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 014-014 09/15/2014 Updates to Complaint Hotline Script Current
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 012-007 07/20/2012 Employment of Physicians Current
NH 021-075 09/24/2021 Interim Final Rule: CMS-3401-IFC: Additional Policy & Regulatory Revisions Related to LTC Facility COVID Testing Requirements Current

Superseded August 8, 2025

NH 023-036 10/27/2023 Updates to Nursing Home Care Compare Staffing and Quality Measures Current
NH 020-012 03/20/2020 Hospital Discharges to Nursing Homes Current
NH 022-008 01/14/2022 Nursing Facility Support for Hospital Discharges Current

Amended February 10, 2022

NH 021-024 03/24/2021 Emergency Rules Suspending TB Testing Rescinded
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Superseded August 8, 2025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 023-023 05/25/2023 Federal Public Health Emergency Ends May 11, 2023, Including Certain CMS 1135 Waivers and Flexibilities Current
NH 013-012 07/17/2013 2013 Legislation: HB 1003 Current
NH 024-039 08/16/2024 Enhanced Facility Wide Assessment Current
NH 015-020 05/27/2015 Nursing Home QAPI Initiatives FAQ Current
NH 019-006 03/04/2019 Emergency Preparedness: Updates to Appendix Z of the State Operations Manual (SOM) Current
NH 016-005 02/25/2016 Update Regarding Expectations For E-Cigarettes & Vaping Devices Current
NH 018-016 06/07/2018 Clostridium Difficile Infection (CDI) “Toolkit” Current
NH 023-010 03/17/2023 1st Amendment Auditors Visiting State Agencies Current
NH 016-040 12/01/2016 S&C 17-09-ALL: Infection Control Pilot - 2017 Update Current
NH 021-090 11/18/2021 CR-103 Nursing Home Rule Filing Current

Amended December 3, 2021

NH 014-015 09/22/2014 Flu & Pneumonia Immunization Reminder Current
NH 021-016 02/18/2021 Travel Advisory/Restrictions and Governor's Proclamation 20-83 Current
NH 017-030 11/03/2017 Proposed Amendments to Chapter 388-97 WAC (Direct Care Hours) Current
NH 020-065 09/16/2020 COVID-19 Proclamations Extended Through October 1, 2020 Current
NH 025-039 08/14/2025 QSO-23-10-NH Expired on 07/30/2025 - Strengthened Enhanced Enforcement for Infection Control Deficiencies Current
NH 019-015 08/02/2019 NH Locator Expansion Current