ALTSA Provider/Administrator Letters

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Access the archive from calendar years 2014 and prior


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Provider Type Letter(desc) Date Subject Status Notes
ALF 025-033 08/08/2025 Home Care Aide Certification Timeline Extended to 365 Days from the Date of Hire Current
ALF 025-034 08/14/2025 CR-103P Filed to Add to Chapter 388-76 WAC and Amend Chapter 388-76 WAC, Chapter 388-78A WAC, Chapter 388-97 WAC, Chapter 388-107 WAC Current
ALF 025-035 08/28/2025 CR 103P, Rule-Making Order (Permanent Rule) Filed for Chapter 388-76 WAC, Chapter 388-78A, and Chapter 388-107 WAC Current
ALF 025-012 05/09/2025 Proposed Amendments to Chapter 388-76 WAC, Chapter 388-78A WAC, Chapter 388-107 WAC Current

Amended May 29, 2025

ALF 026-001 01/12/2026 Clarifying Background Check Requirements in Assisted Living and Enhanced Services Facilities Current
ALF 026-002 01/12/2026 RESIDENTIAL SEARCH TOOL LOCATOR, ROOM AND CARE TRAINING Current
ALF 026-004 01/13/2026 CR-105 FILED TO AMEND SECTIONS OF CHAPTER 388-76 WAC (ADULT FAMILY HOME MINIMUM LICENSING REQUIREMENTS), CHAPTER 388-78A, (ASSISTED LIVING FACILITY LICENSING RULES), AND CHAPTER 388-107 (LICENSING REQUIREMENTS FOR ENHANCED SERVICES FACILITIES) Current
ALF 026-005 01/14/2026 CR 103P ASSISTED LIVING FACILITY, NURSING HOMES AND ENHANCED SERVICES FACILITIES RULE FILING Current
ALF 026-006 01/29/2026 CR-101 FILED TO PROPOSE AMENDING AND ADDING SECTIONS OF WAC CHAPTERS 388-76 ADULT FAMILY HOME MINIMUM LICENSING REQUIREMENTS, 388-78A ASSISTED LIVING FACILITY LICENSING RULES, 388-107 LICENSING REQUIREMENTS FOR ENHANCED SERVICES FACILITIES, 388-101 CERTIFIED COMMUNITY RESIDENTIAL SERVICES AND SUPPORTS Current
ALF 026-007 02/12/2026 COVID-19 Testing Considerations for Admissions / Move-ins From Hospitals Current
ALF 026-003 01/12/2026 LEGAL SERVICES RECORDS REQUEST AND COMMUNICATION CONSENT FORM RELATED TO NOTICE OF TRANSFER OR DISCHARGE OF RESIDENTS WITH MEDICAID IN ADULT FAMILY HOME, ASSISTED LIVING FACILITY, AND ENHANCED SERVICES FACILITIES Current
ALF 020-030 07/08/2020 COVID-19 PROCLAMATIONS EXTENDED UNTIL AUGUST 1, 2020 Current
ALF 021-015 03/19/2021 No Cost Health Support Team Training Opportunity Current

Amended 06/24/2021

ALF 021-017 03/24/2021 Emergency Rules Suspending TB Testing Current
ALF 022-011 03/09/2022 Updated COVID-19 Guidance from the Department of Health Current
ALF 022-020 06/10/2022 Alternatives to Temporary Barriers Used to Separate COVID Areas in LTC Settings Current
ALF 025-001 01/27/2025 TB Rulemaking and Community Partner Engagement Continues in 2025 Current
ALF 025-020 06/05/2025 Interested Parties Meetings on Background Check Requirements Temporarily Postponed Current
ALF 022-003 01/26/2023 2023 Provider Forum Schedule Current
ALF 022-018 05/17/2022 Reinstatement of Tuberculosis Testing Requirements July 1, 2022 Current

Amended 5/26/2022

ALF 024-025 08/26/2024 UPDATES TO INTERESTED PARTIES’ MEETINGS AMENDING RULES TO IMPLEMENT SUBSITUTE HOUSE BILL 1218 Current
ALF 024-026 08/29/2024 CR-101 FILED TO SUPPORT HCBS AND MEDICAID REQUIREMENTS Current
ALF 024-027 08/29/2024 UPCOMING TRAINING OPPORTUNITY: WASHINGTON STATE’S CRISIS SYSTEM: WHAT SERVICES ARE, HOW TO ACCESS, AND WHAT TO EXPECT Current
ALF 024-028 08/29/2024 EMERGENCY MEDICAL SERVICES AND LONG-TERM CARE WEBINAR Current
ALF 024-029 09/04/2024 REMINDER OF REQUIREMENTS RELATED TO RESIDENTS’ RIGHT TO VOTE Current