff were all about the wild hair
when it came to Crazy Hair Day
13
venience store and a place to get gas and they prety much have to travel for
anything else they may want to do.
KMOM Helped Shape a Career Path
Dr. Melissa Kusiak, who works for a community health center in Pitsburg
has participated in eight KMOM projects, but this was her frst as a dentist.
She atended her frst project in high school when she thought she wanted to
be a hygienist.
I came with my mentor dentist and all of her staf and fell in love with it,
Kusiak said. I decided that I actually wanted to be a dentist so I went to
dental school and have come back every year because I love it. I really feel
like Im doing something good.
You can tell that the patients are really in need and dont have another option. They want to be out of pain and to have a beter life
and feel like you are able to help them achieve that.
She says that many people are not aware of the services that are available including the Kansas Mission of Mercy and the community
health clinics.
I think more are becoming aware of them. But many times, people will come to our clinic thinking there is no way they can even
aford our services and we tell them that there are things we can do. They are always very surprised. Many of them dont have insur-
ance or any way of paying for dental care so they just put it of.
Support of the Community and Foundations Across Kansas
Doctors Glenn Hemberger and Lisa Gonzales served as KMOM co-chairs for the project in Kan-
sas City.
It was amazing to see something so huge come together, Gonzales said. We are thankful
for all the support we received from the community. We had phenomenal volunteers and they
never stopped. I just dont know how to say thank you to everyone.
Major support for KMOM KC came from the Kansas Health Foundation, Delta Dental of Kansas
Foundation, the Health Care Foundation of Greater Kansas City, Wyandote Health Foundation,
Assurant Employee Benefts, Kansas City Kansas Community college, Reach Healthcare Foun-
dation, J.E. Dunn Construction, Central Christian Church of Kansas City, Kansas Foundation
and Advanced Biocare.
2013 Event in Wichita
Plans are underway for KMOM 2013. The event will mark the ten year an-
niversary of the KMOM project and the twelfth project overall. The project
will again take place in the Pavilion II at the Kansas Coliseum. The date is
set for March 1-2, 2013.
continued from page 8
KMOM A Success
As their numbers are called, waiting patients proceed to open dental
chairs at the Kansas Mission of Mercy dental clinic in Kansas City
Right - KMOM
patient and JCCC
broadcast journalism
student Marvita Oli-
ver brought a video
camera and talked to
other patients as she
waited for treatment
14
The Kansas Dental Board staf is working to identify cost-saving mea-
sures that are highly efcient and inexpensive to implement. One of these
measures is an electronic newsleter. From this date forward, the Kansas
Dental Board newsleter will only be delivered in electronic format. All of
the newsleters will be posted to the Boards website at www.kansas.gov/
kdb. If you do not receive the newsleter, please check your spam folder
and ensure that a current email address is on fle with the Dental Board.
Reprinted with permission of the Kansas Dental Board, March 2012 issue.
KDB electronic newsletter
select policy highlights
Ensure statewide services by each KanCare con-
tractor so that every eligible Kansan on Medicaid
or the Childrens Health Insurance Program will
have access to comparable services throughout the
state.
Expand provider-based systems such as PACE and
PACE-like programs as a dual enrollment option.
Require the completion of a health risk appraisal to
identify health and service needs in order to de-
velop care coordination and integration plans for
each member.
Require the provision of health homes to members
with complex needs, starting with members who
have a mental illness or diabetes, or both.
Require eforts to improve members health literacy
in order to make efective use of services and to
share responsibility for their health.
Request value-added services, at no additional cost
to the state, to incentivize members to lose weight,
quit smoking, participate in chronic condition man-
agement programs, and other health and wellness
initiatives.
Promote continuity by establishing one-year enroll-
ment lock after the choice period for individuals in
plans.
Require contractors to create member Advisory
Commitees to receive regular feedback and to
have Member Advocates to help members who
have complaints and grievances.
Establish contractual obligation to maintain exist-
ing services and benefciary protections.
Require contractors to work with existing and ad-
ditional provider networks and stakeholders.
Establish signifcant monetary incentives and pen-
alties linked to quality and performance:
3-5% of total payments will be used as performance
incentives to motivate continuous quality improve-
ment.
Additional penalties are associated with low qual-
ity and insufcient reporting.
Measures include prevention, health and social
outcomes.
Minimize conficts across assessment, case manage-
ment and service provision.
Utilize Aging and Disability Resource Centers
(ADRCs) to determine functional eligibility deter-
mination and provide information and assistance
and options counseling.
