Lists of Facilities Licensed
by Health Facilities Evaluation and Licensing
| Lists |
Fee |
| Adult
Day Care Facilities |
$ 3.00 |
| Long
Term Care/Homes for the Aged |
$ 7.00 |
| Residential
Health Care Facilities |
$ 4.00 |
| Assisted
Living - Comprehensive Personal Care |
$ 3.00 |
| Alternate
Family Care |
$
3.00 |
Send
your request for the specific listing along with a check or money
order made payable to the New Jersey Department of Health and
Senior Services.
Our mailing address is: New Jersey Department of Health and Senior
Services, Health Facilities Evaluation and Licensing Publications, PO Box 358, Trenton,
NJ 08625-0358
We cannot FAX these items. If you request overnight delivery,
please send a pre-addressed overnight delivery envelope with your
account number for the delivery cost.
For regular mail delivery, please allow at least three weeks.
Licensing Manuals for Facilities Licensed
by Health Facilities Evaluation and Licensing
| Manuals |
Fee |
| Adult
Day Care Facilities |
$16.00 |
| Alternate
Family Care |
$16.00 |
| Assisted
Living Residences |
$16.00 |
| Enforcement
of Licensure Regulations |
$10.00 |
| Regulations
for Nursing Home Administrators |
$10.00 |
| Long
Term Care Facilities |
$17.00 |
| Residential
Health Care Facilities |
$13.00 |
Send
your request for the specific listing along with a check or money
order made payable to the New Jersey Department of Health and
Senior Services.
Our mailing address is:
New Jersey Department of Health and Senior Services
Health Facilities Evaluation and Licensing Publications
PO Box 358
Trenton, NJ 08625-0358
We cannot FAX these items. If you request overnight delivery,
please send a pre-addressed overnight delivery envelope with your
account number for the delivery cost.
For regular mail delivery, please allow at least three weeks.
Medicare/Medicaid
Reference Information  Effective November 1, 2006
The
Department of Health and Senior Services has the following manuals/mailouts
available for purchase. Each manual/mailout is also available
through the CMS website (http://www.cms.hhs.gov)
and its numerous links.
| State Operations Manual (LTC Regulations) Appendix P and Appendix PP |
$75.00 |
| Transmittal #277 & 278 ICF’s/MR Regulations & Revisions |
$26.00 |
Resident Assessment Instrument (RAI) Users Manual (RN’s/PAP’s) Plus MDS 2.0 Form, December 2002 revised June 2005 |
$115.00 |
MDS, LTC Facility User’s Manual Version 7.3, 11-16-2003 (Automation/Computerization) |
$30.00 |
| MDS, Validation Report Messages, Version 7.0 June 24, 2002 (Automation/Computerization) |
$15.00 |
| Accessing the New MDS QI/QM Reports 6-2005 |
$22.00 |
Other Publications:
The following publications are available free of charge.
Publication Name |
Instructions |
Quantity Requested |
| Deficiency profile of a specific nursing home (CMS Oscar 3 Report) |
Include name/address of nursing home when requesting these reports |
|
| Resident rights (nursing homes) pamphlet |
|
|
| Advanced directives (a.k.a. Living Will) |
|
|
Please circle your choice(s) above, complete and return
the information below to Office of the Assistant Director, LTC
Assessment and Survey Program, PO Box 367, Trenton, NJ 08625:
(PLEASE PRINT LEGIBLY)
NAME: __________________________________________________
ADDRESS:_________________________________________________
CITY:________________ STATE:________ ZIP:________________
PHONE NUMBER:___________________________________________
FAX,
Mail or E-Mail Requests
- A
24-hour FAX line, 609-633-9087, is available for your requests.
Your FAX transmissions must include the following information:
Your specific request Your name and mailing address including
zip code Daytime phone number including area code
- Our
mailing address is: New Jersey Department of Health and Senior
Services, Health Facilities Evaluation and Licensing Publications, PO Box 358, Trenton,
NJ 08625-0358
- Email us
We cannot FAX these items. If you request overnight delivery,
please send a pre-addressed overnight delivery envelope with
your account number for the delivery cost.
For regular mail delivery, please allow at least three weeks.
|
Division of Health Facilities Evaluation and Licensing
