People with developmental disabilities have multiple risk factors that lead to the development of dental disease and unfortunately, they have come to accept that adequate dental care is not offered through Medicare and Medicaid. This session will describe an approach to oral health services that addresses insurance reimbursement, education of community providers, supports for teaching preventive strategies and collaboration among advocates and public officials. As a Result of this session participants will be able to: 1. Describe the factors that contribute to poor oral health among people with developmental disabilities. 2. Analyze some Medicaid reimbursement strategies and discuss how they impact oral health care. 3. List the components of comprehensive oral health care. 4. List strategies that can be used to advocate for better Medicaid reimbursement. 5. List partners in your state/community to join your advocacy efforts.