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
ESF 022-013 04/08/2022 Medical Test Site Waiver Regulatory Requirements  Superseded

Superseded by 024-039

NH 025-006 02/28/2025 Rescinding the Temporary Process for Verification of Nursing Assistant - Registered (NAR) Eligibility to Continue Working Past 120 Days in a NH Superseded

Superseded June 30, 2025

ALF 015-005 04/20/2015 Use of Emergency Medical Services Superseded

See ALF 022-019

NH 025-052 10/16/2025 CLARIFICATION OF WASHINGTON NAME AND DATE OF BIRTH BACKGROUND CHECKS AND NATIONAL FINGERPRINT-BASED BACKGROUND CHECK REQUIREMENTS Superseded
ESF 025-026 09/22/2025 RCS STAFF MASK WEARING AND RELATED PROCEDURES DURING THE 2025-2026 RESPIRATORY ILLNESS SEASON Superseded
NH 025-029 06/30/2025 WA State 24/7 Registered Nurse (RN) Staffing Exception Process - Updated Superseded
ALF 015-006 04/22/2015 Cannabis Guidance Superseded
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of Previously Reported State Q2, Q3 and/or Q4 2023 Into the Direct Care House Per Resident Day (HPRD) Calculation Superseded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

CCRSS 015-002 04/22/2015 Cannabis Guidance Superseded
NH 024-011 03/15/2024 Temporary Process for Verification of Nursing Assistant-Registered (NAR) Eligibility to Continue Working Past 4 Months in a Nursing Home (NH)) Superseded

Superseded 2/28/2025

NH 025-044 09/22/2025 RCS STAFF MASK WEARING AND RELATED PROCEDURES DURING THE 2025-2026 RESPIRATORY ILLNESS SEASON Superseded
ICFIID 015-004 04/22/2015 Cannabis Guidance Superseded
AFH 022-017 04/22/2022 Medical Test Site Waiver Resource Information Superseded

Superseded by 024-047

AFH 025-013 05/20/2025 Death with Dignity Rule Making Interested Parties Meetings Superseded

Superseded July 11, 2025

AFH 014-007 07/17/2014 LTC Ombuds Access to Resident Information & Records Superseded

Replaced by 014-018

ESF 022-014 04/22/2022 Medical Test Site Waiver Resource Information Superseded

Superseded by 024-039

ALF 025-010 05/20/2025 Death with Dignity Rule Making Interested Parties Meetings Superseded

Superseded July 11, 2025

NH 025-042 09/30/2025 TRANSFORMING EPISODE ACCOUNTABILITY MODEL (TEAM) 3-DAY SKILLED NURSING FACILITY (SNF) RULE WAIVER Superseded
ALF 014-006 07/17/2014 LTC Ombuds Access to Resident Information & Records Superseded

Replaced by 014-015

NH 015-014 04/22/2015 Cannabis (Marijuana) Guidance Superseded
ESF 025-008 05/20/2025 Death with Dignity Rule Making Interested Parties Meetings Superseded

Superseded July 11, 2025

NH 014-025 12/11/2014 120 Day Rule for NARs Superseded

Replaced by 015-022

NH 015-002 01/28/2015 Use of Nursing Assistants – Four Month Rule Superseded

Replaced by 016-003

NH 025-016 05/20/2025 Death with Dignity Rule Making Interested Parties Meetings Superseded

Superseded July 11, 2025

NH 013-003 03/05/2013 Department's Role as a Regulator Superseded

Replaced by 014-006