State Fluoride Varnish Training Resources
Twenty eight state Medicaid programs are now reimbursing primary care clinicians for applying fluoride varnish to young children's teeth. The following materials are designed to assist clinicians who intend to offer this service through their practice. Click on the blue links to download materials.
Fluoride Varnish Implementation Manual
Varnish Manual
This document provides a how to guide to implementing a varnish program including practice organization, materials, application, documentation, and billing. The information provided is generic and not specific to any particular state program.
State Specific Varnish Program Information
Connecticut
Kentucky
Massachusetts
South Carolina
Washington
Each document provides state-specific information on the details of the varnish program, mandated training and documentation, coding, billing, reimbursement, and contacts.
Varnish Training PowerPoint
Varnish Training PowerPoint
This presentation provides primary care clinicians with the necessary theoretical and practical information to begin applying varnish, including a brief review of ECC, risk assessment, fluoride varnish, application technique, and safety. Completing this module is required for reimbursement in many states.
After clicking on the blue link above a dialogue box will open giving you the choice to "open," "save," or "cancel." Choose the "save" option and save the file to your computer. Then open the file from your computer by double clicking on it. All PowerPoint files are encrypted to prevent alteration of content. After double clicking on the file icon a dialogue box will open. The upper portion of the box asks for a password which you should ignore. The lower portion of the box offers three choices: "OK," "cancel," and "read only." Select "read only." The file will now open and can be viewed or saved. If you have any difficulty with this process please do not hesitate to contact Drs. Douglass or Maier at the email addresses listed on the "Contact Us" webpage.
Varnish Application Video
Varnish Video
This video illustrates the application of fluoride varnish in a toddler. It must be viewed in conjunction with the Powerpoint training module.
Post-Training Assessment
Post-Test
This brief written test will assess your knowledge after completing training.
Patient Education Poster
Varnish Poster
This poster is suitable for display in waiting or examination rooms.
Continuing Medical Education Credit
The Module 6 fluoride vanish training activity has been reviewed and is acceptable for up to 2.5 prescribed credits by the American Academy of Family Physicians. Of these credits, 1 conforms to the AAFP criteria for evidence-based CME clinical content. CME credit has been increased to reflect 2 for 1 credit for only the EB CME portion. AAFP accreditation begins March 9, 2009. The term of approval is for two years from this date, with option for yearly renewal. When reporting AAFP credit, report total prescribed credit for this activity. It is not necessary to label credit as evidence-based CME for reporting purposes.
The EB CME credit awarded for this activity was based on practice recommendations that were the most current with the strongest level of evidence available at the time this activity was approved. Since clinical research is ongoing, AAFP recommends that learners verify sources and review these and other recommendations prior to implementation into practice.
Certification of Completion of Training
To receive written certification of completion of training (required in many states to receive reimbursement) email your completed post-test to hughsilk@yahoo.com or fax it to (508) 334-8835.
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