MIPS eligible clinicians that practice primary care will include an oral health risk assessment and intraoral screening as part of a patient's primary care management. The MIPS eligible clinician will provide education and counseling to the patient to include the importance of oral health and the impact of oral health on systemic diseases. For patients without a dental home and/or those with oral health needs, a dental referral will be provided. To receive credit for this activity, a MIPS eligible clinician must complete two Smiles for Life (https://www.smilesforlifeoralhealth.org) trainings: (“The Oral Examination” and “Geriatric Oral Health”). These are one-time, free, online training 60-minute certification courses. Smiles for Life oral health education has been adopted by Medicaid in several states to improve oral health access, outcomes, and referrals for children through educating medical providers. The MIPS eligible clinician must include one or more of the following activities in addition to completing the training: • Create a dental referral network list by specialty and accepted insurances. • Include applicable oral health screening questions in the patient health intake forms (dentist of record, date of the last dental exam, and personal oral hygiene routine). • Identify an applicable caries risk assessment tool to be used. • Include intraoral health screening and referral to dental provider as part of a patient's primary care management. • Provide education and counseling to patients about the importance of oral health and impact on systemic disease. • Refer patients without a dental home and/or those who have untreated dental disease indicated by health history, caries risk assessment, Intraoral health screening, medications and/or concerns reported by patient. • Include a description of the findings found in all dental referrals. o Documents with appropriate procedure and diagnostic codes to track services provided and referrals to validate performance of the improvement activity.