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
ALF 026-020 05/18/2026 Infection Prevention Reminders During FIFA World Cup Activities in Washington State Current
ALF 020-044 09/21/2020 CR-101 Filed to Consider Rulemaking: WAC 388-78A-2371 Investigations, WAC 388-78A-2360 Adult Day Services Current
ALF 023-001 01/10/2023 Staff Vaccinations Current
ALF 014-005 06/27/2014 Department Role Current
ALF 022-001 01/07/2022 New Testing Program “Operation Expanded Testing” Available Current
ALF 025-019 06/05/2025 Changes to Community Stability and Supports Service Model Current

Amended June 11, 2025
ALF 018-021 09/27/2018 ALF Fee Increases Current
ALF 021-005 02/01/2021 COVID-19 Vaccination Information 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
ALF 015-018 08/31/2015 Use of Electronic Cigarettes in Long-Term Care Facilities Current
ALF 025-051 12/18/2025 WA STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN ASSISTED LIVING FACILITIES (ALF) Current
ALF 020-013 04/21/2020 Revised Processes: Personal Protective Equipment Ordering and COVID-19 Testing Current

Revised 04-21-2020
ALF 012-015 09/26/2012 Emergency Preparedness Current
ALF 021-037 07/02/2021 Philips Product Recall, including CPAP, Bilevel Pap, and Mechanical Ventilators Current
ALF 024-032 09/16/2024 DSHS ADMINISTRATIVE POLICY 13.13- INSURANCE REQUIREMENTS FOR CONTRACTED FACILITIES Current
ALF 017-008 06/22/2017 Proposed Amendments to Chapter 388-78A Current
ALF 026-021 05/19/2026 Implementation of the HCBS Access Rule Grievance Process and System Requirements Current
ALF 020-045 09/24/2020 Influenza and Pneumococcal Reminders Current
ALF 023-002 01/12/2023 Introducing the Business Operations and Analysis Unit Current
ALF 022-002 01/10/2022 Updates from Centers for Disease Control and Prevention and Washington State Department of Health Current
ALF 025-020 06/05/2025 Interested Parties Meetings on Background Check Requirements Temporarily Postponed Current
ALF 018-022 10/08/2018 CR 102 Filed (Formal Phase) to Chapter 388-78A (ALF Civil Penalty) Current
ALF 021-006 02/05/2021 Certificates of Parental Improvement and Background Checks Current
ALF 024-003 02/08/2024 Death with Dignity Medications Current
ALF 015-019 08/31/2015 Flu & Pneumonia Immunization Reminder Current