Solicit innovative solutions to incentivize healthy
continued from page 11
KanCare Medicaid Reforms
When disaster strikes aid typically comes in the form
of law enforcement ofcers, frefghters and medical
personnel. In light of recent crises dentists have proved
themselves integral in subsequent responses, so much
so that their frst-responder services are being expanded
by a new bill. In an article from Mouth titled The new-
est frst responders, Maggie Law writes about the bill
H.R.570 and what it means for those in the dental health
profession.
The Dental Emergency Responder Act of 2011, as it has
become known, amends the Public Health Service Act
and gives dentists the capacity to lend a hand during
Natural disasters or terrorist acts. Especially in the
wake of the Sept. 11 atacks and Hurricane Katrina, it
has become clear that additional help is invaluable, and
that dentists are particularly well equipped to provide
it. For instance, after 9/11 The forensic dental team was
Dentists taKing on larger Crisis-response role
able to successfully identify victims
through dental remains.
In fact, New York City has already
created a program to prepare dental
students to respond in such cases,
called the catastrophe prepared-
ness curriculum. Students learn by
studying previous natural disasters,
watching taped scenarios, and devel-
oping catastrophe response plans for
theoretical dental ofces.
Efective response to public health
emergencies has never been more
important, and as Law states: Add-
ing dentists to the team of frst
responders will bolster the countrys
infrastructure in disaster manage-
ment. So the next time a calamity
occurs, never fear: your dentist is on
the way.
behavior including obesity prevention, smoking cessation, and ben-
efts for annual health screenings.
Implement Medication Therapy Management to engage pharmacists in
a bridging and collaborative role in patient education, compliance and
self-management.
Develop and implement evidence-based guidelines for pharmaceuti-
cals, including behavioral health medications; enhance academic de-
tailing and retrospective reviews.
Strengthen anti-fraud eforts including implementation of the Kansas
Eligibility Enforcement System (KEES).
Use uniform provider credentialing form and timeline to reduce ad-
ministrative burdens on providers.
Set provider reimbursement foor at 100% of fee for service rates inclu-
sive of options for quality and outcomes incentive payments.
Preserve the beneft of existing add-on payments such as the hospital
and nursing home provider assessment, Disproportionate Share Hospi-
tal (DSH), and Graduate Medical Education (GME).
Enforce prompt payment requirements.
Establish a tiered functional eligibility system for the frail and elderly
that restricts access to the highest cost institutional setings only to
those with the highest level of need in order to utilize appropriate al-
ternative home and community based setings.
Incentivize nursing facilities through a focused shared savings pro-
gram to diversify and build alternative HCBS capacity.
Ensure access to mid-levels such as physician assistants and advanced
practice nurses through integrated care model.
Align fnancial incentives for integrated care systems through blended
rates to re-balance and prevent premature nursing facility placement.
The following fve companies submited bids to be KanCare contractors.
WellCare of Kansas Tampa, FL 1.
Sunfower State Health Plan Topeka, KS 2.
United Health Care Minneapolis, MN 3.
Coventry Health Care of Kansas Wichita, KS 4.
Amerigroup Virginia Beach, VA 5.
Delta Dental of Kansas, DentaQuest and Scion Dental have all submited
proposals to provide dental services for Medicaid recipients. The legislature
is considering a bill to delay the implementation of KanCare for six months
to July 1, 2013.
15
AFTCO Transition Consultants - 4
AFTCO Associates (Classified) - 15
Blue Cross Blue Shield - 12
Dynamic Management Solutions (Classified) - 15
Edmonds Dental Lab - 13
Johnston Fiss Insurance - 2
McInnes Group, Inc. - 2
Medical Protective - 9
Modern Methods - 11
Paragon, Inc. - 7
Professional Transition Strategies - 12
Tax Favored Benefits - 16
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PRACTICES FOR SALE: AFTCO ASSOCIATES
We have atractive practice opportunities in following communi-
ties: Wichita (1), Topeka (3), Manhatan (1), Hays (1) and Kansas
City Metro area. For more information visit www.aftco.net. If you
are considering an appraisal, purchase or sale of practice, please
contact Raj Shah at 800-877-7255 or Rshah@aftco.net.
Opportunities Available: Kansas/Missouri-Dentists needed-
Excellent opportunity for highly motivated practitioners. Patients
and a well-trained team are waiting for you. Practice locations in
Independence and Mt. Vernon, Missouri, St. Marys and Wichita,
Kansas. Competitive commission plan plus excellent beneft
package. Contact Robert Hildreth, 785-456-7083; fax 785-456-6520;
e-mail: dynmgmt@wamego.net.
