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(desc) Notes
ICFIID 025-004 03/28/2025 Update to RCS Staff Mask Wearing in LTC Settings During Respiratory Illness Season Current
AFH 020-050 10/08/2020 On-the-Job Training for Home Care Aides Current
CCRSS 013-004 08/05/2013 CR 101 Filed to Add/Amend Sections of Chapter 388-101 WAC Current
AFH 023-004 02/17/2023 Third CR-103E Extension Filed for Emergency Rules Regulating Timelines for Completing Certain Resident Assessments Current
ESF 020-027 08/06/2020 Order of the Secretary of Health 20-03.1 Face Coverings – Statewide Current
NH 024-037 08/09/2024 As of July 1, 2024, CMS Patient Driven Payment Model (PDPM) Replaced Resource Utilization Group (RUG) Methodology to Determine Minimum Data Set (MDS) Assessment Accuracy Current
ALF 021-060 10/29/2021 Personal Care Services Survey Current
NH 018-023 09/21/2018 Background Check Processing Delays Current
NH 021-049 06/25/2021 LTC Facilities to Follow Safe Start Plans Beyond June 30, 2021 Current
AFH 015-013 06/29/2015 Implementing Federal Home & Community Based Settings (HCBS) Rules Current
NH 016-023 08/09/2016 Exception to 24 Hour R.N. Staffing Requirement Current
ICFIID 025-009 07/18/2025 QSO-25-19-ALL, Release of CMS-2567: Statement of Deficiencies and Plan of Correction Current
CCRSS 020-047 12/02/2020 Rapid Response Short-Term Crisis Staffing Current
ICFIID 022-007 03/04/2022 Safe Start for Long-Term Care Plans Replace with Long-Term Care COVID Response Plans Current
ALF 024-002 01/22/2024 Updates to Department of Health (DOH) COVID-19 Outbreak Definition and Outbreak Reporting Requirements Current

Amended  July 22, 2025

CCRSS 024-035 12/06/2024 Updated: Investigation and Referral process for Allegations Unrelated to Physical or Sexual Abuse Current
NH 019-023 10/11/2019 Authorized Use of the Background Check System (BCS) Current
NH 017-017 06/21/2017 S&C 17-30-NH: Requirement to Reduce Legionella Risk in Healthcare Facility Water Systems to Prevent Cases & Outbreaks of Legionnaires’ Disease (LD) Current
CCRSS 021-004 01/28/2021 COVID-19 Proclamations Extended under SCR 8402 Current
ALF 020-036 08/06/2020 Point Prevalence COVID-19 Testing Current
NH 013-010 06/13/2013 2013 Legislation: SSB 5148 – Medication Access for Uninsured Current
AFH 022-045 09/29/2022 Residential Care Services Long-Term Care Quality Improvement Program Current
AFH 020-024 05/26/2020 Proposed Amendments to Chapter 388-76 WAC, AFH Minimum Licensing Requirements Current

Amended July 1, 2020

AFH 022-0-29 07/08/2022 Proposed Amendments to Chapters 388-76, 388-78A, 388-97, and 388-107 to Reinstate Inspection Schedules Current
AFH 024-021 05/10/2024 Implementation of Passed Legislation ESHB 2347: AFH – DSHS – Information on Website Current