The California Department of Public Health (CDPH) has issued All Facilities Letter (AFL) 20-66.1, which provides notification of updated guidance from the Centers for Medicare & Medicaid Services for the provision of home dialysis services in skilled-nursing facilities (SNFs) to SNF residents through a collaborative arrangement between the SNF and a qualified dialysis facility.
The revision also clarifies that dialysis services in SNFs can be administered only at the resident’s bedside and that any Office of Statewide Health Planning and Development clearances must be received prior to providing dialysis services.