Adult Care Facility/Assisted Living "Dear Administrator Letters"
2024
- 24-26: COVID-19 Vaccine for the 2024-2025 Season (PDF)
- 24-22: Special Needs Assisted Living Voucher Program Applications (PDF)
- 24-05: 2024 Adult Care Facility 2nd Quarter Statistical Information Report (PDF)
- 24-14: Special Needs Assisted Living Residence Voucher Program Applications and Cost of Care Survey (PDF)
- 24-16: Adult Care Facility Legal Services Agencies and Community Resources Providing Resident Advocacy Services Guide (PDF)
- 24-20: Updated Adult Care Facility Mental Health Evaluation Form (DOH-5075) (PDF)
- 24-15: 30-Day Notice of Termination Reminder (PDF)
- 24-02: 2024 Adult Care Facility 1st Quarter Statistical Information Report (PDF)
- 24-19: Long-Term Care Facility Residents’ Bill of Rights Amendment (PDF)
- 24-08: 2024 Supplemental Security Income (SSI) Cost of Living Adjustment (PDF)
- 24-03: Warm Weather Advisory (PDF)
- 24-01: 2023 Adult Care Facility 4th Quarter Statistical Information Report (PDF)
2023
- 23-24: 2022 ACF Annual Financial Report (PDF)
- 23-08: Cold Weather Advisory (PDF)
- 23-27: Telehealth in Adult Day Health Care, Home Health Care, Hospice, and Adult Care Facilities (PDF)
- 23-09: 2023 Adult Care Facility 3rd Quarter Statistical Information Report (PDF)
- 23-23: EHP Subsidy (PDF)
- 23-25: Special Needs Assisted Living Voucher Demonstration Program Application Pause (PDF)
- 23-21: Federally Compliant Person-Centered Planning (PDF)
- 23-07: 2023 Adult Care Facility 2nd Quarter Statistical Information Report (PDF)
- 23-17: Resident Council Reminder (PDF)
- 23-06: Enhancing the Quality of Adult Living (EQUAL) Program for SFY 2023-2024 (PDF)
- 23-05: Adult Care Facility Legal Services Agencies and Community Resources Providing Resident Advocacy Services Guide (PDF)
- 23-04: Warm Weather Advisory (PDF)
- 23-09: Healthcare Worker Vaccine Mandate Guidance (PDF)
- 23-15: Changes to Admission and Retention Regulations (PDF)
- 23-15: Fair Housing Laws (PDF)
- 23-15: Model Non Discrimination Policy for Adult Care Facilities (PDF)
- 23-15: Reasonable Accommodation Policy and Request Form (PDF)
- 23-15: Reasonable Accommodations and Reasonable Modifications Questions and Answers (PDF)
- 23-15: The Fair Housing Amendments Act of 1988 (PDF)
- May 4, 2023 Webinar (PDF)
- 23-11: 2023 ACF CON Application Communication, Abandonment, and Withdrawal (PDF)
- 23-03: 2023 Adult Care Facility 1st Quarter Statistical Information Report (PDF)
- 23-18: Special Needs Assisted Living Voucher Demonstration Program Monthly Roster Submission (PDF)
- 23-12: Notification of Member/Owner Death (PDF)
- 23-14: NYSDOH Guidance for use of Face Masks and Face Coverings in Healthcare Facilities (PDF)
- 23-02: Revised Electronic Incident Report System (PDF)
- 23-01: 2022 Adult Care Facility 4th Quarter Statistical Information Report (PDF)
2022
- DAL 22-08 2021 Annual Financial Report (PDF)
- DAL DACF-22-28-A1 Model Residency Agreement Checklist (PDF)
- DAL 22-41 Transitional Adult Home Regulations (PDF)
- DAL 22-40 Programmatic Requirements for Special Needs Assisted Living Voucher Demonstration Program (PDF)
- DAL 22-39 Transitional Adult Home Regulations (PDF)
- DAL 22-36 Plan of Correction Checklist (PDF)
- DOH-5785 (PDF)
- DAL 22-35 ModifiedChronological Admission and Discharge Register (DOH-5177) (PDF)
- DOH-5177 (PDF)
- DAL 22-10 2022 Adult Care Facility 3rd Quarter Statistical Information Report (PDF)
- Companion Guide (PDF)
- Slide Deck (PDF)
- DAL 22-09 Cold Weather Advisory (PDF)
- DAL 22-38 COVID-19 Vaccination and Booster Doses (PDF)
- DAL 22-37 COVID-19 Vaccination and Booster Doses (PDF)
- DAL 22-34 Medical Equipment Waiver Process Automation (PDF)
- DAL 22-33 Contracts in Adult Care Facilities - Forthcoming Regulatory Updates (PDF)
- DAL 22-32 Mental Health Assessment Review (PDF)
- DAL 22-31 Affidavit (DOH-5773) (PDF)
- DAL 22-28 Model Residency Agreement and Addenda (PDF)
- DAL 22-25 Assisted Living Residence Regulation Changes (PDF)
- DAL 22-22 Medical Equipment Waiver Process (PDF)
- DAL 22-21 Changes to the Preadmission Process for Transitional Adult (PDF)
- Prefilled DOH Authorization Form for TAH Preadmission (PDF)
