ALTSA Provider/Administrator Letters

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Access the archive from calendar years 2014 and prior


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Provider Type Letter(desc) Date Subject Status Notes
NH 023-024 06/05/2023 WAC 388-97-1081, Minimum Staffing Standards 3.4 Direct Care Hours Emergency Rule Implementation Plan Current
NH 023-025 06/08/2023 Emergency Preparedness: Reminder About Maximum Temperatures in Nursing Home Settings Current
NH 023-026 06/09/2023 QSO-18-24-ESRD: Guidance and Survey Process for Reviewing Home Dialysis Services in a Nursing Home (Revised) Current
NH 023-028 06/22/2023 Policy and Regulatory Changes to the Omnibus COVID-19 Health Care Staff Vaccination Requirements (Updated) Current
NH 023-029 07/18/2023 Healthcare Management Solutions LLC Awarded Contract to Conduct Nursing Home Full Recertification Surveys Current
NH 023-032 10/05/2023 Resuming the Exception Requests to the 24-Hour RN Staffing Requirement and Process Update Current
NH 023-034 10/20/2023 Pre-Admission Screening & Resident Review (PASRR) Webinar 2023 Current
NH 023-035 10/27/2023 Revised Guidance for Uses of Civil Monetary Penalty (CMP) Funds Current
NH 023-036 10/27/2023 Updates to Nursing Home Care Compare Staffing and Quality Measures Current
NH 023-038 11/09/2023 Informal Dispute Resolution (IDR) Pilot Project for Nursing Homes Wrap Up and Feedback Request Current
NH 023-042 11/30/2023 Categorical Waiver - Health Care Microgrid Systems Current
NH 023-039 11/17/2023 Quality, Safety and Education Portal (QSEP) Current
NH 023-041 11/17/2023 Nursing Home Visitation: COVID-19 (Revised) Current
NH 024-002 01/19/2024 Nursing Home Provider Expectation to Follow Public Health Guidance Current
NH 024-009 03/08/2024 Reporting and Instructions of Minimum Staffing Standards 3.4 Hours of Direct Care Per Resident Per Day (HPRD) Temporary Inclusion of Previously Unreported Hours for State Q2, Q3, and/or Q4, 2023 Current
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)) Current

Amended July 25, 2024

NH 024-019 04/11/2024 CMS Released QSO-24-08-NH, Enhanced Barrier Precautions in Nursing Homes Current
NH 024-023 05/17/2024 Medicare & Medicaid Programs; Minimum Staffing Standards for LTC Facilities & Medicaid Institutional Payment Transparency Reporting Final Rule (CMS 3442-F) Current
NH 024-024 05/24/2024 Technical Corrections to CMS Released QSO-23-01-NH, Revisions to the Special Focus Facility Program Current
NH 024-026 06/06/2024 Updates to NH State Survey Report DSHS Form 10-207 Current
NH 024-027 06/06/2024 Clarification to the Pre-Admission Screening and Resident Review (PASARR or PASRR) Level 1 Screening Process Current

Amended August 23, 2024

NH 024-030 06/27/2024 Nursing Home: Public Health Emergency Rules Memorialized in CR-103P Permanent Rulemaking Current
NH 024-034 07/26/2024 Updates to Nursing Home Data and Care Compare 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 024-038 08/16/2024 Updated: Geriatric Behavioral Health Worker (GBHW) Hour Validation Process Ongoing Current