ALTSA Provider/Administrator Letters

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Access the archive from calendar years 2014 and prior


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Provider Type(desc) Letter Date Subject Status Notes
NH 026-007 02/12/2026 COVID-19 Testing Considerations for Admissions / Move-ins From Hospitals Current
NH 025-022 06/05/2025 Updates to the Long-Term Care Quality Improvement Program (LTC QIP) Current
NH 022-010 02/04/2022 CR-101s Filed to Consider Amending Chapters 388-76, 388-78A, 388-97, and 388-107 WAC to Implement SHB 1218 Current
NH 020-074 11/13/2020 POSTPONED: RCS Reimplementation of Inspection and Investigation Activities Current

Amended

NH 025-055 10/31/2025 PROPOSED AMENDMENTS TO CHAPTER 388-78A WAC, CHAPTER 388-97 WAC, CHAPTER 388-107 WAC Current
NH 019-030 12/13/2019 Nursing License Not Required for Use of Opioid Reversal Medication in Long-Term Care Facilities Current
NH 014-008 07/17/2014 LTC Ombuds Access to Resident Information & Records Superseded

Replaced by 014-022

NH 013-006 04/17/2013 S&C 13-14: Physician Delegation of Tasks in SNFs and NFs Current
NH 025-036 08/08/2025 Revised QSO-25-23-ALL: Guidance for the Expiration of the COVID-19 Public Health Emergency (PHE) Current
NH 016-013 06/10/2016 Release of Draft Long-Term Care Facility (LTCF) Resident Assessment Instrument (RAI) 3.0 User’s Manual Version 1.14 Current
NH 021-066 09/03/2021 Correction Regarding LTC Setting Requirements Under Governor Proclamation 21-14, COVID Vaccination Requirements Current
NH 023-027 06/09/2023 Update on RCS Transition to Paperless Work Use of Email an Fax to Submit Documents to RCS Current
NH 026-017 04/14/2026 Clarify Information Regarding Compliance with FTAG 600 Resident to Resident Abuse Current
NH 025-065 12/19/2025 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 Current
NH 020-066 09/18/2020 CR 103E Filed to Extend Emergency Rule Amending NH Requirements and CR-101 Filed to Consider Permanently Amending the Rule for Clinical Records Current
NH 025-045 09/25/2025 EXPIRED CENTERS FOR MEDICARE AND MEDICAID (CMS) MEMOS AND UPDATED PRACTICE GUIDANCE Current
NH 023-015 03/30/2023 Discontinuing Discretionary Tasks and Resuming Mandatory Facility Tasks in the Long-Term Care Survey Process Current
NH 021-044 05/26/2021 Source Control Regardless of Vaccination Status Current
NH 012-001 02/07/2012 S&C 12-09: Federal Requirements for the Independent Informal Dispute Resolution (IIDR) Process Current
NH 023-002 01/12/2023 Introducing the Business Operations and Analysis Unit Current
NH 020-014 03/26/2020 QSO-20-20-All Prioritization of Survey Activities & Focused Infection Control/PPE Reviews Current

Superseded August 8, 2025

NH 023-025 06/08/2023 Emergency Preparedness: Reminder About Maximum Temperatures in Nursing Home Settings Current
NH 020-038 06/10/2020 QSO 20-31-ALL: COVID-19 Survey Activities, CARES Act Funding, Enhanced Enforcement for Infection Control Deficiencies, and NH Quality Improvement Activities Current

Amended February 5, 2021

NH 021-019 02/26/2021 Chapter 246-101 WAC, Notifiable Conditions Proposed Rules and Public Hearing Notice Current
NH 025-031 07/11/2025 Withdrawal of CR-101 on Death with Dignity (DWD) Act Medications in LTC Facilities Current