category dental services

483.55 Dental Services
State	Goes beyond Federal Regulations?	Subjects addressed: How State differs from or expands on Federal Regulations
Alabama	No	State rules echo federal provisions.
Alaska	Yes	Contract with dentist.
Arizona	Yes	Medical Director must ensure dental services
Arkansas	Yes	Advisory Dentist or Dental Services; dentists participate annually in staff development; dentists recommend oral hygiene policies and practices.
California
Colorado	Yes	Dental examination on admission; referral mechanisms through local dental associations.
Connecticut	No	State rules do not address the subject.
Delaware	No
District of Columbia	No	DC regulations do not exceed the federal requirements.
Florida	Yes	NH provides for access to dental services.
Georgia	Yes	Dentist as part of professional staff.
Hawaii	Yes	Dentist of Choice; Staff receive in-service on oral hygiene and denture care.
Idaho	Yes	Advisory Dentist; NH provides referral mechanisms and access to dentists; detailed specification of oral hygiene program.
Illinois	Yes	Oral hygiene education for residents and staff (with detailed direct care staff content; detailed specifications for oral hygiene program; direct treatment services; labeling of dental prostheses and dentures.
Indiana	Yes	Elaboration of definition of Deficiency and Non-compliance in dental section.
Iowa	Yes	Dental Services on request of resident or guardian only; physician informed of resident dental problems; dental notes in medical chart; nursing staff implement dentist recommendations; dentist participate in in-service education.
Kansas	No	State rules do not address the subject.
Kentucky	Yes	Advisory dentist requirement; duties of advisory dentist (e.g., in-service education, policy recommendations, emergency care); nursing staff implement dental recommendations.
Louisiana	No	State rules do not address the subject.
Maine	No	State rules do not address the subject.
Maryland	Yes	Advisory Dentist; duties of Advisory Dentist (e.g. dental policy development; direct in-service education); nursing staff implement dental recommendations.
Massachusetts	Yes	Dental providers of choice; Team approach; Dental exam frequency; Documentation in medical record; Consultant Dentist; Duties of Consultant Dentist (in-service education, policy development); dental hygienist; Care Policies.
Michigan	No	State rules do not address the subject.
Minnesota	Yes	Definition of Routine Dental Services; Examination Frequency; Referral; Emergency Dental Services explicit as to included services and timing required; , Dental records; In-service training on oral hygiene; Dental Consultant and his/her responsibilities (e.g. in-service education, policy advice); On-site Services; Referral list of local dentists.
Mississippi	No	State rules do not address the subject.
Missouri	No	State rules do not address the subject.
Montana	No
Nebraska	Yes	Referral to dentist (conditions requiring referral).
Nevada	No	State rules echo federal provisions.
New Hampshire	No	State rules do not address the subject.
New Jersey	Yes	Mandatory resident dental services detailed; advisory in-house dental services detailed; protocols for prophylactic dental services; Marking of dentures.
New Mexico	Yes	Advisory Dentist and his her duties (e.g., policy development, in-service education)
New York	Yes	Organization (appointing consultant dentist for program and policy development); Dental Care as part of overall team treatment; Admission examination and ongoing examination frequency and nature; System for dental goals (resident preferences included); Dental Records; Marking of dentures.
North Carolina	No	State rules echo federal provisions.
North Dakota	No	State rules do not address the subject.
Ohio	No	State rules do not address the subject.
Oklahoma	Yes	Dental history on admission; Advisory Dentist; Dental referral list; Referral Dentists; Oral Hygiene Procedures; Oral hygiene supplies; Marking of dentures.
Oregon	Yes	Consulting Dentist and duties (including developing written policies and educational programs for oral screening); in-service training frequency and content; physician involvement; documentation in medical record; marking of dentures.
Pennsylvania	Yes	Dentures marked.
Rhode Island	Yes	Dentist of Choice; Referral list of local dentists.
South Carolina	Yes	Oral Assessment within 2 weeks of admission; Oral assessment in medical record; Referral list of dental providers; Dentist of Choice Encouraged
South Dakota	No	State rules do not address the subject.
Tennessee	Yes	Medical director to ensure dental services; dental policies and procedures provided to attending physicians.
Texas	Yes	Preferred dental provider ascertained; annual offer to residents to help arrange dental services; provider lists; emergency services (explicit list of services included as emergency dentistry and reimbursed by Medicaid, and excluded services); reimbursement and claim rules.
Utah	Yes	In-service education; referral service.
Vermont	No	State rules echo federal provisions.
Virginia	Yes	Consulting Dentist to assist with oral hygiene policies and practices.
Washington	No	State rules do not address the subject.
West Virginia	Yes	Routine dental services defined; Annual examination.
Wisconsin	Yes	Advisory Dentist and his/her duties (staff development & policies & practices); each resident has an attending dentist; examination frequency.
Wyoming	Yes	Advisory Dentist; dental in-service education with written records of in-services; nursing participation in oral care; dental records components and inclusion in medical record.