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Docusign Envelope lD: 1 D7E1 DA7-4976'488D-9EF0-BEDF9FE584EB <br />Example: Provide Direct Access <br />Support for Families <br />Example: lmplement a Refenal <br />Tracking and Follow-Up System <br />Example: Reduce logistical <br />baniers that prevent families from <br />completing referrals. <br />Example: Create a sysfem fo <br />monitor refenals and increase <br />completed dental visits. <br />Assr'sf with ap pointm ent sched u I i n g <br />atthe time of refenal. <br />Provide Medicaid enrollment or <br />in surance navigation support. <br />Share tran sportation resources <br />a n d co m m unify asslsfance <br />programs. <br />Coordinate on-slfe screening or <br />mobile dentalvisits when feasible <br />a Develop a secure referral <br />tracking log. <br />E stabl i sh fol low- u p ti mel i ne s <br />(e.9., 3hday stafus checks). <br />Coo rdi n ate re m i n de r cal I s/texts <br />with families. <br />Track referral completion rates <br />and identify baniers to care. <br />a <br />o <br />Number of families receiving <br />appointment schedu ling <br />assisfance. <br />Number of families receiving <br />i n s u ran ce/n avig ation s u ppo rt. <br />Percentage of suppofted families <br />who complete a dentalvisit. <br />Target example: Provide direct <br />access support to at least 150 <br />families annually, with 60% <br />a dentalvisit <br />. Number of refenals submitted. Percentage of refenals <br />resulting in completed dental <br />visits within 90 days.. Reduction in lost-to-follow-up <br />rate. <br />HCA Contract No. K7461-2 Page 10 of 14