Practices and Equipment for Sale: Kansas/Moundridge-Ofce
for sale or lease. A beautiful, ten year old dental ofce (3,300 sq.
ft.) with six operatories. Located in a growing community about a
half hour North of Wichita. Move in ready. A Must See. Contact
Diane, 785-456-7083; e-mail: dynmgmt@wamego.net.
The Internal Revenue Service (IRS) has published a pro-
posed rule on implementing a 2.3 percent excise tax on
medical devices as required by the Afordable Care Act
(ACA). The proposed rule would apply the tax to dental
devices as defned by the Food and Drug Administra-
tions rules on devices. The ADA had argued that dental
devices should be excluded.
The IRS has noted that it will use the Food and Drug
Administrations defnition of medical device, which
would include x-ray equipment as well as prosthetics.
(The complete list is in the U.S. Code of Federal Regula-
tions.)
Comments on the proposed rule are due no later than
irs preparing to implement medical Device excise tax
01/09/2011
Dr. Dale Dickson
Camdenton, MO
Topeka District
07/08/2011
Dr. Robert D. Smith
Wichita, KS
Wichita District
08/15/2011
Dr. Robert Strack
Medicine Lodge, KS
Southern District
10/14/2011
Dr. Lyle Kimbrough
Topeka, KS
Topeka District
deceased
dentists
This past fall, the Kan-
sas Board of Regents
formed the KBOR
Oral Health Task
Force. The Task Force
is exploring the num-
ber of dentists that will
be needed in Kansas
in the future and the best way(s)
to fll Kansas dentist workforce
needs. Its charge is to study and
make recommendations of im-
provements needed in the delivery
of oral health in Kansas including
the feasibility of a dental school,
placement of a branch campus in
Kansas of an existing dental school
outside of Kansas, securing ad-
ditional slots at neighboring state
dental schools and/or the utiliza-
tion of a scholarship program to
atract and retain dentists in Kan-
sas. The task force is expected to
make a recommendation to the full
Board of Regents in June.
Section 3 of the bill expands the
umbrella that limits the liability for
those dentists and dental hygien-
ists who provide free dental care
in a dental ofce. Currently, the
Charitable Healthcare Provider
Act provides legal immunity to
dentists that provide free care in
setings outside their ofce like
continued from page 5
Oral Health Initiative
a KMOM event, health
clinic, FQHC, etc., but it
has been our understand-
ing that if those same
dentists organize an event
and deliver that care in the
dental ofce, the licensed
persons are not immune.
By removing this barrier,
the KDA believes dentists
and dental hygienists would be more likely to partici-
pate in and/or organize such an event.
Finally, section 4 creates a new category of dental
license for retired dentists. Similar to the exempt
license for Kansas physicians and paterned after an
Oklahoma law, the special volunteer dental license
would be made available to retired dentists who wish
to maintain their license for the purpose of providing
dental care in charitable setings with no remuneration
to them.
This year the KDA is not seeking special legislation
to fund the Donated Dental Services (DDS) program.
After a 2 year absence, the Governor included
$70,000 is his 2013 budget to fund dental lab fees and
administration for the Donated Dental Services (DDS)
Program. The DDS program provides over $500,000 in
free dental services to elderly and disabled Kansans
each year. The Kansas Health Policy Authority cut
funding for the program in 2010. The KDA is work-
ing with the legislature to see that this funding will be
included in the states fnal approved FY 2013 Budget.
The Kansas Legislature took its frst adjournment on
March 31 and is scheduled to return to Topeka on
Wednesday, April 25 to complete its work during its
wrap up or veto session.
May 7 and, undoubtedly, the fnal
rule would be published in time to
meet the ACA requirement that the
tax become efective on Jan. 1, 2013.
The ADA participated in a coalition
of other dental organizations in pro-
viding preliminary comments to the
IRS in March 2011. ADA staf has
begun the review of the proposed
rule and will prepare comments.
The association is also preparing to
testify at an IRS hearing on May 16.
Several bills in the House and Senate
would repeal the tax provision, in-
cluding S. 17, which has 18 cospon-
sors (all Republican) and H.R. 436
with 190 bipartisan cosponsors. The
ADA supports these bills.
After a 2 year absence, the
Governor included $70,000 is
his 2013 budget to fund dental
lab fees and administration for
the Donated Dental Services
(DDS) Program.
16
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preferred
RETIREMENT PLAN PROGRAM
Matthew 1. Kreher`
Timothy 1. Gaigals`, CFP
Tax Favored Benefits, Inc. is a multi-generational, Iull service
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4801 W. 110th Street
Suite 200
Overland Park, KS 66211
(913) 648-5526
(800) 683-3440
Fax (913) 648-6798