- Prefilled OMH PSYCKES Consent Form for TAH Preadmission (PDF)
- Changes to the PreAdmission Process for Transitional AH Training (PDF)
- DAL 22-20 Schedule 6 Acknowledgement Policy (PDF)
- DAL 22-19 Adult Home Quality Improvement Committee Requirements (PDF)
- DAL 22-17 Home and Community Based Settings Regulatory Updates (PDF)
- DAL 22-15 Veteran Status (PDF)
- DAL 22-14 ALP Provider Responsibilities Reminder (PDF)
- DAL 22-13 Medical Orders for Life-Sustaining Treatment (MOLST) – Clarification for Adult Care Facilities (PDF)
- DAL 22-12 Supplemental Security Income (SSI) Cost of Living Adjustment (PDF)
- DAL 22-07 2nd Quarter 2022 Statistical Information Report (PDF)
- DAL 22-06 Enriched Housing Operating Assistance Program for State Fiscal Year 2022-2023 (PDF)
- DAL 22-06 Enclosure I - Conditions for Participation: Enriched Housing Operating Assistance Program State Fiscal Year 2022-23 (PDF)
- DAL 22-06 Enclosure II - Roster: Enriched Housing Operating Assistance Program for State Fiscal Year 2022-23 (PDF)
- DAL 22-05 Enhancing the Quality of Adult Living (EQUAL) Program 2022-23 (PDF)
- Frequently Asked Questions (PDF)
- Instructions (PDF)
- Training Link
- DAL 22-04 Adult Care Facility Legal Services Agencies and Community Resources Providing Resident Advocacy Services Guide (PDF)
- Consumer Resource Guide (PDF)
- DAL 22-03 Warm Weather Advisory (PDF)
- DAL 22-02 Adult Care Facility - 1st Quarter Statistical Information Report (PDF)
- DAL 22-01 Adult Care Facility – 4th Quarter Statistical Information Report (PDF)
- Data Entry Instructions (PDF)
- Definition of Terms (PDF)
2021
- DAL 21-33: COLA Adjustment (PDF)
- DAL 21-33 Benefit Chart (PDF)
- DAL 21-32: Religious Exemption Update (PDF)
- DAL 21-29: Compliance with the Americans with Disabilities Act (PDF)
- DAL 21-28: Adult Care Facility Ongoing Vaccination Program (PDF)
- DAL 21-25: Class 3a Controlled Substance License Requirements (PDF)
- DAL 21-24: Adult Care Facility 3rd Quarter Quarterly Statistical Information Report (PDF)
- DAL 21-23: Fire Protection System Maintenance Reminder (PDF)
- DAL 21-22: Resident Safety Plan Reminder (PDF)
- DAL 21-21 2020 ACF Annual Financial Report (PDF)
- Instructions (PDF)
- Companion Guide (PDF)
- Template (PDF)
- Certification of Operation (PDF)
- Independent Certified Public Accountants – Single Facility (PDF)
- Independent Certified Public Accountants – Consolidated Financial Statements (PDF)
- Independent Certified Public Accountants – Period Ending on/after 12/15/2021 (Single Facility) (PDF)
- Independent Certified Public Accountants – Period Ending on/after 12/15/2021 (Consolidated Financial Statements (PDF)
- DAL 21-20: Evacuation Preparedness Planning (PDF)
- DAL 21-19: Enriched Housing Operating Assistance Program for SFY 2021-22 (PDF)
- Conditions for Participation (PDF)
- Instructions for Submission of Roster of Eligible Residents (PDF)
- Roster of Eligible Residents (PDF)
- DAL 21-18 Enhancing the Quality of Adult Living (EQUAL) Program for SFY 2021-22 (PDF)
- DAL 21-18 Instructions (PDF)
- DAL 21-18 Frequently Asked Questions (PDF)
- DAL 21-18 101 Webinar (PDF)
- DAL 21-17: Adult Care Facility Legal Services Agencies and Community Resources Providing Resident Advocacy Services Guide (PDF)
- Consumer Resource Guide (PDF)
- DAL 21-16: Updated COVID-19 Testing Requirements (PDF)
- Dal 21-15: Cold Weather Advisory (PDF)
- DAL 21-14: Submitting False or Inaccurate Information or Omitting Material Information (PDF)
- DAL 21-12: Home and Community Based Settings (HCBS) Final Rule Guidance (PDF)
- DAL 21-11: Electronic Incident Reporting System (PDF)
- DAL 21-09: Transitional Adult Home Space Requirements (PDF)
- DAL 21-06: Adult Care Facility - 2nd Quarter 2021 Statistical Information Report (PDF)
- Definition of Terms (PDF)
- Data Entry Instrucions (PDF)
- DAL 21-05: Warm Weather Advisory (PDF)
- DAL 21-01: Changes to Staff Tuberculosis Testing Requirements (PDF)
- Nursing Home And Adult Care Facilities Volunteers (PDF)
2020
- DAL 20-31: Adult Care Facility Inspection Review Process (PDF)
- DAL 20-28: Extension for Spending- Enhancing the Quality of Adult Living (EQUAL) Program for State Fiscal Year 2019-2020 (PDF)
