• Physical, occupational, and speech therapy 

• IV therapy and nutrition management 

• Specialized care for conditions like stroke, cardiac issues, and joint replacements 

2. Regulations 

Skilled nursing facilities in Alabama are governed by: 

• Alabama Medicaid Agency regulations 

• Alabama Department of Public Health rules (Chapter 420-5-10) 

• Federal regulations from the Centers for Medicare & Medicaid Services (CMS) 

3. Licensing or Certification 

Skilled nursing facilities must: 

• Be licensed by the Alabama Department of Public Health 

• Be certified for Medicare participation 

• Comply with federal and state regulations 

4. Responsible State Agency 

The primary agencies overseeing skilled nursing services in Alabama are: 

• Alabama Department of Public Health 

• Alabama Medicaid Agency 

5. Application Process 

While specific details aren't provided, providers likely need to: 

• Apply for licensure through the Alabama Department of Public Health 

• Enroll with the Alabama Medicaid Agency 

6. Required Documentation 

Providers must demonstrate: 

• Compliance with state and federal standards 

• Staff qualifications and training 

• Proper care planning and documentation 

• Adherence to resident rights and quality of care standards 

7. Timeline for Approval 

Specific timelines are not available. 

8. Pre-Application Process 

There is no explicit mention of a pre-application process. 

9. Pre-Application Training 

While not specifically pre-application, ongoing staff training is required, including: 

• A two-week training period for PERS staff 

• Continuous education for nursing and therapy staff 

10. Additional Notes 

• Facilities must maintain identical policies for all residents regardless of payment source 

• As of 2025, there's an increasing demand for skilled nursing services due to Alabama's growing senior population 

• Skilled nursing facilities may be part of larger senior living communities offering multiple levels of care 

• Special Focus Facility (SFF) program exists for facilities with poor performance history, involving increased oversight and enforcement 

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