SIGNED FINAL 5-15-23_ Seal-A-Smile MOU SIGNED BY Brent

Sauk County Health Department Seal-A-Smile
Memorandum
of Understanding

PUBLIC HEALTH SAUK COUNTY
WISCONSIN
Together we thrive

Children's
Health
Alliance
ofWisconsin

Seal-A-Smile

The School District of Baraboo and the Sauk County Health Department intend by this agreement to 
set forth the mutual goals, objectives, and scope of the Seal-A-Smile preventative dental health 
program for the duration of the 2023-2024 school year term. The Sauk County Seal-A-Smile also 
provides services as Sauk County Dental Crew. The parties agree as follows:

DEFINITIONS
SCHD: Sauk County Health Department SAS: Seal-A-Smile

SDOB: School District of Baraboo RDH: Registered Dental Hygienist

MISSION
SAS is a collaborative effort between the Children's Health Alliance of Wisconsin, Wisconsin 
Department of Health Services, and Delta Dental of Wisconsin. The program's mission is to improve 
the oral health of Wisconsin children by providing dental sealants. The SAS program seeks to 
provide oral health education, preventative care, and referrals that sustain life-long oral health 
and well-being.

ELIGIBLE STUDENTS
Dental disease is commonly found in individuals who are economically disadvantaged as they tend to 
have reduced access to dental care. To ensure that all students are provided the opportunity to 
access dental care, it is most effective to offer these services to all students, regardless of 
income and/or insurance status. Furthermore, providing sealants only to children on the free and 
reduced meal program or to those on Medicaid can be viewed as stigmatizing and is therefore 
unacceptable in many schools.

Therefore, all students, regardless of financial means or insurance coverage, are invited to 
participate in the SCHD SAS program. SAS's services will be provided to all students who have an 
updated, completed parental consent form. No family or individual will be billed for services 
rendered by SAS.
To ensure equal access and prevent stigmatizing children, SAS programs may not single out children 
on Medicaid or that participate in the school's Free and Reduced Meal Program or charge fees for 
services rendered. Once a school is selected to receive school-based sealant program services, all 
children MUST have the ability to participate in the program and receive the same services 
regardless of insurance type or access to insurance. SAS grant funding is used to cover costs