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Advocating for New Jersey’s Disabled and Elderly Since 1949
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Documents, Forms & Regulations
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Documents, Forms & Regulations
General
Medicaid Eligibility – 2023 Income and Resource Standards for Medicaid Only
Chapter 43 E – General Licensure Procedures and Standards Applicable to All Licensed Facilities
POLST Form (View Only)
POLST – Frequently Asked Questions – Providers
POLST – Brochure for Consumers
New Jersey DOH Medical Records Retention Policy
Pain Management Regulations
Reportable Event Reference Guide/Grid and DOH Cover Letter (May 30, 2012)
Ombudsman Mandatory Reporting Rules and Procedures
Report to DOH – Allegation of Abuse/Neglect/Misappropriation of Resident Property
When to Contact the Medical Examiner
Nursing Facilities
Nurse Aide Certification and Criminal Background Check Processes
NJ DOH Survey – Resources Page
Standards for Licensure of Long-Term Care Facilities
Residential Health Care Facilities
2021 Residential Health Care Cost Share Information
2020 Residential Health Care Cost Share Information
2019 Residential Health Care Cost Share Information
2018 Residential Health Care Cost Share Information
2017 Residential Health Care Cost Share Information
2016 Residential Health Care Cost Share Information
2015 Residential Health Care Cost Share Information
2014 Residential Health Care Cost Share Information
2013 Residential Health Care Cost Share Information
Assisted Living
2024 Assisted Living Resident Profile Survey Results
2025 Assisted Living Cost Share Information
2024 Assisted Living Cost Share Information
2023 Assisted Living Resident Profile Survey Results
2022 Assisted Living Resident Profile Survey Results
2023 Assisted Living Cost Share Information
Assisted Living Medicaid Supplementation – 2015 Policy Instructions
Assisted Living Licensure Regulations – N.J.A.C 8:36-1 et seq (Full Text)
Assisted Living Waiver Medicaid Per Diem Increase – July 2022
Assisted Living Survey Tools – Building Inspector’s Checklist
Disclosure Guidance – Medicaid Policies 2-11-2011
Process for Obtaining Criminal Background Checks
Eligibility for Medication Aide Testing Certification
Eligibility for Medication Aide Recertification
Month of Discharge Exemption of Income for Nursing Facility Residents Discharged to Community
Links to Government Sites
Forms from the New Jersey Department of Health Website
CMS Forms
OSHA Reporting Forms – OSHA 300, 300A, and 301