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MISSION STATEMENT OF THE INDIANA DENTAL HYGIENISTS’ ASSOCIATION

To improve the public’s health, the mission of the Indiana Dental Hygienists’ Association is to advance
the art and science of dental hygiene by ensuring access to quality oral health care, increasing awareness of

the cost-effective benefits of prevention, promoting the highest standards of dental hygiene education,
licensure, practice and research, and representing and promoting the interests of dental hygienists.

Your Association...In Action

Direct Access has Arrived!

ITS A GREAT DAY TO BE A HYGIENIST!

It's official.  HB 1116 is law. 

 

As of July 1, 2018, dental hygienists in Indiana can enter into access practice agreements with an Indiana licensed dentist.  This allows patients to have direct access to a dental hygienist without prior authorization from a dentist. Thanks to the amazing hard work of your IDHA Leadership, this bill proudly passed through the Indiana House of Representatives and Senate with no votes of dissent.  The bill was signed by Governor Holcomb on June 4, 2018.

Access Practice Agreements

Still have questions about Access Practice Agreements?

Additional Information is Coming Soon!

Direct Access refers to the ability of a dental hygienist to initiate treatment based on their assessment of a patient’s needs, without the specific authorization of a dentist, treat the patient without the presence of a dentist, and maintain a provider-patient relationship.

It is the position of the ADHA that oral health care—a fundamental component of total health care—is the right of all people.

Lack of access to oral health care is a critical issue in the United States due to disparities in the health care delivery system.

What is Direct Access?

This bill allows dental hygienists to enter into direct patient care without prior authorization (examination) by a dentist.

 

The DDS and DH will have to enter into a contract (that will be available from IDA and IDHA) and utilize consent forms (templates will also be available from IDA and IDHA) to help with patient acknowledgement and possibly compliance.

 

The bill is intended for preventive therapies (others can be completed in the setting WITH authorization by a DDS) and will require electronic charting to be considered. 

 

You can find the legislation here: https://iga.in.gov/legislative/2018/bills/house/1116#document-480ed602

What does HB 1116 actually allow a dental hygienist to do?

An Access Practice Agreement is a contract between a dentist, dental hygienist, and a facility that allows a dental hygienist to enter into direct access in Indiana. 

 

An Access Practice Dentist (APD) is a DDS with an Indiana license that has entered into an APA with a dental hygienist. 

 

As Access Practice Dental Hygienist (APDH) is a DH with an Indiana license that has entered into an APA with a dentist.

What is an Access Practice Agreement (APA)?

No.  

Direct access in Indiana is in no way/shape/form dental hygiene independent practice.

The APDH cannot work under an APA setting without entering into a contract with a APD.  These contracts require the APD to be located in a proximal county in which the DH will be working (as an example: the contract is signed in Elkhart Co. - the APDH cannot go to Hamilton Co. and provide services under the contract because Elkhart Co. and Hamilton Co. are not adjacent counties).

 

In addition, all billing is completed through the DDS. This legislation does not authorize direct reimbursement for an APDH.
 

Is an APA the same as independent practice? 

Access Practice Agreement

Sample Contract

Access Practice Agreement

Sample Consent Form

Frequently Asked Questions Regarding Access Practice Agreements

Useful Links for Hygienists interested in APAs