Exceptional Needs Dental Services (E.N.D.S.) is a partnership between four Oregon dental care organizations: Capitol Dental Care, Managed Dental Care of Oregon, MultiCare Dental and Willamette Dental. It began in 1995 when the State Medicaid Program, Oregon Health Plan (OHP), introduced adult dental services as a covered benefit. These four dental care organizations developed a model to deliver dental care to patients residing in group/foster homes and long term care facilities. Today E.N.D.S. provides services throughout Western Oregon; from Portland to Medford, including some coastal areas. Routine checkups are arranged for patients in hundreds of different care facilities throughout the region.