- DAL 20-27: Reasonable Accommodations (PDF)
- DAL 20-26: Social Security Income Cost of Living Adjustment (PDF)
- DAL 20-24: Enriched Housing Operating
Assistance Program for SFY 2020-21 (PDF)
- Attachment 1 – Conditions for Participation in the 2020-21 Enriched Housing Operating Assistance Program (PDF)
- Attachment 2 – How to Access and Use the Health Commerce System Secure File Transfer (PDF)
- Attachment 3 – Roster of Eligible Residents for the Enriched Housing Operating Assistance Subsidy (PDF)
- Attachment 4 – Secure File Transfer Quick Reference Guide (PDF)
- DAL 20-22: Cold Weather Advisory (PDF)
- DAL 20-20: 2019 ACF Annual Financial Report (PDF)
- Instructions for Entering Data in the ACF Annual Financial Report Using HCS (PDF)
- ACF Annual Financial Report Companion Guide (PDF)
- ACF Annual Financial Report Template (PDF)
- ACF Annual Financial Report Certification of Operation (PDF)
- Report of Independent Certified Public Accountants Single Financial Statements (PDF)
- Report of Independent Certified Public Accountants Consolidated Financial Statements (PDF)
- DAL 20-19: Community Service Guide (PDF)
- DAL 20-17: Enhancing the Quality of Adult Living (EQUAL) Program (PDF)
- Instructions (PDF)
- Addendum (PDF)
- COVID-19 Economic Impact Payments (PDF)
- DAL 20-15: Warm Weather Advisory (PDF)
- DAL 20-14: Required COVID-19 Testing for all Nursing Home and Adult Care Facility Personnel (PDF)
- DAL 20-10: COVID-19 Guidance for Adult Care Facilities (PDF)
- DAL 20-09: Mental Health Evaluation Form (PDF)
- DAL 20-08: Dear Adult Care Facility Operator (PDF)
- DAL 20-07: Transitional Adult Home Emergency Regulations (PDF)
- Overview (PDF)
- DAL 20-05: Medication Administration in Adult Care Facilities (ACFs) for Residents Receiving Hospice Services Who Can No Longer Participate or Receive Assistance with the Self-Administration of Medication from ACF Staff (PDF)
- DAL 20-04 DHCBS 20-01 NH 20-01 - CHRC Requirements and Best Practices (PDF)
- DAL 20-01: 2019 Adult Care Facility 4th Quarter Statistical Information Report (PDF)
2019
- DAL 19-29: SSI Cost of Living Adjustment (PDF)
- DAL 19-29: Benefit Chart (PDF)
- DAL 19-28: Transitional Adult Home Emergency Regulations (PDF)
- DAL 19-27: Cold Weather Advisory (PDF)
- DAL 19-26: Administration of Influenza and Pneumococcal Immunization by Adult Care Facility Nurses (PDF)
- DAL 19-24: 2018 ACF Annual Financial Report (PDF)
- Instructions for Entering Data in the ACF Annual Financial Report Using HCS (PDF)
- ACF Annual Financial Report Companion Guide (PDF)
- ACF Annual Financial Report Template (PDF)
- ACF Annual Financial Report Certification of Operation (PDF)
- Report of Independent Certified Public Accountants Single Financial Statements (PDF)
- Report of Independent Certified Public Accountants Consolidated Financial Statements (PDF)
- DAL 19-23: 2019 Adult Care Facility 3rd Quarter Statistical Information Report (PDF)
- DAL 19-22: Reporting Requirements (PDF)
- DAL 19-21: Home Care Worker Registry Requirement for Enhanced Assisted Living Residence Operators (PDF)
- DAL 19-19: Uniform Assessment System for New York (UAS-NY) Assessments (PDF)
- DAL 19-18: 2019 Adult Care Facility 2nd Quarter Statistical Information Report (PDF)
- DAL 19-16: NYSE-CON Transition (PDF)
- DAL 19-14: Enhancing the Quality of Adult Living (EQUAL) Program for SFY 2019-2020 (PDF)
- DAL 19-13: Warm Weather Advisory (PDF)
- DAL 19-09: 2019 Adult Care Facility 1st Quarter Statistical Information Report (PDF)
- DAL 19-08: Revised ACF Equivalency List (PDF)
- DAL 19-06: Tiered Fee Arrangements (PDF)
- DAL 19-05: Revised Adult Care Facility Inspection Review Process (IRP) (PDF)
- DAL 19-04: Private Pay Home Care Services in Assisted Living Residences (PDF)
- DAL 19-03: Transitional Adult Home Regulations (PDF)
- DAL 19-02: Release of the Home and Community Based Settings (HCBS) 2019 Self-Assessment (PDF)
- DAL 19-01: 2018 Adult Care Facility 4th Quarter Statistical Information Report (PDF)
Archived Dear Administrator Letters are available on the Health Commerce System or through outreach to the Division of Adult Care Facility and Assisted Living Surveillance at acfinfo@health.ny.gov.
