Assisted Living Program Application

Assisted Living Program Application

The New York State Department of Health (DOH), Center for Health Care Provider Services and Oversight, Division of Adult Care Facilities/Assisted Living Surveillance announces the Assisted Living Program 3400 Initiative. This initiative is made available under Section 461-1 of the Social Services Law (SSL), authorizing the addition of 6,000 Assisted Living Program (ALP) beds pursuant to a seven-year plan ending January 1, 2017. An Assisted Living Program provides supportive housing and home care services to individuals who are medically eligible for placement in a nursing facility, but whose needs can be met in a less restrictive and lower cost residential setting.

Interested applicants must submit the Opportunity for Development (OFD) proposal by 3:00 p.m. June 22, 2015. This form and instructions, as well as other relevant information, can be accessed below:

• ALP 3400 OFD Division Adult Care Facilities (PDF, 451KB)
• Attachment 3 - Application Checklist (DOC, 47KB)
• Addendum (PDF, 128KB)
• ALP 3400 OFD Initiative Modifications, Questions and Answers (PDF, 549KB)
• Revised Attachment 4 – Application Sections 1, 2 and 3 (DOC, 93KB)
• Attachment 5 - Certification (PDF, 138KB)
• Assisted Living Program 3400 Initiative Opportunity for Development Awardee List

NOTE: The OFD proposals must be received by 3:00PM on June 22, 2015 at the address below:

• Division of Adult Care Facilities/Assisted Living Surveillance
  Center for Health Care Provider Services and Oversight
  New York State Department of Health
  875 Central Avenue
  Albany, NY 12206-1331

Pertinent Application Dates

Release Date	March 23, 2015
Deadline to Submit Questions	April 13, 2015, no later than 3PM
Response to Questions Posted	May 22, 2015 (on or about) - EXTENDED
Applications Due	June 22, 2015, no later than 3PM - EXTENDED

Contact Information

• ALPapplication@health.ny.gov

Subject Line: Assisted Living Program 3400 Initiative