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 020-041 06/16/2020 COVID 19: Reopening of Washington State and Resident Visits to the Community Current

Amended 01/11/2021

NH 021-086 11/05/2021 Proclamation 21-15: 30-Day Extension Approved Related to the Transfer and Discharge of Nursing Home Residents Current

NH 012-015 11/21/2012 MDS Helpline & 2013 MDS Training Dates Current
NH 025-017 05/22/2025 NH Fee Increase Current
NH 014-007 07/17/2014 Final Amendments Related to Chapter 388-97 WAC Current
NH 020-021 04/16/2020 Emergency Rules (CR 103E) Amending or Suspending Some NH Requirements Current
NH 016-012 05/17/2016 Resource Utilization Group: Reduction for Medicaid Residents in PA1-PC1 RUG Groups 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 025-003 01/31/2025 Increased Regulatory Focus by the Office of the State Fire Marshal (OSFM) Current
NH 015-029 08/11/2015 Revisions to Questions on the Complaint Hotline Current
NH 017-006 03/06/2017 S&C 17-19-NH: Revision to State Operations Manual (SOP) Appendix PP Current
NH 022-002 01/06/2022 CMS Changes to COVID-19 Survey Activities and Increased Oversight Current
NH 013-021 10/24/2013 Updates to Complaint Hotline Script Superseded

Replaced by NH 014-014

NH 025-022 06/05/2025 Updates to the Long-Term Care Quality Improvement Program (LTC QIP) Current
NH 021-055 07/08/2021 Changes to Background Check Disqualifiers Current
NH 019-017 08/30/2019 Upcoming Changes to MDS & Case Mix 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 022-012 02/10/2022 Clarification on NH Safe Start for LTC Plan Visitation Requirements and CMS QSO-20-39-Revised Current
NH 022-032 05/26/2022 CR-103E Filed to Extend Emergency Rules Amending or Suspending NH Requirements Related to PASRR Current
NH 019-029 12/13/2019 Nursing Assistant Testing Process Change Current
NH 012-016 11/27/2012 CR 102 Formal Phase of Proposed Amendments to Chapter 388-97 WA Current
NH 025-018 05/23/2025 CR-101 Filed to Update Background Check Requirements Superseded

Superseded June 5, 2025

NH 023-029 07/18/2023 Healthcare Management Solutions LLC Awarded Contract to Conduct Nursing Home Full Recertification Surveys Current
NH 017-028 10/13/2017 S&C:17-45-NH Electronic Staffing Submission – Payroll Based Journal (PBJ) Public Use File Current