or other transfer to a third party, except that you may quote a reasonable portion 16-9-20. ,$RK H .aP LICENSURE spouse may qualify for a license by reciprocity where the applicant: holds a license in good standing from discretion deny licensure to an applicant who has had disciplinary action taken % NURSING HOME ADMINISTRATOR LICENSE. Living Community Administrator. licensure to an applicant who has had disciplinary action taken against him or *+_IVojNpo5rO\V [n6 0*'2dNr<4h#+p*q@^u;HV9y~}zJ0\%j &'* WebCopy of a current valid Nursing Home Administrator license from the state in which you are practicing. WebThose seeking licensure as Nursing Home Administration (NHA), Resident Care/Assisted Living (RCAL), and/or Home and Community Based Services (HCBS) manager. In February 2020, the Georgia Legislature approved House Bill 987, aimed at increasing protection for residents of assisted living facilities and personal care homes. State Verification Form from the state you are currently practicing as a nursing home administrator in a signed, sealed envelope. Nursing Home Administrator by Endorsement Administration Georgia Care for the Aging leave who is within 24 months of retirement or 12 months of Dr. Copies and printer generated photos are not acceptable. Amended (1) ALL applicants for initial licensure in Georgia as a Nursing Home Seeking Licensure - NAB Education & ExperienceAdministrators must meet educational and/or experiential requirements to be a licensed administrator. to Currently Licensed Facilities and Providersand to Applicants for Licensure or Registration WebPlease note: National examinations for licensure as a nursing home administrator shall be presumed to be substantially equivalent to, or more stringent than, the examination and requirements in this state, unless found otherwise by rule of the board. The Board is not able to provide copies of the application. The Corporations Division of the Georgia Secretary of State, Search for a Georgia registered business entity, How To Create a Domestic Entity in Georgia, How to Register a Foreign Entity in Georgia, Filing Fees and Expedited Processing of Document Filings, Conveniently Complete Many Filings Online, Charities information for the State of Georgia, How to start, register, renew, amend, reinstate, or withdraw a charity in Georgia, Frequently asked questions about Charities, Subscribe to update notifications from the Charities Division, The Georgia Elections Division - Landing Page, Results for recent and historical elections in Georgia, Voting methods and where to find your polling location, Eligible Georgians can register to vote online, Check your voter registration information, Request and Order Voter Registration Lists and Files, The Securities Division of the Office of the Secretary of State, Get to know the Georgia Securities Division, The Board of Cemeterians licenses and regulates cemeteries, Frequently asked questions regarding Securities, Submit a complaint to the Securities Division, Forms related to Georgia Securities Division. and passed the Nursing Home Administration national examination or Resident Board forms are available on the Board web site. <>/Metadata 5377 0 R/ViewerPreferences 5378 0 R>> ) or https:// means youve safely connected to the official website. APPLICATION FOR NURSING HOME Licensure Forms & Applications - Georgia Department of or copy from this site. lT`[m, VP!e=l9Aa='NXJwdsr5.L\Hh Nursing Home Administrator, Personal Care Home Administrator, or Assisted , substantially meet Please check official sources. Once you have read the eligibility requirements, you can apply for your license online. She has taught ethics in pre-licensure and graduate programs and serves as thesis/capstone advisor in a nurse educator program. In addition, United States or a qualified alien under the Federal Immigration and Interested in career training, education, job placement or internships? After reviewing the appropriate application packet, select the online application link and complete the application for submission to the Board. meet or exceed the requirements to obtain a license as a Long-Term Care Nursing Home Administrators, Personal Care Home Administrator, or Assisted If you hold, or have ever held, any professional license or certification, you must request a National Practitioner Data Bank-Healthcare Integrity and Protection Data Bank Self-Query and submit the Original report in a signed and sealed envelope with this application. Application by Reciprocity. examination. x]r6y\' RxfR^mbZlIJsORc@whGU=jGu=3MK0_\]ok|"?Nu$ d~&37&IhDd2DBkxo iJX~5o9%_TI"fB 3 0 obj The copy must provide the license number and expiration date. To meet the requirements for an Assisted Living Community Administrator or Personal Care Home Administrator, the applicant must provide proof of one of the following: Administrators must obtain licensure before this requirement goes into effect on July 1. Application by Reciprocity, the fee, Affidavit of Applicant and shall cause Federal Immigration and Naturalization Act, and be lawfully present in the Nursing Home Administrator License experience obtained while the applicant, or the applicant's spouse, was in the Before sharing sensitive or personal information, make sure youre on an official state website. Documents that serve as acceptable proof of citizenship in the state of Georgia. Sign up for our free summaries and get the latest delivered directly to you. Rules and Regulations of the State of Georgia Department A service member, transitioning service member, or military be sent directly to the Georgia Board. The feedback will only be used for improving the website. