Send us a review. In this episode, we are joined by VDA Member, Dr. Zachary Hairston, who serves as the Dental Consultant for Virginia's Cardinal Care Smiles Dental Program, and Justin Gist, Dental Program Manager at the Virginia Department of Medicaid Assistance Services. They discuss the 20-year evolution of Virginia's Medicaid dental services, from its initial focus on pediatric care to the recent inclusion of pregnant members and adult comprehensive dental benefits. The conversation covers the impact of these changes, the challenges faced by providers, and the initiatives undertaken to ease those challenges, including fee adjustments, administrative streamlining, and the importance of patient education. They also emphasize the vital role of the Dental Advisory Committee in shaping the program and the need for ongoing advocacy and participation from dental professionals to ensure the program's continued success. HOST: Paul Logan: Paul is the Director of Strategic Initiatives/Innovations at the Virginia Dental Association. He focuses on member advocacy, developing resources for dental students and early-career dentists, and working with a broad array of stakeholders to address and elevate Virginia’s dental workforce needs. GUEST(S): Dr. Zachary Hairston: Dr. Zachary Hairston has over 40 years of experience as a dentist, beginning his clinical practice in Danville, Virginia. He graduated from the Virginia Commonwealth University (VCU) School of Dentistry in 1983 and received further study from the United States Dental Institute and Gerety Orthodontics. Since 2015, Dr. Hairston has served as the Dental Consultant with the Virginia Department of Medical Assistance Services (DMAS) Medicaid Smiles for Children (SFC) program. In this capacity, Dr. Hairston oversees all clinical aspects of the SFC program, which now includes comprehensive dental care for adults. Dr. Hairston also serves as the VDA Dental Medicaid Benefits Liaison. Justin Gist: Justin serves as the Dental Program Manager for Virginia’s Medicaid dental program, Cardinal Care Smiles, where he leads contract management, policy development, and oversight of the state’s dental benefits administrator. In this role, he works closely with providers, community partners, and state leaders to strengthen network adequacy, expand access to care, and ensure compliance with federal and state standards. Justin is deeply committed to workforce development, innovative strategies to reach underserved populations, and building sustainable provider participation across Virginia. He played a central role in advancing comprehensive Medicaid dental benefits, extending coverage from children to pregnant individuals and adults. Justin holds a bachelor’s degree from Virginia Commonwealth University and a master’s degree from Barry University, bringing a strong foundation in leadership and health program administration to his work. MENTIONED IN THIS EPISODE: VDA Dental Medicaid Benefits Liaison: https://www.vadental.org/vda-dental-medicaid-benefits-liaison EPISODE CREDITS: Producer/Host: Paul Logan Guest(s): Dr. Zachary Hairston and Justin Gist Post-Prod Subscribe, share, and send your feedback and topic ideas to thefulcrumpodcast@vadental.org. The information, opinions, and recommendations presented in this Podcast are for general information only, and any reliance on the information provided in this Podcast is done at your own risk. This Podcast should not be considered professional, medical, or legal advice. Music in this episode from Epidemic Sound
