ALTSA Provider/Administrator Letters

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Access the archive from calendar years 2014 and prior


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Provider Type(desc) Letter Date Subject Status Notes
NH 025-022 06/05/2025 Updates to the Long-Term Care Quality Improvement Program (LTC QIP) Current
NH 015-004 02/12/2015 Clarification of Terms Implicating the Spousal Relationship in Regulations & Guidance for Medicare & Medicaid Certified Providers and Suppliers Current
NH 022-032 05/26/2022 CR-103E Filed to Extend Emergency Rules Amending or Suspending NH Requirements Related to PASRR Current
NH 016-020 07/14/2016 Services to Enable Accessible Communication with People Who are Deaf, Deaf-Blind, Hard of Hearing or Speech Disabled Current
NH 025-011 03/26/2025 QSSAM-25-1-ALL: Clarification of CMS' Provider Enrollment Site Visits and Specific Disclosure Requirements for SNF and NF Current
NH 021-033 04/29/2021 Sources to Access Vaccines for Residents Current
NH 022-056 10/04/2022 CMS Updated Guidance in QSO-22-15-NH & NLTC & LSC, Related to Nurse Aide Training Competency and Evaluation Requirements Rescinded
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Superseded August 8, 2025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 022-041 07/07/2022 Reimplementation of the Nursing Home State Survey Report or DSHS 10-207 Form Current
NH 019-012 06/14/2019 CR 101 Filed to Propose Amendments to Chapter 388-97 WAC (Geriatric Specialty Training) Current
NH 024-022 05/10/2024 Emergency Preparedness Considerations for Wildfire Smoke Current
NH 026-017 04/14/2026 Clarify Information Regarding Compliance with FTAG 600 Resident to Resident Abuse Current
NH 021-021 03/04/2021 Long-Term Care Resilience Training Opportunity Current
NH 013-006 04/17/2013 S&C 13-14: Physician Delegation of Tasks in SNFs and NFs Current
NH 015-026 07/27/2015 CR 101 Filed to Propose Adding & Amending Sections to Chapter 388-97 WAC Current
NH 017-004 02/06/2017 S&C 17-17-ALL: Recommendations Regarding Cyber Security Current
NH 021-059 08/06/2021 QSO-21-20-NH Removal of S&C 17-37-NH from CMS Guidance Repository Current
NH 026-002 01/14/2026 CR 103P ASSISTED LIVING FACILITY, NURSING HOMES AND ENHANCED SERVICES FACILITIES RULE FILING Current
NH 024-016 03/25/2024 Critical Staffing Management in LTC Settings Update Current
NH 020-056 08/06/2020 Behavioral Health Provider Visits Current
NH 015-005 02/12/2015 Mandated Reporting Requirements for Facility Staff Current
NH 022-031 05/26/2022 CR-103E Filed to Extend Emergency Rules Amending NH Requirements for Disaster and Emergency Preparedness and Resident Rooms Current
NH 015-035 12/08/2015 24 Hour RN Requirement in Nursing Homes Current
NH 012-001 02/07/2012 S&C 12-09: Federal Requirements for the Independent Informal Dispute Resolution (IIDR) Process Current
NH 022-057 10/05/2022 Statewide 1135 Waiver Approved by CMS to Extend Nurse Aide Training and Certification Deadline Current