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(desc) Subject Status Notes
NH 026-023 05/18/2026 Washington State 24/7 Registered Nurse (RN) Staffing Exception Process – Updated Current
AFH 026-019 05/19/2026 Implementation of the HCBS Access Rule Grievance Process and System Requirements Current
ALF 026-021 05/19/2026 Implementation of the HCBS Access Rule Grievance Process and System Requirements Current
CCRSS 026-009 05/19/2026 Implementation of the HCBS Access Rule Grievance Process and System Requirements Current
ESF 026-016 05/19/2026 Implementation of the HCBS Access Rule Grievance Process and System Requirements Current
AFH 026-017 05/25/2026 Upcoming Training Opportunity: Adult Family Home Pilot for Investigation of Facility- Reported Incidents Current
ALF 026-022 05/29/2026 Memory Care Certification Application and Memory Care Disclosure Forms Current
AFH 026-020 06/01/2026 Notice of Bed Hold Request Current
ALF 026-023 06/01/2026 Notice of Bed Hold Request Current
ESF 026-017 06/01/2026 Notice of Bed Hold Request Current
CCRSS 026-010 06/01/2026 CR-101 Filed to Propose Amending and Adding Sections of Chapter 388-101 WAC, Certified Community Residential Services and Supports Streamlining and Monitoring Current
AFH 026-021 06/01/2026 Emergency Preparedness Considerations for Summer Hazards Current
ALF 026-024 06/01/2026 Emergency Preparedness Considerations for Summer Hazards Current
NH 026-024 06/01/2026 Emergency Preparedness Considerations for Summer Hazards Current
ICFIID 026-006 06/01/2026 Emergency Preparedness Considerations for Summer Hazards Current
CCRSS 026-011 06/01/2026 Emergency Preparedness Considerations for Summer Hazards Current
ESF 026-018 06/01/2026 Emergency Preparedness Considerations for Summer Hazards Current
NH 026-025 06/10/2026 Clarifying Background Check Requirements on Veteran Staff in Nursing Homes Current
AFH 026-024 06/24/2026 Interested Parties Rulemaking Meeting Notice: AFH Discharge Notice/Background Checks/Windows Current
AFH 026-023 06/24/2026 CR-101 Filed to Propose Amendments to Chapter 388-76 WAC Adult Family Home Minimum Licensing Requirements- Discharge Notice, Background Checks and Windows Current
AFH 026-025 06/25/2026  Cannabis Guidance for Adult Family Homes Current
ALF 026-026 06/25/2026 Cannabis Guidance for Assisted Living Facilities   Current
CCRSS 026-012 06/25/2026 Cannabis Guidance for Certified Community Residential Services and Supports Facilities Current
ICFIID 026-007 06/25/2026 Cannabis Guidance for Intermediate Care Facilities for Individuals with Intellectual Disabilities Current
NH 026-026 06/25/2026 Cannabis Guidance for Long-Term Care Facilities and Guidance Regarding Substitute House Bill 2152 (Ryan’s Law) for Nursing Homes Current