ALTSA Provider/Administrator Letters

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Access the archive from calendar years 2014 and prior


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Provider Type(desc) Letter Date Subject Status Notes
NH 024-014 03/21/2024 CR-103P Filed (Permanent Rules) for Chapter 246-843 WAC NH Administrators Licensing Requirements and Retired/Active License Current
NH 013-002 02/26/2013 CR 103 Filed: Final Amendments Related to Chapter 388-97 WAC Current
NH 018-013 05/22/2018 Transition to Payroll Based Journal Staffing Measures on NH Compare Tool & Five Star Quality Rating System Current
NH 023-021 04/28/2023 State Operations Manual Chapter 5 - Implementation Dates for Revised Guidance Current
NH 016-015 06/06/2016 24-Hour Requirement in Nursing Homes Update 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
NH 014-020 10/06/2014 Building Respect for Lesbian, Gay Bisexual, Transgender (LGBT) Older Adults Current
NH 022-035 06/10/2022 Nursing Home Informal Dispute Resolution Pilot Project Current
NH 021-049 06/25/2021 LTC Facilities to Follow Safe Start Plans Beyond June 30, 2021 Current
NH 025-056 11/13/2025 CR-105 FILED TO REPEAL SECTIONS OF CHAPTER 388-97 WAC THAT ARE NO LONGER IN USE (NURSING HOMES) Current
NH 015-031 08/31/2015 CR 103 Filed: Final Amendments to Chapter 388-97 WAC Current
NH 021-069 09/03/2021 CR-103E Filed to Extend Emergency Rule Amending NH Requirements Related to Clinical Records Current
NH 021-034 04/30/2021 Employer Responsibilities for Respiratory Protection Program and Provision of PPE Superseded

023-030

NH 022-058 10/07/2022 Epidemic Preparedness and Response Guidelines Current
NH 016-023 08/09/2016 Exception to 24 Hour R.N. Staffing Requirement Current
NH 020-013 03/23/2020 REQUESTS FOR PERSONAL PROTECTIVE EQUIPMENT (PPE) Superseded

Superseded by 020-015

NH 018-025 10/12/2018 Background Check Citations and Processing Delays Current
NH 023-033 10/09/2023 RCS Staff Mask Wearing and Related Procedures During the 2023-2024 Respiratory Illness Season Rescinded
NH 021-003 01/19/2021 QSO 21-06-NH - Updates to the NH Compare Website and Five Star Quality Rating System Current
NH 026-001 01/12/2026 CLARIFYING BACKGROUND CHECK REQUIREMENTS IN NURSING HOMES, SKILLED NURSING FACILITIES, AND NURSING FACILITIES Current
NH 013-003 03/05/2013 Department's Role as a Regulator Superseded

Replaced by 014-006

NH 018-014 05/22/2018 Permanent Rule Filing (CR 103) Chapter 388-97 WAC Current
NH 016-035 10/31/2016 S&C: 16-42-NH Notification of Final Rule Published Reform of Requirements for Long-Rerm Care (LTC) Facilities Current
NH 020-064 09/10/2020 QSO-20-37-CLIA, NH and QSO-20-38-NH Regarding Rule Changes to Require COVID-19 Testing and Guidance Current

Superseded August 8, 2025

NH 025-046 09/30/2025 Online Request for Informal Dispute Resolution Current