Information for Providers and Long-Term Care Professionals

* Accuracy and currency are paramount to us. Please contact james.kopriva@dshs.wa.gov with suggested revisions to this page. *

Help, Hotlines, and Guidelines

·Washington State Department of Health Coronavirus Call Center

  • 1-800-525-0127 and press #.

·Washington State Department of Health Web Resources

·Centers for Disease Control and Prevention

·​​Washington State Coronavirus Response Website

·DSHS Aging and Long-Term Support Administration


Mandatory Reporting of Suspected COVID-19 Cases

Report Suspected Cases

You must report suspected or confirmed cases of COVID-19 to your local health jurisdiction and to the Residential Care Services Complaint Resolution Unit (CRU)

Infection Control and Prevention

The Centers for Disease Control and Prevention has published Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings.

Additionally, the Aging and Long-Term Care Administration has published this procedure for caring for clients with COVID-19.


How to Protect Yourself and Others:

Care providers are on the front lines of the COVID-19 outbreak. Care of and close contact with affected patients are risk factors. Embrace protective measures to reduce your risk of exposure.

Wash Your Hands

The World Health Organization has published a visual health care worker handwashing guide. The Centers for Disease Control and Prevention describes a thorough, 20-second process for handwashing - the equivalent of singing the "Happy Birthday" song twice.

  • Wash hands often with soap and water for at least 20 seconds. If not available, use hand sanitizer.
  • Avoid touching your eyes, nose, or mouth with unwashed hands.
  • Avoid close contact with people who are sick.
  • Stay home and away from others if you are sick.
  • Cover your mouth/nose with a tissue or sleeve when coughing or sneezing.

Personal Protective Equipment (PPE)

COVID-19 has strained medical resources and supply of PPE. Protocol for procurement of PPE is dynamic as the outbreak progresses. Please pay close attention to our "Provider/Administrator Letters" for updates and contact your local health department for the latest procedure.

Conserve PPE

The Centers for Disease Control and Prevention has published strategies for the conservation of PPE. The Centers for Disease Control and Prevention has published a checklist specific to the conservation of N95 respirators.

View this flyer to learn about conservation of PPE, re-use of PPE and alternatives when facing a shortage.

Procurement of PPE

Procedure for procurement of PPE is dynamic as the outbreak progresses. Contact your local health jurisdiction for the latest information.


Additional Guidance for Providers

Guidance for Individual Providers

The work performed by Individual Providers is considered essential under the Governors Proclamation 20-25. Your clients may need you more than ever during this outbreak, but we encourage steps to reduce close contact and require that you contact your client and case manager in the event you feel ill yourself. See our Guide for Individual Providers for more information.

Appendix K Waivers

Appendix K waivers have been filed in response to the COVID-19 outbreak. These waivers temporarily modify some processes of care, provider qualifications, service limitations, and other guidelines. Providers should stay current with these waivers to optimally respond to COVID-19.

Additional Resources

We can all do our part to keep our clients and ourselves safe and healthy. In addition to the basic guidelines listed above, here are some additional resources:

Adult Family Homes

Some of the most important considerations for adult family home providers relate to contingency staffing and client placement plans. It’s important to prepare plans that allow for the continuation of care to best serve your clients while keeping your staff safe.

Check out this document from the Department of Health for specific recommendations about prevention and planning.

Assisted Living Facilities

Assisted living facilities can help stop the spread of germs by practicing basic screening techniques and developing detailed plans that relate to the health and safety of clients and staff. By staying informed with current information, practicing screening techniques, developing plans and being proactive, you can continue to care for your clients while keeping your staff safe.

Check out this document from the Department of Health for specific recommendations about prevention and planning.

Skilled Nursing Facilities

Your facility has a detailed plan in place to help stop the spread of germs and help keep your staff and clients safe. The Department of Health has provided some additional recommendations about planning, preparation and screening.

Check out this document from the Department of Health to learn more.

Enhanced Services Facilities

Providers at Enhanced Services Facilities and other enhanced living facilities should develop plans for how they will address an outbreak of COVID-19 in their area. Plans should include when staff will use personal protective equipment, how you will screen visitors for symptoms of illness and how you will implement respiratory hygiene throughout your facility.

Check out this document from the Department of Health to learn more.

In-Home Care Providers

Individual providers, agency providers, nursing services providers and other in-home care workers provide direct care to older adults and adults with disabilities who may be at greater risk for serious COVID-19 complications. By monitoring your client's health and taking precautions to protect both you and your client, you can reduce the risk for infection and identify any unusual symptoms early.

If your client develops flu-like symptoms such as fever, cough, or new or worsening shortness of breath, urge them to reach out to their doctor for further instructions.

Check out this document from the Department of Health to learn more.

Community Based Services

COVID-19 has caused interruptions to community services such as Adult Day Health and senior nutrition programs. Closures of facilities and cancelations of events may be necessary during the outbreak. The Department of Health has provided recommendations for preparing for and responding to a COVID-19 outbreak in your community.

 View recommendations from the Department of Health