ALTSA Provider/Administrator Letters

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Access the archive from calendar years 2014 and prior


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Provider Type(asc) Letter Date Subject Status Notes
NH 019-020 09/27/2019 Updates to Civil Money Penalty Reinvestment Resource Materials Superseded
NH 022-013 02/11/2022 CR-103E Filed to Extend Emergency Rules Amending NH Requirements for Disaster and Emergency Preparedness, Quality Assessment and Assurance, and Resident Rooms Current
NH 025-010 03/19/2025 QSO-25-14-NH, Revised: LTC Surveyor Guidance - Significant Revisions to Enhance Quality and Oversight of the LTC Survey Process Current
NH 024-035 08/02/2024 CR-103P Filed (Permanent Rules) for Chapter 246-843 WAC Current
NH 026-025 06/10/2026 Clarifying Background Check Requirements on Veteran Staff in Nursing Homes Current
NH 019-002 02/01/2019 CR-101 Re-filed to Propose Amendments to Chapter 388-97 WAC (Appeal Rights) Current
NH 021-027 03/31/2021 Reimplementation of Surveys, Inspections and Evaluations Current

Amended 04/08/2021

NH 021-086 11/05/2021 Proclamation 21-15: 30-Day Extension Approved Related to the Transfer and Discharge of Nursing Home Residents Current

NH 025-054 10/20/2025 TIMELY, IMPARTIAL, & ACCURATE ADMISSION DECISION MAKING – MULTIDRUG-RESISTANT ORGANISM (MDRO) CANDIDA AURIS (C. AURIS) Current
NH 024-003 01/22/2024 Updates to Department of Health (DOH) COVID-19 Outbreak Definition and Outbreak Reporting Requirements Current
NH 016-032 09/28/2016 S&C 16-33: Emergency Preparedness Requirements Conference Call Current
NH 025-017 05/22/2025 NH Fee Increase Current
NH 022-020 03/18/2022 Secretary of Health Order 20-03.8, Face Coverings - Statewide, Effective March 12, 2022 Current

Amended April 1, 2022

NH 021-018 02/18/2021 Standing Order for COVID-19 Screening in Certain Congregate Facilities, Homes and Agencies Current
NH 023-030 09/14/2023 Provider Responsibilities for Provision of Personal Protective Equipment (PPE), Respiratory Protection Program (RPP), and Changes to Department of Health (DOH) RPP Resources Current
NH 015-020 05/27/2015 Nursing Home QAPI Initiatives FAQ Current
NH 022-001 01/04/2022 Healthcare Management Solutions, LLC Awarded Contract to Conduct Nursing Home Full Recertification Surveys Current
NH 020-010 03/12/2020 QSO-20-17-ALL: Guidance for Use of Certain Industrial Respirators by Health Care Personnel Superseded

Superseded August 8, 2025

NH 022-046 08/12/2022 CR-103E Emergency Rules Filed to Extend Waived Rules Related to Transfer & Discharge of Nursing Home Residents Current
NH 025-002 01/31/2025 QSO-25-11-NH, Long-Term Care (LTC) Facility Acute Respiratory Illness Reporting Requirements Current
NH 024-010 03/08/2024 Geriatric Behavioral Health Worker (GBHW) Qualifications, Supervision and Training Requirements, and Instructions for Temporary Inclusion of Previously Reported State Q2, Q3 and/or Q4 2023 Into the Direct Care House Per Resident Day (HPRD) Calculation Superseded

August 16, 2024

NH 026-021 05/01/2026 QSO-26-08-NH: Clarification regarding Nurse Aide Training Competency Evaluation Program (NATCEP) and Nurse Aide Competency Evaluation Program (CEP) requirements and allowable flexibilities Current
NH 013-004 04/15/2013 S&C 13-13: New Dining Standards of Practice Resources Current
NH 020-073 10/08/2020 QSO-20-41-ALL Guidance Related to the Emergency Preparedness Testing Requirements (COVID-19) Current

Superseded August 8, 2025

NH 014-014 09/15/2014 Updates to Complaint Hotline Script Current