Photo: Santa Clara Valley Health & Hospital System


The Dental Transformation Initiative (DTI) is a component of the Medi-Cal 2020 waiver that aims to improve dental health for Medi-Cal children. With combined state and federal match, the DTI is worth a total of $750 million.
The DTI includes 4 domains. The first 3 domains are separate incentive programs that provide incentive payments to dental providers for achieving State-defined targets or performing specified activities related to:

  1. increasing the use of preventive dental services for children
  2. preventing and treating more early childhood cavities
  3. increasing continuity of dental care for children

The fourth domain is a local pilot program opportunity.
Domain 1 is statewide, while Domains 2 and 3 will be piloted in counties selected by the Department of Health Care Services (DHCS), with the potential to expand if successful. The Domain 4 local pilots will be awarded via a competitive application process.

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