The California Department of Health has issued an All Facilities Letter (AFL) updating guidance for skilled nursing facilities (SNFs) and dialysis clinics regarding the provision of dialysis services to SNF residents. The letter clarifies that dialysis services in SNFs can only be administered at the resident's bedside and that any Office of Statewide Health Planning and Development clearances must be received prior to providing dialysis services. SNFs seeking to provide peritoneal or hemodialysis services must apply for approval of the optional service, which will only be available to residents of the facility and not to the general public. Prior to submitting the application, the facility must contact the Office of Statewide Health Planning and Development for certification of the building standards. The facility must submit their application and have an onsite survey conducted prior to providing services. Any questions about this AFL should be directed to the local district office.

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