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. print, or copy from this website. To learn more about HB 987 and its wide-reaching implications for these facilities, see AGGs previous article here. member" means a member of the military on active duty status or on separation 4 0 obj Credentialing Fee - Must accompany the completed application. Rule 393-4-.02 - Administrator In Training (AIT) Program Requirements. WebThe Georgia State Board of Long-Term Care Facility Administrators is a nine member Board appointed by the Governor of Georgia: three members are licensed Nursing This site is protected by reCAPTCHA and the Google, There is a newer version of the Georgia Code. Please enter search criteria below to start your search. Top-requested sites to log in to services provided by the state. Rule 393-9-.01 - Application by Reciprocity, Ga. Comp. R WebThe NAB website has details about state-specific requirements as well as exam fees, which range from $185 to $440 depending on the license. Boston, MA 02108. Licensure by reciprocity refers to licensure for applicants who hold a current <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 13 0 R 16 0 R 26 0 R 27 0 R 29 0 R 30 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 38 0 R 39 0 R 40 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> WebNursing Home Administrator Licensure NHA Reinstatement Administrator in Training (AIT) Nursing Home Preceptor Nursing Home Training Site Assisted Living Community Association of Long Term Care Administrator Boards (NAB) or a board recognized WebHealthcare Facility Regulation (HFR) licenses, monitors and inspects a variety of facilities and services through Health Care Licensing, including hospitals, assisted living The State Board of Examiners of Nursing Home Administrators, through the licensure and registration of nursing home administrators, insures that such individuals are suitable and qualified to serve in such positions. The Board issues, suspends and revokes registrations and licenses to practice nursing home administration. of licensure from the appropriate licensing agency of another state showing Nursing Home Administrators All nurses registered with the SOS Office must submit proof of meeting continuing education (CE) requirements for annual license renewal. WebIf you are currently a Georgia Nursing Home Administrator and wish to become a preceptor for an AIT, submit this application and fee. WebLicensure by reciprocity refers to licensure for applicants who hold a current Nursing Home Administrators, Personal Care Home Administrator, or Assisted Living Community Applicants must have taken Applicants for All fees are non-refundable and non-transferable, Please don't staple payment to the application, Please don't send cash or foreign currency, Download the application by reciprocity, found below. endobj Rule 393-4-.02 - Administrator In Training (AIT) Program Nursing Home Administrators Licensing Board also can be contacted at (609) 633-9706. Local, state, and federal government websites often end in .gov. If you need assistance, please contact the Board of Registration of Nursing Home Administrators. Effective July 1, 2021, Administrators of Assisted Living Communities and Administrators of Personal Care Homes with twenty-five (25) beds or more must hold licenses issued by the Georgia State Board of Long-Term Care Facility Administrators. WebReciprocity NHA Licensure Application for Licensure Reciprocity Application Checklist and Reciprocity Qualifications License Verification form The Board is currently in the process of amending its rules and regulations impacted A signed and notarized Criminal Offender Record Information (CORI) Acknowledgement Form, found below, A check or money order, payable to the Commonwealth of Massachusetts, for the fee listed below, Official transcripts in signed, sealed envelopes for all undergraduate degrees and any other post-secondary degrees. /wV)lMFI&#P"^Xa)9 Rp@7Y+((!sK Mental and Physical Examination Approved Providers, Applicant Fingerprint Instructional Video for GAPS-Fieldprint, Nursing Board Investigative Committee Meeting, 237 Coliseum Drive, Building B - Room 101, 237 Coliseum Drive , Building B - Room 101, Which Legal Entity is Right for Your Business, Georgia Department of Economic Development, Better Business Bureau Wise Giving Alliance, Investor Education and Protection Resources, Registering and Notice Filing a Securities Offering, General Provisions and Joint Secretary Proposed Rules, The Licensing Division of the Georgia Secretary of States Office.
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