Provider/Administrator Letters

An archive and place for providers and administrators to access provider letters, administrator letters. This page is vital in providing quick access to changes in regulatory policy, informational updates, and program details.

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Access the archive from calendar years 2014 and prior

Provider Type Letter Title Subject Status Notes
AFH 026-001 CLARIFYING BACKGROUND CHECK REQUIREMENTS IN ADULT FAMILY HOME SETTINGS
Current
NH 025-065 UPDATED TRAINING & REFERENCE MATERIALS: PAYROLL-BASED JOURNAL (PBJ) DATA SUBMISSION & THE WA STATE MINIMUM DIRECT CARE NURSING (MDCN) 3.4 HOURS PER RESIDENT DAY (HPRD) THRESHOLD Superseded

Superseded by: NH 026-041

NH 025-064 UPDATED NURSING HOME (NH) DISCHARGE OR TRANSFER NOTICE FORM Current
NH 025-063 WASHINGTON (WA) STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN NURSING HOMES (NH) 
Current
NH 025-062 CR-105 FILED TO REPEAL SECTIONS OF CHAPTER 388-97 WAC THAT HAVE EXPIRED (NURSING HOMES)
Current
NH 025-061 UPDATES TO THE CIVIL PENALTY REINVESTMENT PROGRAM (CMPRP) Current
NH 025-060 WA CARES FUND PILOT PROGRAM Current
NH 025-059 UPDATED PHARMACY RULES & SUBSTITUTE HOUSE BILL 1720, MEDICATION ASSISTANCE INTERESTED PARTIES MEETING
Current
NH 025-058 PROPOSED AMENDMENTS TO CHAPTER 388-76 WAC, CHAPTER 388-78A WAC, CHAPTER 388-97 WAC, CHAPTER 388-107 WAC Current
NH 025-057 QTSO MEMO 2025-057 - CMSNET END OF SUPPORT FOR WIDOWS 10 Current
NH 025-056 CR-105 FILED TO REPEAL SECTIONS OF CHAPTER 388-97 WAC THAT ARE NO LONGER IN USE (NURSING HOMES) Current
NH 025-055 PROPOSED AMENDMENTS TO CHAPTER 388-78A WAC, CHAPTER 388-97 WAC, CHAPTER 388-107 WAC Current
NH 025-054 Updated – Timely, Impartial, & Accurate Admission Decision Making – Multidrug-Resistant Organism (MDRO) Candida Auris (C. auris) Current

Amended: October 12, 2026

NH 025-053 UPDATED GUIDANCE FOR MELATONIN USE IN NURSING HOMES (NHs) Current
NH 025-052 CLARIFICATION OF WASHINGTON NAME AND DATE OF BIRTH BACKGROUND CHECKS AND NATIONAL FINGERPRINT-BASED BACKGROUND CHECK REQUIREMENTS Superseded
ALF 025-052 BED CAPACITY UPDATES FOR EXPANDED COMMUNITY SERVICES (ECS) AND ENHANCED ADULT RESIDENTIAL CARE (EARC) Current
NH 025-051 ADDRESSING PENDING PRE-ADMISSION SCREENING AND RESIDENT REVIEW (PASARR OR PASRR) LEVEL II EVALUATIONS Current
ALF 025-051 WA STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN ASSISTED LIVING FACILITIES (ALF) Current
AFH 025-051 WA STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN ADULT FAMILY HOMES (AFH) Current
NH 025-050 PRE-ADMISSION SCREENING & RESIDENT REVIEW (PASRR) WEBINAR 2025 Current
ALF 025-050 WA CARES FUND PILOT PROGRAM Current
AFH 025-050 WA CARES FUND PILOT PROGRAM Current
NH 025-049 Impacts From Federal Government Shut Down (Amended) Current
ALF 025-049 HOME AND COMMUNITY BASED SERVICES RULEMAKING: CONTACT INFORMATION FOR LEGAL SERVICES, LTC OMBUDS AND UPATED DSHS FORMS
Current
AFH 025-049 HOME AND COMMUNITY BASED SERVICES RULEMAKING: CONTACT INFORMATION FOR LEGAL SERVICES, LTC OMBUDS AND UPATED DSHS FORMS
Current