The revised version of the All Facilities Letter (AFL) 21-36.1 includes an additional Executive Order (N-21-21) to the list of authorities. Otherwise, the content of the two letters is identical, with both notifying skilled nursing facilities (SNFs) of a temporary waiver of specified regulatory requirements due to the state of emergency related to the Coronavirus Disease 2019 (COVID-19) outbreak, and temporarily waiving specified space conversion requirements until December 31, 2021. The temporary waiver is approved under the same conditions as the original letter, and SNFs do not need to submit individual program flexibility requests for the requirements specified above. The revised letter is valid until December 31, 2021.
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