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 021-045 08/24/2021 Order Free PPE Through the State of WA Between Now & October 31, 2021 Current
ALF 025-019 06/05/2025 Changes to Community Stability and Supports Service Model Current

Amended June 11, 2025

ALF 014-005 06/27/2014 Department Role Current
ALF 018-021 09/27/2018 ALF Fee Increases Current
ALF 020-052 11/06/2020 Emergency Volunteer Health Practitioners Background Checks 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 022-009 03/04/2022 CR-103E (Emergency Rules) Filed for Chapter 388-78A Administrator Training Certification Suspension Current
ALF 025-051 12/18/2025 WA STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN ASSISTED LIVING FACILITIES (ALF) Current
ALF 015-018 08/31/2015 Use of Electronic Cigarettes in Long-Term Care Facilities Current
ALF 021-014 03/04/2021 Long-Term Care Resilience Training Opportunity Current
ALF 024-033 09/16/2024 RCS STAFF MASK WEARING AND RELATED PROCEDURES DURING THE 2024-2025 RESPIRATORY ILLNESS SEASON Current
ALF 013-006 05/15/2013 (Pending Reissuance) Rescinded
ALF 022-019 05/27/2022 Use of Emergency Medical Services by Licensed and Certified Long-Term Care Providers Rescinded
ALF 023-024 10/09/2023 RCS Staff Mask Wearing and Related Procedures During the 2023-2024 Respiratory Illness Season Rescinded
ALF 014-006 07/17/2014 LTC Ombuds Access to Resident Information & Records Superseded

Replaced by 014-015

ALF 013-003 03/05/2013 Department's Role as a Regulator Superseded

Replaced by 014-005

ALF 021-024 04/30/2021 Employer Responsibilities for Respiratory Protection Program and Provision of PPE Superseded

023-022

ALF 022-029 08/03/2022 Medical Test Site Waiver Regulatory Requirements Superseded

Superseded by 024-042

ALF 025-036 09/16/2025 LONG-TERM CARE FACILITIES AND KEEPING NALOXONE (NARCAN) IN STOCK Superseded
ALF 020-007 02/21/2020 Concerning 2019 Novel Coronavirus Illness (2019-nCOV) Superseded

Superseded by #010

ALF 015-005 04/20/2015 Use of Emergency Medical Services Superseded

See ALF 022-019

ALF 020-008 03/09/2020 Inspection/Investigation Process in COVID-19 Situations and Suspension of Certain Inspection Activities Superseded

Superseded by #010

ALF 020-009 03/11/2020 COVID-19 Links and Additional Information Superseded

Superseded by #010

ALF 025-039 09/22/2025 RCS STAFF MASK WEARING AND RELATED PROCEDURES DURING THE 2025-2026 RESPIRATORY ILLNESS SEASON Superseded
ALF 020-010 03/17/2020 COVID-19 Information as of March 17, 2020 Superseded

Amended April 8, 2020