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(desc) Notes
ESF 025-024 09/16/2025 LONG-TERM CARE FACILITIES AND KEEPING NALOXONE (NARCAN) IN STOCK Superseded
ESF 020-003 02/21/2020 Concerning 2019 Novel Coronavirus Illness (2019-nCOV) Superseded

Superseded by #005

ICFIID 025-011 09/16/2025 LONG-TERM CARE FACILITIES AND KEEPING NALOXONE (NARCAN) IN STOCK Superseded
NH 020-005 02/21/2020 Concerning 2019 Novel Coronavirus Illness (2019-nCOV) Superseded

Superseded by #011

AFH 025-038 09/16/2025 LONG-TERM CARE FACILITIES AND KEEPING NALOXONE (NARCAN) IN STOCK Superseded
AFH 013-002 03/05/2013 Department's Role as a Regulator Superseded

Replaced by 014-006

NH 020-007 03/09/2020 Investigation Process in COVID-19 Situations and Suspension of Certain Survey Activities Superseded

Superseded by #008

ICFIID 020-003 03/09/2020 Investigation Process in COVID-19 Situations and Suspension of Certain Survey Activities Superseded

Superseded by #005

NH 024-010 03/08/2024 Geriatric Behavioral Health Worker (GBHW) Qualifications, Supervision and Training Requirements, and Instructions for Temporary Inclusion of Previously Reported State Q2, Q3 and/or Q4 2023 Into the Direct Care House Per Resident Day (HPRD) Calculation Superseded

August 16, 2024

CCRSS 025-025 10/14/2025 CLARIFICATION OF WASHINGTON NAME AND DATE OF BIRTH BACKGROUND CHECKS AND NATIONAL FINGERPRINT-BASED BACKGROUND CHECK REQUIREMENTS Superseded
ESF 020-004 03/09/2020 Inspection/Investigation Process in COVID-19 Situations and Suspension of Certain Inspection Activities Superseded

Superseded by #005

AFH 022-014 04/01/2022 Medical Test Site Waiver Regulatory Requirements Superseded

Superseded by 024-047

NH 024-011 03/15/2024 Temporary Process for Verification of Nursing Assistant-Registered (NAR) Eligibility to Continue Working Past 4 Months in a Nursing Home (NH)) Superseded

Superseded 2/28/2025

ALF 025-044 10/14/2025 CLARIFICATION OF WASHINGTON NAME AND DATE OF BIRTH BACKGROUND CHECKS AND NATIONAL FINGERPRINT-BASED BACKGROUND CHECK REQUIREMENTS Superseded
NH 014-008 07/17/2014 LTC Ombuds Access to Resident Information & Records Superseded

Replaced by 014-022

ALF 020-008 03/09/2020 Inspection/Investigation Process in COVID-19 Situations and Suspension of Certain Inspection Activities Superseded

Superseded by #010

ESF 025-031 10/14/2025 CLARIFICATION OF WASHINGTON NAME AND DATE OF BIRTH BACKGROUND CHECKS AND NATIONAL FINGERPRINT-BASED BACKGROUND CHECK REQUIREMENTS Superseded
AFH 014-007 07/17/2014 LTC Ombuds Access to Resident Information & Records Superseded

Replaced by 014-018

AFH 020-006 03/09/2020 Inspection/Investigation Process in COVID-19 Situations and Suspension of Certain Inspection Activities Superseded

Superseded by #007

AFH 025-045 10/14/2025 CLARIFICATION OF WASHINGTON NAME AND DATE OF BIRTH BACKGROUND CHECKS AND NATIONAL FINGERPRINT-BASED BACKGROUND CHECK REQUIREMENTS Superseded
CCRSS 020-004 03/09/2020 Inspection/Investigation Process in COVID-19 Situations and Suspension of Certain Inspection Activities Superseded

Superseded by #005

AFH 025-041 09/22/2025 RCS STAFF MASK WEARING AND RELATED PROCEDURES DURING THE 2025-2026 RESPIRATORY ILLNESS SEASON Superseded
ALF 020-009 03/11/2020 COVID-19 Links and Additional Information Superseded

Superseded by #010

NH 014-025 12/11/2014 120 Day Rule for NARs Superseded

Replaced by 015-022

ALF 025-039 09/22/2025 RCS STAFF MASK WEARING AND RELATED PROCEDURES DURING THE 2025-2026 RESPIRATORY ILLNESS SEASON Superseded