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NH 025-018 05/23/2025 CR-101 Filed to Update Background Check Requirements Superseded

Superseded June 5, 2025

Superseded August 26, 2026

NH 019-029 12/13/2019 Nursing Assistant Testing Process Change Current
NH 025-039 08/14/2025 QSO-23-10-NH Expired on 07/30/2025 - Strengthened Enhanced Enforcement for Infection Control Deficiencies Current
NH 013-005 04/17/2013 S&C 13-14: Luer Misconnection Adverse Events Current
NH 017-028 10/13/2017 S&C:17-45-NH Electronic Staffing Submission – Payroll Based Journal (PBJ) Public Use File Current
NH 025-003 01/31/2025 Increased Regulatory Focus by the Office of the State Fire Marshal (OSFM) Current
NH 023-032 10/05/2023 Resuming the Exception Requests to the 24-Hour RN Staffing Requirement and Process Update Current

Superseded June 30, 2025

NH 015-025 07/23/2015 Character, Competency & Suitability (CCS) Determination Form Current
NH 016-040 12/01/2016 S&C 17-09-ALL: Infection Control Pilot - 2017 Update Current
NH 022-024 04/22/2022 QSO 22-15-NH & NLTC & LSC, Physician Visits and Delegation to Physician Assistants and Nurse Practitioners Current
NH 020-021 04/16/2020 Emergency Rules (CR 103E) Amending or Suspending Some NH Requirements Current
NH 025-022 06/05/2025 Updates to the Long-Term Care Quality Improvement Program (LTC QIP) Current
NH 024-029 06/14/2024 Notice of Public Power Safety Shutoffs Current
NH 021-073 09/17/2021 COVID-19, Influenza and Pneumococcal Reminder Current
NH 015-004 02/12/2015 Clarification of Terms Implicating the Spousal Relationship in Regulations & Guidance for Medicare & Medicaid Certified Providers and Suppliers Current
NH 021-055 07/08/2021 Changes to Background Check Disqualifiers Current
NH 022-006 01/07/2022 Additional PASRR CR 103E Filed to Extend Emergency Rules Amending or Suspending some NH Requirements Current
NH 023-004 01/26/2023 Informal Dispute Resolution (IDR) Pilot Project for Nursing Homes Extended Current
NH 025-011 03/26/2025 QSSAM-25-1-ALL: Clarification of CMS' Provider Enrollment Site Visits and Specific Disclosure Requirements for SNF and NF Current
NH 019-017 08/30/2019 Upcoming Changes to MDS & Case Mix Current
NH 026-009 02/26/2026 Submission of Plans of Correction And Informal Dispute Resolution Requests Current
NH 021-079 10/08/2021 CR-103E Filed to Extend Emergency Rules Amending Nursing Home Requirements for Disaster and Emergency Preparedness, Quality Assessment and Assurance, and Resident Rooms Current
NH 015-019 05/12/2015 Reporting Non-Consensual Sexual Contact Current
NH 025-058 12/08/2025 PROPOSED AMENDMENTS TO CHAPTER 388-76 WAC, CHAPTER 388-78A WAC, CHAPTER 388-97 WAC, CHAPTER 388-107 WAC Current
NH 019-030 12/13/2019 Nursing License Not Required for Use of Opioid Reversal Medication in Long-Term Care Facilities Current