ALTSA Provider/Administrator Letters

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Access the archive from calendar years 2014 and prior


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Provider Type Letter Date Subject Status(asc) Notes
NH 025-065 12/19/2025 UPDATED TRAINING & REFERENCE MATERIALS: PAYROLL-BASED JOURNAL (PBJ) DATA SUBMISSION & THE WA STATE MINIMUM DIRECT CARE NURSING (MDCN) 3.4 HOURS PER RESIDENT DAY (HPRD) THRESHOLD Current
CCRSS 025-002 02/07/2025 Increased Regulatory Focus by Office of the State Fire Marshal Current
AFH 013-006 05/15/2013 Emergency Supplies for Adult Family Homes: Use of Commercially Bottled Water Current
ALF 016-006 03/25/2016 Updated Policy on Home Care Aide Exemptions, Continuing Education & Pending Nursing Assistant Certified Timelines Current
ALF 021-036 07/01/2021 Safe Start for Long-Term Care Plans Updated Current
CCRSS 018-008 06/22/2018 CR-101 Filed to Propose Amending Sections to Chapter 388-101 WAC Current
CCRSS 021-049 09/28/2021 Implementation of Vaccine Mandate Requirements and Review Current
ALF 023-016 04/14/2023 Rapid Response Teams for Short-Term Staffing in Long-Term Care Setting Current
NH 020-022 04/16/2020 CMS/CDC Infection Control Guidance, Additional Blanket Waivers, COVID-19 Transfer/Discharge & Proclamation 20-44 Current

Superseded August 8, 2025

NH 024-030 06/27/2024 Nursing Home: Public Health Emergency Rules Memorialized in CR-103P Permanent Rulemaking Current
NH 019-012 06/14/2019 CR 101 Filed to Propose Amendments to Chapter 388-97 WAC (Geriatric Specialty Training) Current
ESF 020-055 12/15/2020 NEW AND UPDATED GUIDANCE REGARDING GROUP ACTIVITIES AND COMMUNAL DINING, OUTDOOR VISITATION, AND RISK ASSESSMENT AFTER COMMUNITY VISITS Current
ESF 024-007 03/21/2024 Document Access Requirements During RCS Field Visits Current
CCRSS 022-021 09/09/2022 Governor's Proclamations Related to COVID-19 Ending October 27 Current

Amended October 7, 2022

ALF 025-024 06/25/2025 Emergency Preparedness Considerations for Summer Hazards Current
NH 020-066 09/18/2020 CR 103E Filed to Extend Emergency Rule Amending NH Requirements and CR-101 Filed to Consider Permanently Amending the Rule for Clinical Records Current
NH 017-004 02/06/2017 S&C 17-17-ALL: Recommendations Regarding Cyber Security Current
AFH 022-006 02/04/2022 Update to DOH Admission Guidance Current
AFH 015-018 08/11/2015 Revisions to Questions on the Complaint Hotline Current
ICFIID 020-025 07/27/2020 Investigation and Referral Process for Allegations Unrelated to Physical or Sexual Abuse Current

Superseded by ICFIID #2024-027

CCRSS 024-032 11/07/2024 Respiratory Protection Against Airborne Diseases and Regulatory Requirements Current
ALF 026-021 05/19/2026 Implementation of the HCBS Access Rule Grievance Process and System Requirements Current
NH 025-045 09/25/2025 EXPIRED CENTERS FOR MEDICARE AND MEDICAID (CMS) MEMOS AND UPDATED PRACTICE GUIDANCE Current
ALF 012-010 07/09/2012 Revisions to Questions on the Complaint Hotline Current
ESF 021-012 02/26/2021 Chapter 246-101 WAC, Notifiable Conditions Proposed Rules and Public Hearing Notice Current