Program Flexibility (PF)

Overview

The California Department of Public Health (CDPH) has the authority to grant program flexibility from regulatory requirements if the facility requesting the program flexibility demonstrates its ability to meet statutory requirements. Requests for program flexibility must include justification for the program flexibility request and adequate supporting documentation that the proposed alternative does not compromise patient care.

How to Apply 

The Risk & Safety Solutions (RSS) platform replaces CDPH Form 5000 and 5000A. 

Submit all requests through the Risk & Safety Solutions (RSS) webpage (only using Google Chrome, Mozilla Firefox or Microsoft Edge). An applicant must be an authorized user to submit a completed online application.

A username and password is needed to log in. For first time waiver applicants, providers may go to the RSS Registration Page to register for an account. 

After successfully submitting an online application, the system sends a confirmation e-mail with an identification number (tracking ID number) to the provider's designated point of contact listed on the application. All correspondence regarding the application will be sent to the point of contact. CDPH must receive all required documentation to process the application.

If CDPH determines the program flexibility request is not complete, CDPH will request that the facility submit additional supporting documentation. CDPH will review and respond within 60 days from receipt of all requested documentation. As part of the review, CDPH will determine the duration of the program flexibility and identify any terms and conditions applicable to the approval.

All approved requests for program flexibility will specify an expiration date and are subject to specific terms and conditions. If the facility fails to comply with the terms and conditions, or CDPH determines the alternative does not adequately protect patient safety, CDPH may revoke the program flexibility. CDPH will review all approved program flexes during the facility's relicensing survey.

In addition to reviewing any documentation, CDPH may conduct an on-site inspection during the program flexibility review process.

Resources