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State of California—Health and Human Services Agency
California Department of Public Health

AFL 22-29
December 1, 2022

Skilled Nursing Facilities (SNFs)

Annual Announcement: Online Application Period for Patient Needs Waiver (PNW) and Workforce Shortage Waiver (WSW)

​All Facilities Letter (AFL) Summary

This AFL announces the opening of the application period for SNFs requesting a PNW and WSW for fiscal year 2023-2024.

​This is an annual reminder about the opening of the PNW and WSW application period to comply with existing submission requirements. The application filing period for PNW and WSW is open from January 1, 2023 through April 1, 2023. The online application portal can be found at Risk & Safety Solutions ( (RSS) and will open January 1, 2023. All applications and supporting documentation must be submitted no later than April 1, 2023. The California Department of Public Health (CDPH) will not accept applications or additional information submitted outside of this timeframe. For guidelines on the workforce shortage waiver, refer to AFL 18-16.

After submitting an online waiver application, the provider's designated point of contact will receive an automated confirmation email containing a tracking number. Providers may access RSS at any point to track their application. Refer to the tracking number in any communication regarding the application. For guidelines on registering and using the RSS portal, refer to AFL 22-01.

The list of approved facilities will be posted on the CDPH Centralized Program Flex Unit (CPFU) webpage no later than July 30, 2023.

If there are any questions regarding a submitted application, contact CDPH CPFU via email at and include the tracking number in the email.



Original signed by Cassie Dunham

Cassie Dunham

Deputy Director



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