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DOH Issues New ACF 30-Day Termination Notice

The Department of Health (DOH) has issued a Dear Administrator Letter (DAL) announcing the development of a new 30-Day Notice of Termination form to be used in Adult Care Facilities (ACFs)/Assisted Living facilities. The Department is requiring that providers use this form whenever a decision is made to terminate a resident’s Admission/Residency Agreement. This is a mandated form, effective immediately. Members are reminded that a list of legal and advocacy services must be provided to the resident and/or resident representative as an attachment to the form. Click here to view the DAL and here to view the new form, the DOH-5237.

Contact: Diane Darbyshire, ddarbyshire@leadingageny.org, 518-867-8828