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Extended Period to Submit Visitation Attestation Form for ALF and ICF Providers

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Assisted Living Facilities and Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions now have until November 11, 2020 to submit their general visitation attestation forms.

ALF Form 2196 can be found in PL 2020-42 (PDF) and ICF/IID Form 2195 is in PL 2020-43 (PDF).

Forms must be submitted to the Regional Director where the facility is located.