Children enrolled in Medicaid are individually entitled under the law to comprehensive preventive and restorative dental services, but dental care utilization for this population is low. The reasons for low use are many, but a lack of dental providers who participate in Medicaid is a key factor.<ref>{{cite web|url=httphttps://www.cdhphealthinsurance.org/systemfaqs/filesto-what-degree-does-medicaid-provide-adult-dental-coverage/TrendNotesOctober2009.pdf|title=CDHP.org|website=cdhp.org|access-date=FebruaryTo 10,what 2011|archive-url=https://web.archive.org/web/20110725151252/http://www.cdhp.org/system/files/TrendNotesOctober2009.pdf|archive-date=Julydegree 25,does 2011|url-status=dead}}{{fullMedicaid citationprovide needed|date=Apriladult 2019}}{{deaddental linkcoverage?|website=healthinsurance.org|date=April24 May 20192022}}</ref><ref>U.S. General Accounting Office. Factors Contributing to Low Use of Dental Services by Low-Income Populations. Washington, DC: U.S. General Accounting Office. 2000.</ref> Few dentists participate in Medicaid – less than half of all active private dentists in some areas.<ref>Gehshan S, Hauck P, and Scales J. Increasing dentists' participation in Medicaid and SCHIP. Washington, DC: National Conference of State Legislatures. 2001. [http://ecom.ncsl.org/bookstore/productdetail.htm?prodid=0168000002&catsel=xhlt%3BHealth Ecom.ncsl.org]{{dead link|date=April 2019}}</ref> Cited reasons for not participating are low reimbursement rates, complex forms and burdensome administrative requirements.<ref>Edelstein B. Barriers to Medicaid Dental Care. Washington, DC: Children's Dental Health Project. 2000. [http://www.cdhp.org/resource/barriers_medicaid_dental_care CDHP.org]</ref><ref>Krol D and Wolf JC. Physicians and dentists attitudes toward Medicaid and Medicaid patients: review of the literature. Columbia University. 2009.</ref> In Washington state, a program called Access to Baby and Child Dentistry (ABCD) has helped increase access to dental services by providing dentists higher reimbursements for oral health education and preventive and restorative services for children.<ref>{{cite web|url=https://innovations.ahrq.gov/profiles/medicaid-reimbursement-and-training-enable-primary-care-providers-deliver-preventive-dental|title=Comprehensive Statewide Program Combines Training and Higher Reimbursement for Providers With Outreach and Education for Families, Enhancing Access to Dental Care for Low-Income Children|date=February 27, 2013|publisher=Agency for Healthcare Research and Quality|access-date=May 13, 2013}}</ref><ref>{{cite web|url=https://innovations.ahrq.gov/profiles/comprehensive-statewide-program-combines-training-and-higher-reimbursement-providers|title=Medicaid Reimbursement and Training Enable Primary Care Providers to Deliver Preventive Dental Care at Well-Child Visits, Enhancing Access for Low-Income Children|date=July 17, 2013|publisher=Agency for Healthcare Research and Quality|access-date=August 1, 2013}}</ref> After the passing of the [[Affordable Care Act]], many [[dentistry|dental]] practices began using [[Dental Service Organizations|dental service organizations]] to provide business management and support, allowing practices to minimize costs and pass the saving on to patients currently without adequate dental care.<ref>{{cite web|url=http://theadso.org/about-adso/dso-industry/|title=About DSOs|publisher=Association of Dental Support Organizations|access-date=March 24, 2016|archive-url=https://web.archive.org/web/20160315190004/http://theadso.org/about-adso/dso-industry/|archive-date=March 15, 2016|url-status=dead}}</ref><ref name="pacific">{{cite web|url=https://www.pacificresearch.org/fileadmin/documents/Studies/PDFs/DSOFinal.pdf|title=Benefits Created by Dental Service Organizations|last1=Winegarden|first1=Wayne|publisher=Pacific Research Institute|archive-url=https://web.archive.org/web/20160307070831/https://www.pacificresearch.org/fileadmin/documents/Studies/PDFs/DSOFinal.pdf|archive-date=March 7, 2016|url-status=dead|df=mdy-all}}</ref>
