ALTSA Provider/Administrator Letters

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Access the archive from calendar years 2014 and prior


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Provider Type Letter Date Subject Status(asc) Notes
AFH 026-028 07/14/2026 Update on Community Program Pilots for Investigation of Facility-Reported Incidents Current
ALF 021-014 03/04/2021 Long-Term Care Resilience Training Opportunity Current
NH 019-013 06/21/2019 Nationwide Shortage of Tuberculin Skin Test Antigen Solution Current
NH 025-035 08/08/2025 Expired - QSO 19-07-NH: Enhanced Oversight and Enforcement of Non-Improving Late Adopters Current
AFH 012-004 03/05/2012 Adult Family Home Guidebook Current
ICFIID 025-001 02/07/2025 Increased Regulatory Focus by Office of the State Fire Marshal Current
ICFIID 021-024 05/21/2021 Interim Final Rule - COVID-19 Vaccine Immunization Requirements for Residents and Staff Current
AFH 022-052 11/28/2022 Resident Confidentiality Current
NH 018-002 01/30/2018 Formal Phase (CR 102) of Proposed Amendments to Chapter 388-97 WAC Current
ICFIID 020-038 10/08/2020 QSO-20-41-ALL Guidance Related to the Emergency Preparedness Testing Requirements (COVID-19) Current

Superseded August 8, 2025

AFH 021-056 10/08/2021 Updated Guidance About Aerosol Generating Procedures for LTC Settings Current
NH 025-063 12/18/2025 WASHINGTON (WA) STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN NURSING HOMES (NH)  Current
ICFIID 015-002 02/18/2015 RCS Provider Forums Current
AFH 013-013 07/24/2013 CR 101 Filed to Propose Adding & Amending Sections to Chapter 388-76 WAC Current
ALF 020-024 05/04/2020 COVID Only Facilities Current
AFH 024-027 07/12/2024 Guidance for 911 Outages Current
AFH 025-026 06/25/2025 Emergency Preparedness Considerations for Summer Hazards Current
ALF 021-045 08/24/2021 Order Free PPE Through the State of WA Between Now & October 31, 2021 Current
ALF 023-017 04/28/2023 Emergency Rules Filed to Amend Long-Term Care Worker Continuing Education Deadlines Current
NH 022-029 05/17/2022 Begin Using DOH Construction Review Services for All Construction Projects Prior to the End of the Proclamation Current
CCRSS 016-005 07/20/2016 Emergency Evacuations Current
ESF 021-003 01/28/2021 Process to Request Emergency Personal Protective Equipment (PPE) During a Shortage Current
NH 022-012 02/10/2022 Clarification on NH Safe Start for LTC Plan Visitation Requirements and CMS QSO-20-39-Revised Current
NH 023-038 11/09/2023 Informal Dispute Resolution (IDR) Pilot Project for Nursing Homes Wrap Up and Feedback Request Current
ESF 024-036 11/07/2024 Emergency Preparedness Considerations for Flooding Current