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 020-073 10/08/2020 QSO-20-41-ALL Guidance Related to the Emergency Preparedness Testing Requirements (COVID-19) Current

Superseded August 8, 2025

NH 022-064 12/16/2022 CMS Released QSO-23-01-NH with Revisions to Special Focus Facility Program Current
NH 024-031 07/12/2024 Upcoming Training Opportunity: Substance Use Disorder 101 Current
NH 019-028 11/27/2019 QSO-20-03-NH Phase 3 Interpretive Guidance, Arbitration Agreement Requirements and Announcement of New Resources Current
NH 026-023 05/18/2026 Washington State 24/7 Registered Nurse (RN) Staffing Exception Process – Updated Current
NH 021-061 08/24/2021 Order Free PPE Through the State of WA Between Now & October 31, 2021 Current
NH 015-018 05/18/2015 S&C 15-36: Requesting an Appeal with the Departmental Appeals Board (DAB) Current
NH 020-041 06/16/2020 COVID 19: Reopening of Washington State and Resident Visits to the Community Current

Amended 01/11/2021

NH 022-032 05/26/2022 CR-103E Filed to Extend Emergency Rules Amending or Suspending NH Requirements Related to PASRR Current
NH 026-007 02/12/2026 COVID-19 Testing Considerations for Admissions / Move-ins From Hospitals Current
NH 018-015 05/30/2018 Updated Information Regarding Required Notice When NH Residents Transfer or Discharge to Acute Care Current
NH 014-007 07/17/2014 Final Amendments Related to Chapter 388-97 WAC Current
NH 020-021 04/16/2020 Emergency Rules (CR 103E) Amending or Suspending Some NH Requirements Current
NH 013-005 04/17/2013 S&C 13-14: Luer Misconnection Adverse Events Current
NH 015-029 08/11/2015 Revisions to Questions on the Complaint Hotline Current
NH 021-090 11/18/2021 CR-103 Nursing Home Rule Filing Current

Amended December 3, 2021

NH 023-029 07/18/2023 Healthcare Management Solutions LLC Awarded Contract to Conduct Nursing Home Full Recertification Surveys Current
NH 024-059 12/06/2024 QSO-25-07-NH, Revised LTC Surveyor Guidance: Significant Revisions to Enhance Quality and Oversight of the LTC Survey Process Current

Superseded March 19, 2025

NH 020-065 09/16/2020 COVID-19 Proclamations Extended Through October 1, 2020 Current
NH 019-017 08/30/2019 Upcoming Changes to MDS & Case Mix Current
NH 025-035 08/08/2025 Expired - QSO 19-07-NH: Enhanced Oversight and Enforcement of Non-Improving Late Adopters Current
NH 026-033 08/25/2026 Personal Care Services Survey Current
NH 025-063 12/18/2025 WASHINGTON (WA) STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN NURSING HOMES (NH)  Current
NH 018-008 04/13/2018 Clarification: RN Hours for Meeting 24 Hour RN Staffing Requirement Current
NH 022-009 01/18/2022 CR-103E Emergency Rule Supersedes Previous Emergency Rule Related to the Transfer & Discharge of NH Residents Current