Nursing homes and other healthcare facilities must provide or obtain routine and emergency dental services for their residents, and may charge Medicare residents an additional amount for these services. Facilities must also have a policy for determining when the loss or damage of dentures is their responsibility and may not charge residents for such losses or damages. Facilities must also assist residents in making appointments and arranging for transportation to and from the dental services location. Finally, they must promptly refer residents with lost or damaged dentures for dental services within three days, and provide documentation of any extenuating circumstances that led to a delay. This letter will require nursing homes and healthcare facilities to ensure they have policies in place to provide or obtain dental services for their residents, and to promptly refer those with lost or damaged dentures for services. They will also need to arrange for transportation and provide documentation of any delays.

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