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All Facilities Letters - 2022

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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 NumberFacility Type AffectedSubjectRelease Date
AFL 22-01
All Facilities
Centralization of Program Flexibility Application Process
01/07/2022
​AFL 22-02
​​Skilled Nursing Facilities
​Notice of Testing Supply Availability and Distribution Process 
​​01/14/2022
​AFL 22-03 
General Acute Care Hospitals (GACHs)

Assembly Bill (AB) 1407 – Nurses: Implicit Bias Courses
​01/26/2022
​AFL 22-04 
​General Acute Care Hospitals (GACH)
Special Hospitals (SH)
Skilled Nursing Facilities (SNF)
Congregate Living Health Facilities (CHLF)
Hospice Facilities (HOFA)
​Senate Bill (SB) 311 – Compassionate Access to Medical Cannabis Act
01/26/2022​
​AFL 22-05
​Hospices
​Senate Bill (SB) 353 – Extension of Palliative Cw
​01/26/2022
​AFL 22-06
​Skilled Nursing Facilities (SNF)
​Annual Announcement: Online Application Period for Patient Needs Waiver (PNW) and Workforce Shortage Waiver (WSW)
​01/26/2022
​AFL 22-07.2 
(Obsolete)
​Skilled Nursing Facilities
​Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs)
​01/23/2023
​AFL 22-08
(Superseded - See AFL 23-19)
​Skilled Nursing Facilities
​Appeal Procedures for Direct Care Service Hours Per Patient Day Penalties
​02/07/2022
​AFL 22-09.1 - NEW
(Supersedes AFL 22-09)
​All Facilities
​Coronavirus Disease 2019 (COVID-19) Vaccine and Booster Recommendations for Clinically Eligible Individuals 
​06/14/2023
​AFL 22-10 
​All Facilities
​Guidance for Contrast Media Shortage
​05/16/2022
​AFL 22-11.1 
(Supersedes AFL 22-11)
​General Acute Care Hospitals
​Health Impacts of the Infant Formula Shortage
​09/16/2022
​AFL 22-12
All Facilities
Updated Regulatory References to Health Care Standards of Practice
06/24/2022
​AFL 22-13.1 
(Obsolete)
​Skilled Nursing Facilities
​Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF)
​10/05/2022
​AFL 22-14 
​All Facilities
​Request for Interest in Serving as a Temporary Manager
​06/13/2022
​AFL 22-15 
​Hospice Agencies
Hospice Facilities
​Notice of Stakeholder Meeting for Hospice Regulations
​06/23/2022
​AFL 22-16 
​All Facilities
​Resource Requests for Contrast Media  
​06/29/2022
​AFL 22-17 
​All Facilities
​Fiscal Year (FY) 2022-23 Health Care Facility License Fee Schedule
​07/07/2022
​AFL 22-18 
​All Facilities
​Level II Extreme Heat Alert
​09/01/2022
​AFL 22-19 
​All Facilities
​Tropical Storm Kay Alert
​09/08/2022
​AFL 22-20 
​Skilled Nursing Facilities
​Coronavirus Disease 2019 (COVID-19) Treatment Resources for Skilled Nursing Facilities (SNFs)
​09/12/2022
​AFL 22-21 
(Supersedes AFL 19-22)
​Skilled Nursing Facilities (SNF), and General Acute Care Hospitals (GACH) with a SNF Distinct Part (DP)
​Enhanced Standard Precautions for Skilled Nursing Facilities, 2022 
​10/05/2022
​AFL 22-22 
​General Acute Care Hospitals
​Notice of Stakeholder Meeting for General Acute Care Hospital (GACH) Observation Service Regulations
​10/24/2022

​AFL 22-23.2​ - NEW
(Supersedes AFL 22-23.1)
​All Facilities
​Guidance for Response to Surge in Respiratory Viruses  
​06/14/2023
​AFL 22-24 
​All Facilities
​Ebola Virus Disease Information and Preparedness
​11/15/2022
​AFL 22-25 
​General Acute Care Hospitals (GACHs)

​Senate Bill (SB) 864 – Fentanyl Screening in GACHs

​11/29/2022
​AFL 22-26 
​Skilled Nursing Facilities (SNF)
Intermediate Care Facilities (ICF)
ICF/Developmentally Disabled (ICF/DD)
ICF/DD Habilitative (ICF/DD-H)
ICF/DD Nursing (ICF/DD-N)
ICF/DD Continuous Nursing (ICF/DD-CN)
Congregate Living Health Facilities (CLHF)
Pediatric Day Health and Respite Care Facilities (PDHRC)

​Assembly Bill (AB) 2145: Dental Services: Long-Term Care

​11/29/2022
​AFL 22-27 
​All Facilities
​Facility Emergency Contact and All Facilities Letter Recipient Information
​11/29/2022
​AFL 22-28 
​Hospice Agencies
Assembly Bill (AB) 2673 – Expansion of Hospice Agency Licensure Requirements, Oversight, and Enforcement
​11/29/2022
​AFL 22-29 
​Skilled Nursing Facilities
​Annual Announcement: Online Application Period for Patient Needs Waiver (PNW) and Workforce Shortage Waiver (WSW)
​12/1/2022
​AFL 22-30 
​All Facilities
Notice of Expiration of Temporary Waivers for Professional Certification Requirements for Certified Nurse Assistants (CNAs)



​12/6/2022
​AFL 22-31 
(Obsolete)
​Skilled Nursing Facilities
General Acute Care Hospitals
​Movement of Patients/Residents in the Healthcare Continuum During Seasonal Surges and the Coronavirus Disease 2019 (COVID-19) Pandemic
​12/12/2022
​AFL 22-32 
​Skilled Nursing Facilities (SNFs)
Chronic Dialysis Clinics (CDCs)
End Stage Renal Disease Dialysis Facilities (ESRDs)



​Guidelines for Dialysis Care 
​12/12/2022
​AFL 22-33​.1 - NEW
(Supersedes AFL 22-33)
​Acute Psychiatric Hospital (APH)
General Acute Care Hospital (GACH)
​Guidance for Response to Surge in Respiratory Viruses Among Adult Patients
​06/14/2023
​AFL 22-34
​All Facilities
​Winter Weather Emergency Preparedness Advisory
​12/15/2022


                                                                                     


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