Or. Admin. R. 333-028-0320 - Local School Dental Sealant Programs: Certification Requirements

To be certified, a Local SDSP must meet all requirements for certification. During a declared state of emergency or public health emergency, the Program may, in writing, waive certification requirements.

(1) To apply for certification, a Local SDSP must be an entity outside of the Authority that has the infrastructure to operate a program that provides dental sealants in a school setting. If the Local SDSP applicant is a business entity, then it must be registered with the Oregon Secretary of State.
(2) A Local SDSP must have a written policy to coordinate with schools, school districts, or public charter schools to facilitate background checks of Local SDSP staff as required by school policy as described in ORS 326.607.
(3) A representative responsible for coordinating and implementing the Local SDSP must attend a one-time certification training provided by the Program prior to applying for certification. If the Local SDSP experiences personnel changes that impact the representative responsible for coordinating and implementing the Local SDSP, then a new representative must attend the one-time certification training before applying for recertification. Any templates or materials provided by the Program during the certification training that are modified or used by the Local SDSP must acknowledge the Program on such templates or materials.
(4) A Local SDSP must provide an annual clinical training to all of the Local SDSP's providers rendering care within their scope of practice in a school setting. This requirement may be met by one of these methods:
(a) A Local SDSP develops and implements its own training.
(b) A Local SDSP sends their providers to an annual training provided by the Program. The Program will include application techniques for resin-based and glass ionomer sealants.
(5) When multiple Local SDSPs request to serve the same school, the Program will determine which Local SDSP will provide the services. The Program will consult with applicable Local SDSPs, CCOs and schools involved. This collaboration will ensure access and minimize the duplication of services. The consultation will include topics such as, but not limited to:
(a) Certification status of each Local SDSP;
(b) Staffing capacity of each Local SDSP;
(c) Capacity of each Local SDSP to serve additional grade levels or provide more oral health services;
(d) Ability of each Local SDSP to provide students with referrals for further dental treatment; and
(e) Existing relationships with schools.
(6) A Local SDSP must ensure Medicaid encounters for dental sealants are entered into the Medicaid system. The Program shall provide Local SDSPs with a CCO contact list.
(7) A Local SDSP shall first provide services at elementary and middle schools where:
(a) 40 percent or greater of all students attending the school are eligible to receive assistance under the United States Department of Agriculture's National School Lunch Program (NSLP); or
(b) The school has been approved for the Community Eligibility Program (CEP); or
(c) The school is located in a dental care health professional shortage area (HPSA).
(8) A Local SDSP must offer, at a minimum, dental sealant services to all students regardless of insurance status or ability to pay as follows:
(a) For elementary school, students in first and second grades or second and third grades.
(b) For middle school, students in sixth and seventh grades or seventh and eighth grades.
(9) Local SDSPs must comply with all applicable federal and state antidiscrimination laws and rules.
(10) A Local SDSP must develop and implement a plan to increase parental/guardian permission return rates to receive dental sealant services.
(11) A Local SDSP must adhere to these standards for school dental sealant programs:
(a) Dental sealant services must be primarily provided on school grounds during normal course instruction hours;
(b) A medical history is required on the parent/guardian permission form;
(c) Use the four-handed technique to apply sealants in elementary schools. The second provider does not need to be a dental professional. Volunteers and non-dental professionals must receive training and be proficient in IPC guidelines, equipment operation, confidentially and security guidelines, all aspects of providing dental sealants in a school setting, and internal policies and procedures;
(d) Use the two-handed technique using an Isolite or equivalent Program approved device or the four-handed technique to apply sealants in middle and high schools when providing non-AGH;
(e) Apply resin-based or glass ionomer sealants according to manufacturer guidelines; and
(f) Use compressor and suction capabilities at all times except in rare situations as determined by the provider's professional judgment or as required during a declared state of emergency or public health emergency.
(12) A Local SDSP must comply with all scope of practice laws as determined by the Oregon Board of Dentistry.
(13) A Local SDSP must comply with Oregon Board of Dentistry oral health screening guidelines for screening and reporting results to parents/guardians.
(14) A Local SDSP must comply with IPC guidelines established in OAR 818-012-0040 and by Oregon OSHA and the CDC. The Program will provide Local SDSPs with a guidance document.
(15) A Local SDSP must comply with HIPAA and FERPA requirements.
(16) A Local SDSP must respect classroom time and limit demands on school staff. Services must be delivered efficiently to ensure a student's time out of the classroom is minimal.
(17) A Local SDSP must conduct retention checks, from one school year to the next school year, for quality assurance and meet the national benchmark of 80 percent or higher. If a Local SDSP does not meet the benchmark, then the Local SDSP must develop and implement a plan to increase its annual retention rates. The plan must be submitted to the Program. During a declared state of emergency or public health emergency, the Program may waive retention checks and reporting.
(18) A Local SDSP must submit a data report to the Program annually. The information required to be included in such data report will be defined by the Program. Aggregate-level data will be required for each school.
(19) A Local SDSP must include the certification logo provided by the Program on all parent/guardian permission forms and written communication to schools or provide schools with a letter provided by the Program indicating the Local SDSP is certified.


Or. Admin. R. 333-028-0320
PH 2-2016, f. & cert. ef. 1/29/2016; PH 32-2016, f. & cert. ef. 11/18/2016; PH 3-2018, amend filed 01/16/2018, effective 1/16/2018; PH 45-2021, temporary amend filed 09/03/2021, effective 9/3/2021 through 3/1/2022; PH 8-2022, amend filed 01/28/2022, effective 1/28/2022

Statutory/Other Authority: ORS 431A.725

Statutes/Other Implemented: ORS 431A.725

The Program guidance document referenced in section (14) of this rule will be located at this website: www.healthoregon.org/sealantcert.

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