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
AFH 021-045 08/24/2021 AFH Incentive - Acute Care Hospital Discharges Current

Amended March 31, 2022

AFH 015-005 04/20/2015 Use of Emergency Medical Services Superseded

See AFH 022-022

AFH 018-005 04/16/2018 CR 103 (Permanent Rules) Filed for Chapter 388-78A WAC (Willful Definition) Current
AFH 022-050 11/09/2022 Hand Sanitizer Safety Current
AFH 016-025 11/08/2016 POLST Training Current
AFH 025-032 07/17/2025 Personal Care Services Survey Current
AFH 020-014 04/07/2020 Sharing of Information for the United States Census Current
AFH 020-063 11/17/2020 Visitation Restrictions Required Under Governor Proclamation 20-25.8 Current

Amended 1/4/2021

AFH 016-011 06/16/2016 Revision of the AFH Website Current
AFH 019-008 06/21/2019 Nationwide Shortage of Tuberculin Skin Test Antigen Solution Current
AFH 025-051 12/18/2025 WA STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN ADULT FAMILY HOMES (AFH) Current
AFH 012-007 05/14/2012 CR 102 Formal Phase of Proposed Amendments to Chapter 388-76 WAC Current
AFH 014-020 11/06/2014 Antipsychotic Drug Use by Vulnerable Adults with Dementia Current
AFH 015-022 09/29/2015 Character, Competency & Suitability (CCS) Determination Form Current
AFH 025-005 02/07/2025 CR-103P (Permanent Rule) Filed to Amend Sections of Chapter 388-76 WAC Current
AFH 013-016 09/20/2013 Home Care Aide Certification & Provisional Certification Current
AFH 025-041 09/22/2025 RCS STAFF MASK WEARING AND RELATED PROCEDURES DURING THE 2025-2026 RESPIRATORY ILLNESS SEASON Superseded
AFH 020-036 08/06/2020 Order of the Secretary of Health 20-03.1 Face Coverings – Statewide Current
AFH 021-046 08/26/2021 CR 101s Filed For Chapter 388-76 (AFH), 388-78A (ALF) and 388-107 (ESF) Related to ESHB 1120 Current
AFH 015-006 04/22/2015 Importance of Paying the Required Annual License Fee Current
AFH 021-005 01/28/2021 COVID-19 Proclamations Extended under SCR 8402 Current
AFH 026-006 02/12/2026 COVID-19 Testing Considerations for Admissions / Move-ins From Hospitals Current
AFH 020-038 08/12/2020 Safe Start Recommendations and Requirements for Long-Term Care Settings Current
AFH 021-034 06/25/2021 LTC Facilities to Follow Safe Start Plans Beyond June 30, 2021 Current
AFH 025-045 10/14/2025 CLARIFICATION OF WASHINGTON NAME AND DATE OF BIRTH BACKGROUND CHECKS AND NATIONAL FINGERPRINT-BASED BACKGROUND CHECK REQUIREMENTS Superseded