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 Subject Status(desc) Notes
ALF 025-018 06/02/2025 Residential Support Waiver Current
ALF 017-014 09/29/2017 CR-101 Filed to Propose Adding & Amending Sections to Chapter 388-78A Current
ALF 021-045 09/17/2021 COVID-19, Influenza and Pneumococcal Reminder Current
ALF 024-001 01/16/2024 Precautions for Residents and Staff for Extreme Cold Weather Conditions Current
ALF 014-012 09/29/2014 Background Check Central Unit Form Changes Current
ALF 020-039A 08/13/2020 EVICTION MORATORIUM DURING COVID-19 OUTBREAK Current
ALF 025-052 12/17/2025 BED CAPACITY UPDATES FOR EXPANDED COMMUNITY SERVICES (ECS) AND ENHANCED ADULT RESIDENTIAL CARE (EARC) Current
ALF 019-004 03/08/2019 CR 105 Quality Assurance Committee Notice of Refile Current
ALF 022-016 05/05/2022 Emergency Rules and Proposed Rules Filed Regarding Long-Term Care Worker Training Requirements Current
ALF 024-031 09/04/2024 Planned Department adjustment to paid claims Current
ALF 016-002 01/13/2016 Continuing Education (CE) Certificates Current
ALF 021-021 04/23/2021 Visual Aid for Understanding LTC Facility Visits Under the Safe Start Plan Current
ALF 026-019 05/11/2026 Upcoming Training Opportunity: Assisted Living Facility Pilot for Investigation of Facility- Reported Incidents Current
ALF 022-050 11/28/2022 RCS Transition to Paperless Work - Use of Electronic Fax to Deliver Notice Current
ALF 013-005 04/17/2013 CR 102 Filed: Formal Phase of Proposed Amendments to Chapter 388- 78A WAC Current
ALF 020-028 06/16/2020 COVID-19: Reopening of Washington State and Resident Visits to the Community Current

Amended 01/11/2021

ALF 025-019 06/05/2025 Changes to Community Stability and Supports Service Model Current

Amended June 11, 2025

ALF 017-015 09/29/2017 Influenza and Pneumococcal Reminder Current
ALF 021-052 09/17/2021 COVID-19, Influenza and Pneumococcal Reminder Current
ALF 024-002 01/22/2024 Updates to Department of Health (DOH) COVID-19 Outbreak Definition and Outbreak Reporting Requirements Current

Amended  July 22, 2025

ALF 014-013 09/29/2014 Home & Community Based Services Rules Web Page Current
ALF 020-059 12/02/2020 The Department of Health Process for Point-of-Care Testing Reporting Current

Amended 12/15/2020

ALF 025-051 12/18/2025 WA STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN ASSISTED LIVING FACILITIES (ALF) Current
ALF 019-005 03/15/2019 CR 103 (Permanent Rules) Filed for Chapter 388-78A (Medication Assistance Added to ADLs) Current
ALF 022-017 05/17/2022 Begin Using DOH Construction Review Services for All Construction Projects Prior to the End of the Proclamation Current