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Texas issued Provider Letter 2024-21 on December 3, 2024.  This provider letter outlines training requirements for Assisted Living Facilities that provide direct care to residents with Alzheimer’s disease or related disorders but are not Alzheimer’s certified facilities.  ALF providers are expected to comply with this requirement by ensuring that all applicable staff begin receiving this training and passing competency-based evaluations no later than December 31, 2024.