Access to Baby & Child Dentistry (ABCD) Program

Oral Health

Any child under age 6 who has Apple Health (Medicaid) benefits is eligible for the ABCD program.


Spokane Regional Health District (SRHD) program staff help eligible kids access ABCD-certified dentists by providing case management and technical assistance.

If a child has Apple Health (Medicaid), he/she is eligible to receive the following through ABCD:

  • Fluoride varnish applications
  • Dental examinations
  • Parent education sessions
  • Restorative care as needed

Children who participate in the ABCD program are more likely to have their first dental visit before age 2 and receive care before oral health problems arise. They also have the opportunity to receive dental care from one of more than 100 ABCD-certified dentists in Spokane County.

The goal of ABCD is to reduce the extent of disparities in dental health for Spokane’s young children by decreasing dental disease rates with early access to preventative dental care. ABCD emphasizes early intervention, prevention, education and comprehensive care.

Resources for ABCD Families

Children enrolled in ABCD program


Of parents reported that their child had visited a dentist at least yearly.

About the ABCD Program

The ABCD program at Spokane Regional Health District is funded by the Washington State Health Care Authority and ARCORA Foundation.

Children under age 6 using Washington state’s Apple Health/Provider One medical coverage are eligible for the ABCD program.

For additional information, see state-wide website.

First Dental Visit

First Dental Visit

Baby teeth are an important part of child development. Baby teeth are needed for transitioning to solid foods and adopting healthy eating habits and are important for pronunciation and language development. They also maintain space for permanent teeth and help with a positive self-image. American Dental Association (ADA) recommends children see a dentist by first tooth or first birthday.

The Basics of Baby Dental Care

Learn how to make sure your baby has good dental health!

Women, Infants & Children (WIC) Nutrition Program
Women, Infants & Children (WIC) Nutrition Program

WIC has an extraordinary record of preventing children’s health problems and improving growth and development. Locally, the health district supports this vision by offering WIC services in several convenient locations.

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Nurse-Family Partnership
Nurse-Family Partnership

Free program for women who are pregnant with their first baby. Enrolled moms are connected to a registered nurse who provides the support, advice and information needed to have a healthy pregnancy and be a great mom.

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Early Support for Infants and Toddlers (ESIT)
Early Support for Infants and Toddlers (ESIT)

Early support for infants and toddlers who have disabilities or developmental delays. Families who have concerns about their child’s development can contact the program to receive assistance and information.

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