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Licensing and certification Program

All Facilities Letters - 2021

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All Facilities Letters are listed in ascending order by release date, with updated AFLs listed directly after their original version.

​Bulletin Number​Facility Type Affected​Subject​Release Date
AFL 21-01​Skilled Nursing Facilities​Annual Announcement: Online Application Period for Patient Needs Waiver (PNW) and Workforce Shortage Waiver (WSW) 01/11/2021
​AFL 21-02​General Acute Care Hospitals​Residential Alternate Care Site (R-ACS) Option to Increase Bed Capacity Due to Anticipated Surge in Coronavirus Disease 2019 (COVID-19)​01/12/2021
AFL 21-03​Primary Care Clinics (PCCs),
Adult Day Health Centers (ADHCs),
Home Health Agencies (HHAs)
​Implementation of Assembly Bill (AB) 1128 – Program of All-Inclusive Care for the Elderly (PACE): Facility Licensing Exemption​01/12/2021
AFL 21-04

General Acute Care Hospitals,
Acute Psychiatric Hospitals

​AB 2037 - Updated Notice Timelines for Hospital Closure, Reduction or Elimination of Emergency Medical Service, and Relocation or Elimination of Supplemental Services​01/13/2021
AFL 21-05​Skilled Nursing Facilities ​Process for Fit-testing Resource Requests​01/13/2021
​AFL 21-06​Skilled Nursing Facilities (SNF),
Intermediate Care Facilities (ICF)
​Survey on the Use of Interdisciplinary Teams (IDT) for Unrepresented Residents​01/20/2021
AFL 21-07​Skilled Nursing Facilities,
General Acute Care Hospitals
​ Maintain Efforts to Increase Staffing Levels ​01/24/2021
AFL 21-08.3
(Supersedes AFL 21-08.2)
​General Acute Care Hospitals,
Acute Psychiatric Hospitals,
Skilled Nursing Facilities
​Guidance on Quarantine for Health Care Personnel (HCP) Exposed to SARS-CoV-2​06/28/2021
​AFL 21-09
(Rescinded)
​General Acute Care Hospitals
​Additional Temporary Waivers Tied to the Hospital Surge Public Health Order
02/01/2021
​AFL 21-10
​All Facilities
​Change to Health Care Facility License Issuance
​02/22/2021
​AFL 21-11
​Skilled Nursing Facilities (SNFs)
​Guidelines for 3.5 Direct Care Service Hours Per Patient Day (DHPPD) Staffing Audits
​03/17/2021
​AFL 21-12
​General Acute Care Hospitals
​Temporary Waiver of Practitioner’s Order for Administration of the Coronavirus Disease 2019 (COVID-19) Vaccine
​04/16/2021
​AFL 21-13 
​Skilled Nursing Facilities (SNFs)
​Personal Protective Equipment (PPE) Push Pack Distribution
​04/30/2021
AFL 21-14
​Intermediate Care Facilities/Developmentally Disabled (ICF/DD), Intermediate Care Facilities/Developmentally Disabled – Habilitative (ICF/DD-H), Intermediate Care Facilities/Developmentally Disabled – Nursing (ICF/DD-N), Intermediate Care Facilities/Developmentally Disabled – Continuous Nursing (ICF/DD-CN)
​Visitation Guidance for ICF/DD-H-N-CN Facilities During the Coronavirus Disease-2019 (COVID-19) Pandemic
​05/13/2021
​AFL 21-15
​All Facilities
​Request for 30-day Sustainment Supply of the State’s Personal Protective Equipment (PPE) Inventory
​05/13/2021
​AFL 21-16
​All Facilities
​Hot Summer Weather Advisory
​05/28/2021
​AFL 21-17
​Skilled Nursing Facilities
​Expiration of Concentra Contract for Fit-Testing
Services
​06/03/2021
AFL 21-18
General Acute Care Hospitals (GACH)

​GACH Reporting Requirements of Specified Health-Associated Infections (HAI) 
​06/08/2021
AFL 21-19
​Skilled Nursing Facilities
Nursing Facilities
​Annual Notice of Grant Opportunity to Benefit Nursing Facility Residents and Update to Application Requirements
​06/08/2021
AFL 21-20
​General Acute Care Hospitals (GACHs)
Acute Psychiatric Hospitals (APHs)
​Coronavirus Disease 2019 (COVID-19) Vaccine Recommendations for Eligible Individuals Prior to Discharge
​06/09/2021
AFL 21-21 
​All Facilities
​Regulatory Update for Medical Information Breach Administrative Penalties and Reporting Requirements
​07/02/2021
AFL 21-22 - NEW
​All Facilities
​Fiscal Year (FY) 2021-22 Health Care Facility License Fee Schedule
​07/20/2021
​AFL 21-23 - NEW
​Skilled Nursing Facilities (SNF)
Nursing Facilities (NF)
Swing Bed Hospitals
​Ending of the Emergency Blanket Waiver of Minimum Data Set (MDS) Timeframe Requirements
​07/22/2021
​AFL 21-24 
(Rescinded)
​General Acute Care Hospitals
Acute Psychiatric Hospitals
​Call for Specimens from Hospitalized Coronavirus Disease 2019 (COVID-19) Patients
​07/22/2021
AFL 21-25 - NEW
​General Acute Care Hospitals
​Weekly Reporting Related to Patient Discharges with Coronavirus Disease 2019 (COVID-19) 
​07/23/2021
​AFL 21-26 - NEW
Adult Day Health Center, Congregate Living Health Facility, Intermediate Care Facility, Intermediate Care Facility/Developmentally Disabled, Intermediate Care Facility/Developmentally Disabled-Continuous Nursing, Intermediate Care Facility/Developmentally Disabled-Habilitative, Intermediate Care Facility/Developmentally Disabled-Nursing, Nursing Facility, Skilled Nursing Facility
​Mandated Reporting Requirements of Potential Abuse, Neglect, Exploitation, or Mistreatment of Elders or Dependent Adults
​07/26/2021
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