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(asc) Notes
ALF 022-050 11/28/2022 RCS Transition to Paperless Work - Use of Electronic Fax to Deliver Notice Current
ALF 013-013 06/27/2013 Final Amendments Related to Chapter 388-78A WAC – Assisted Living Facility (ALF) Licensing Rules Current
ALF 021-043 08/12/2021 Assisted Living Incentive - Acute Care Hospital Discharges Current

Amended March 31, 2022

ALF 025-018 06/02/2025 Residential Support Waiver Current
ALF 018-005 04/06/2018 Office of Developmental Disabilities Ombuds Current
ALF 020-052 11/06/2020 Emergency Volunteer Health Practitioners Background Checks 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 015-003 03/18/2015 CR 101 Filed to Propose Adding & Amending Sections to Chapter 388-110 WAC Current
ALF 022-009 03/04/2022 CR-103E (Emergency Rules) Filed for Chapter 388-78A Administrator Training Certification Suspension Current
ALF 025-051 12/18/2025 WA STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN ASSISTED LIVING FACILITIES (ALF) Current
ALF 019-013 08/02/2019 ALF Locator Expansion Current
ALF 021-014 03/04/2021 Long-Term Care Resilience Training Opportunity Current
ALF 024-033 09/16/2024 RCS STAFF MASK WEARING AND RELATED PROCEDURES DURING THE 2024-2025 RESPIRATORY ILLNESS SEASON Current
ALF 016-011 07/20/2016 Emergency Evacuations Current
ALF 020-021 04/27/2020 Cloth Face Covering Distribution Current
ALF 023-001 01/10/2023 Staff Vaccinations Current
ALF 013-014 07/17/2013 2013 Legislation: HB 1003 Current
ALF 021-045 08/24/2021 Order Free PPE Through the State of WA Between Now & October 31, 2021 Current
ALF 025-019 06/05/2025 Changes to Community Stability and Supports Service Model Current

Amended June 11, 2025

ALF 018-006 04/09/2018 Focus Groups Regarding Behavioral Health Service Opportunities Current
ALF 020-053 11/13/2020 COVID- 19 Testing of Residential Care Services Staff Current
ALF 024-003 02/08/2024 Death with Dignity Medications Current
ALF 015-004 03/24/2015 Submitting Confidential Fax Number Change Requests Current
ALF 022-010 03/04/2022 Emergency Rules Suspending TB Testing Current
ALF 026-001 01/12/2026 Clarifying Background Check Requirements in Assisted Living and Enhanced Services Facilities Current