The California Department of Public Health (CDPH) has issued All Facilities Letter (AFL) 20-66, which provides updated guidance regarding the provision of dialysis services to residents of skilled-nursing facilities (SNFs).
The AFL reviews guidance from the Centers for Medicare & Medicaid Services to allow a dialysis facility that is approved and meets federal standards to provide home dialysis training and support to provide services to SNF residents. In addition to detailed information on requirements, the guidance specifies that SNFs seeking to provide peritoneal or hemodialysis services must apply for approval of the optional service, and must submit a change of service application to CDPH’s Centralized Applications Branch o request approval to add the service to the facility’s license.