Guidance Memorandums

Date Issued Name Summary

June 6, 2024

Hospital Harm Reduction Supplies

Guidance to inform general acute care hospitals of new and existing laws concerning the distribution of harm reduction supplies in emergency departments and acute care hospitals.

May 15, 2024

Routine HIV Testing in Healthcare Settings

Guidance on whether separate written consent is necessary to initiate HIV testing for a patient; specifically, whether an "opt out" approach to HIV testing is permissible.

April 18, 2024

Nursing Home Residents

To provide clarification on the meaning of “resident” as utilized for licensure of long-term care facilities and specifically whether individuals receiving subacute care are considered “residents” under this rule.

April 15, 2024

Reportable Events

To provide guidance and clarification regarding the reporting of events that are unrelated to or not covered under the Patient Summary Act.

April 4, 2024

Radiologist Contrast Medium

Blanket waiver to waive certain standards at N.J.A.C. 8:43A-25.2 which pertain to the requirement that a radiologist be present on facility premises when a contrast medium is administered

March 26, 2024

Temporary Adult Acute Closed Psychiatric Beds

To explain the application process to allow general acute care hospitals to apply for temporary licensure of adult acute closed psychiatric beds

March 13, 2024

The Centers for Medicare & Medicaid Services (CMS) Changes to Hospital Price Transparency Regulations

On November 2, 2023, CMS finalized changes to its hospital price transparency regulations. The policies in the hospital price transparency regulations are intended to increase price transparency and enforce compliance and apply to each hospital operating in the United States. The effective date of the rule is January 1, 2024, but hospitals will have until July 1, 2024, to implement many of the updates and until January 1, 2025, to implement others.

November 29, 2023


Health Care Heroes Act Advises of the statute concerning the Health Care Heroes Act which states it is a criminal offense to intentionally threaten healthcare professionals or volunteers in an effort to intimidate them or interfere with their work; in addition, establishes additional penalties against individuals who assault healthcare workers or volunteers. Facilities must post proper signage in common area of facility.

October 5, 2023


Long Term Care Facility Reporting and Notification Requirements Reminder to long term care facilities of the reporting and notification requirements for payment default, facility closure, transfer or discharge of patient, and enforcement remedies.

September 26, 2023


Hospital Operations During a Temporary Surge in Demand This memo is intended to clarify the Department’s policy and an Acute Care General Hospital’s responsibility when confronted with an unanticipated, temporary surge or increase in demand for a licensed bed type maintained by the hospital.

August 17, 2023

End of Life Training for LTC and Hospitals

All LTCs and hospitals are required to have staff complete annual training on advance care planning, end-of-life care, and the use of advance directives and Physician Orders for Life-Sustaining Treatment (POLST) forms; provide patients and residents, and their families with educational materials; and develop and implement policies to identify and address end-of-life care issues for patients and residents upon admission to the facility.

August 16, 2023

End of Life Training all General Hospital Emergency Departments

This statute requires Emergency Departments and Satellite Emergency Departments to develop and implement a plan to integrate the provision of

palliative care services for patients treated in the emergency department for whom palliative care is appropriate.

April 26, 2023

Replacement of the Advanced Standing Pilot Program with the Deemed Status Program, effective November 1, 2023 Effective November 1, 2023, New Jersey's Advanced Standing Pilot Program will be replaced by a Deemed Status Program. The Deemed Status Program will be in lieu of periodic inspections of Assisted Living Residences (ALRs) licensed pursuant to N.J.A.C. 8:36.

March 22, 2023

Support Person for Patients Guidance for Acute Care Hospitals to accommodate support persons during hospitalizations.

April 19, 2022


Rights of LGBTQI+ and HIV+ Residents of Long Term Care Facilities Advises of the statute concerning the rights of LGBTQI+ and HIV+ residents of long term care facilities and the facility’s responsibilities under the LGBTQI+ and HIV+ Law which was signed on March 3, 2021 and took effect on August 30, 2021.

July 23, 2021


Cardiac Services Memo The statute removes the Certificate of Need requirements for full-service adult diagnostic cardiac catheterization, primary angioplasty and elective angioplasty, and permits general hospitals to add these three services through a licensing process.

July 21, 2021


Hospital at Home Waiver This waiver provides the requirements for general hospitals to participate in the CMS Hospital at Home program.

July 6, 2021

Statutory Amendments to the licensing of cardiac services pursuant to P.L. 2021, c. 18 Changes to licensing process for full-service adult diagnostic cardiac catheterization, primary angioplasty and elective angioplasty

May 12, 2021

P.L. 2020, c. 87 Additional Responsibilities
  • Duties of long-term care facilities during an infectious disease outbreak
  • Reporting Requirements to the National Healthcare Safety Network Database included in the Act
  • Electronic Health Record System
  • Outbreak Response Plans

January 28, 2021

Staffing Ratio Memorandum to Facilities

Notice of requirement to comply with the new minimum certified nurse aide staffing requirements in N.J.S.A. 30:13-18.

October 7, 2020

Influenza vaccination in health care facilities

Requires certain healthcare facilities to establish and implement an annual influenza vaccination program.

March 29 2020

One Support Person in Labor and Delivery Settings - COVID-19 restrictions Instructions for Acute Care Hospitals on how to accommodate support persons for Labor and Delivery patients during the COVID-19 emergency
March 6 2020 Required Outbreak Response Plan Reminder of Outbreak Response Plan Requirement
March 18, 2019 Deemed Status Waiver Licensed Substance Use Disorder Facilities can apply for deemed status. Facilities granted full deemed status will forgo the required biennial inspection while facilities granted partial deemed status will undergo a biennial inspection that will primarily focus on, but not be limited to, staffing and clinical records. 
March 18, 2019 Shared Space Guidance This guidance clarifies that a single legal entity licensed to provide both mental health services and substance use disorder services is permitted to share clinical space for those services.
March 18, 2019 Frequently Asked Questions An infographic chart outlining the licensed capabilities of different categories of health care facilities in New Jersey, with particular focus on substance use disorder services and mental health services.
November 5 2018 Certificate of Waiver for Medication Assisted Treatment in Ambulatory Care Facilities Pursuant to N.J.A.C. 8:43A This waiver grants relief from the provisions of N.J.A.C. 8:43A-1.3. NJDOH will interpret the definition of "drug abuse treatment services" to include buprenorphine or any other medication approved by SAMHSA for the treatment of opioid use disorders.
Last Reviewed: 6/7/2024