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licensing and certification

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 Number​ Facility Type Affected Subject Release 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 22-07.1 
(Supersedes AFL 22-07)
 ​Skilled Nursing Facilities
 ​Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs)
 ​10/06/2022
​AFL 22-08
 ​Skilled Nursing Facilities
 ​Appeal Procedures for Direct Care Service Hours Per Patient Day Penalties
 ​02/07/2022
​AFL 22-09 
 ​All Facilities
 ​Coronavirus Disease 2019 (COVID-19) Vaccine and Booster Recommendations for Clinically Eligible Individuals 
 ​02/24/2022
​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 
(Supersedes AFL 22-13)
 ​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 
 ​All Facilities
 ​Guidance for Response to Surge in Respiratory Viruses  
 ​11/11/2022
​AFL 22-24 
 ​All Facilities
 ​Ebola Virus Disease Information and Preparedness
 ​11/15/2022
​AFL 22-25 - NEW
 ​General Acute Care Hospitals (GACHs)

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

 ​11/29/2022
​AFL 22-26 - NEW
 ​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 - NEW
 ​All Facilities
 ​Facility Emergency Contact and All Facilities Letter Recipient Information
 ​11/29/2022
​AFL 22-28 - NEW
 ​Hospice Agencies
 Assembly Bill (AB) 2673 – Expansion of Hospice Agency Licensure Requirements, Oversight, and Enforcement
 ​11/29/2022
​AFL 22-29 - NEW
 ​Skilled Nursing Facilities
 ​Annual Announcement: Online Application Period for Patient Needs Waiver (PNW) and Workforce Shortage Waiver (WSW)
 ​12/1/2022
​AFL 22-30 - NEW 
 ​All Facilities
Notice of Expiration of Temporary Waivers for Professional Certification Requirements for Certified Nurse Assistants (CNAs)



 ​12/6/2022
​AFL 22-31 - NEW
(Supersedes AFL 20-87.1)
 ​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 - NEW
 ​Skilled Nursing Facilities (SNFs)
Chronic Dialysis Clinics (CDCs)
End Stage Renal Disease Dialysis Facilities (ESRDs)



 ​Guidelines for Dialysis Care 
 ​12/12/2022
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