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Licensing and certification

SNF 3.5 Staffing Requirements Implementation

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ContentMethod of Implementation​Time Frame​
​3.5 direct care service hours with a minimum of 2.4 of the hours performed by CNAs
  • ​Emergency regulations
  • ​Posted for public notice on website March 30, 2018
  • Effective date July 1, 2018

​Workforce Shortage Waiver

  • Waiver Application Guidelines
  • Evaluation Criteria
  • Processing waivers
  • Approval
  • Revocation
  • ​All facilities letter (AFL)
  • ​Posted for public notice on website
  • March 30, 2018
    Effective date July 1, 2018
​Patient Acuity Waiver

Formal adoption of 3.5 direct care service hours with a minimum of 2.4 of the hours performed by CNAs
  • ​Final regulations
  • ​January 2019

​Audit AFL Revision 1

  • Revise references from 3.2 to 3.5 direct care service hours and include 2.4 CNA hours
  • ​AFL
  • ​Posted for public notice on website March 30, 2018
  • Effective date July 1, 2018

​Audit AFL Revision 2

  • Content to be determined
  • ​AFL
  • ​Effective the audit period beginning July 1, 2019

 

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