ALTSA Provider/Administrator Letters

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Access the archive from calendar years 2014 and prior


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Provider Type(asc) Letter Date Subject Status Notes
NH 017-030 11/03/2017 Proposed Amendments to Chapter 388-97 WAC (Direct Care Hours) Current
NH 022-006 01/07/2022 Additional PASRR CR 103E Filed to Extend Emergency Rules Amending or Suspending some NH Requirements Current
NH 015-025 07/23/2015 Character, Competency & Suitability (CCS) Determination Form Current
NH 025-018 05/23/2025 CR-101 Filed to Update Background Check Requirements Superseded

Superseded June 5, 2025

NH 021-079 10/08/2021 CR-103E Filed to Extend Emergency Rules Amending Nursing Home Requirements for Disaster and Emergency Preparedness, Quality Assessment and Assurance, and Resident Rooms 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 025-003 01/31/2025 Increased Regulatory Focus by the Office of the State Fire Marshal (OSFM) Current
NH 025-039 08/14/2025 QSO-23-10-NH Expired on 07/30/2025 - Strengthened Enhanced Enforcement for Infection Control Deficiencies Current
NH 025-022 06/05/2025 Updates to the Long-Term Care Quality Improvement Program (LTC QIP) Current
NH 015-019 05/12/2015 Reporting Non-Consensual Sexual Contact Current
NH 022-041 07/07/2022 Reimplementation of the Nursing Home State Survey Report or DSHS 10-207 Form Current
NH 021-017 02/19/2021 CR-103E Filed to Extend Emergency Rules Amending NH Requirements for Disaster & Emergency Preparedness, Quality Assessment and Assurance and Resident Rooms 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Superseded August 8, 2025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 019-012 06/14/2019 CR 101 Filed to Propose Amendments to Chapter 388-97 WAC (Geriatric Specialty Training) 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
NH 023-013 03/24/2023 Residential Care Services and Association Provider Forums Current
NH 013-006 04/17/2013 S&C 13-14: Physician Delegation of Tasks in SNFs and NFs Current
NH 017-031 11/03/2017 Proposed Amendments to Chapter 388-97 WAC (Resident Assessment) Current
NH 015-026 07/27/2015 CR 101 Filed to Propose Adding & Amending Sections to Chapter 388-97 WAC Current
NH 025-058 12/08/2025 PROPOSED AMENDMENTS TO CHAPTER 388-76 WAC, CHAPTER 388-78A WAC, CHAPTER 388-97 WAC, CHAPTER 388-107 WAC Current
NH 022-065 12/29/2022 CR-103E Emergency Rules Filed to Continue to Extend Waived Rules Related to Transfer and Discharge of Nursing Home Residents Current
NH 021-045 06/16/2021 Discontinuation of Rapid Response Team Current
NH 021-081 10/08/2021 30-Day Extension Approved of Proclamation 21-15 Related to the Transfer and Discharge of Nursing Home Residents Current
NH 015-005 02/12/2015 Mandated Reporting Requirements for Facility Staff Current