The California Department of Health issued an All Facilities Letter (AFL) providing recommendations for skilled nursing facilities (SNFs) to transport COVID-19 positive residents to dialysis clinics for treatment. SNFs are responsible for ensuring residents requiring dialysis treatment can attend their appointments. Failure to do so can result in enforcement actions. To eliminate transportation barriers, the AFL recommends SNFs to timely communicate appointment scheduling with dialysis providers, communicate with non-emergency medical transportation (NEMT) providers regarding the transportation of COVID-19 positive residents, provide notification to NEMT affiliates regarding county PPE resource allocation, and refer NEMT providers to relevant guidance documents for additional information on transporting dialysis patients with COVID-19.

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