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 023-017 04/28/2023 Emergency Rules Filed to Amend Long-Term Care Worker Continuing Education Deadlines Current
ALF 025-036 09/16/2025 LONG-TERM CARE FACILITIES AND KEEPING NALOXONE (NARCAN) IN STOCK Current
ALF 020-061 12/02/2020 Proclamation 20-25.8: LTC Visitation Standards & Fitness Facilities Current

Amended 1/4/2021

ALF 015-011 05/25/2015 CR 102 Filed: Amendments to Chapter 388-110 WAC Current
ALF 022-018 05/17/2022 Reinstatement of Tuberculosis Testing Requirements July 1, 2022 Current

Amended 5/26/2022

ALF 024-017 05/30/2024 TB Rulemaking and Community Partner Engagement for NH, AFH, ALF and ESF to Resume in July 2024 Current
ALF 012-008 06/12/2012 Managed Medical Care Program Current
ALF 021-022 04/29/2021 Sources to Access Vaccines for Residents Current
ALF 016-020 11/17/2016 Considerations Regarding the Selection & Use of Lanyards Current
ALF 022-030 08/23/2022 Monkeypox Update from Washington State Department of Health Current
ALF 025-006 03/03/2025 Guidance on Immigration Enforcement Operations in Long-Term Care Settings Revised Current

Revised 3/10/2025

ALF 020-031 07/17/2020 COVID Testing Current
ALF 013-024 12/12/2013 Background Check Result Letters Effective January 6, 2014 Current
ALF 021-054 09/28/2021 Implementation of Vaccine Mandate Requirements and Review Current
ALF 018-015 07/26/2018 CR 101 Filed to Propose Adding & Amending Sections to Chapter 38-78A WAC Current
ALF 023-018 05/19/2023 Launch of CareLearn Retention Toolkit Current
ALF 025-037 12/08/2025 IMPLEMENTATION OF SENATE BILL (SB) 5672: HOME CARE AIDE AND NURSING ASSISTANT CERTIFICATION REQUIREMENTS AND EXTENSION OF DEADLINES INCLUDING NURSING ASSISTANTS Current
ALF 020-060 12/02/2020 Rapid Response Short-Term Crisis Staffing Current

Amended March 11, 2021

ALF 015-012 06/10/2015 Revised Background Check Authorization Form Current
ALF 024-018 06/14/2024 Emergency Preparedness Considerations for Wildfire Current
ALF 019-019 12/13/2019 Nurse Delegation Not Required for Use of Opioid Reversal Medication in Long-Term Care Facilities Current
ALF 012-009 06/27/2012 CR-103 Filed to Extend Expiration Date of Emergency Rules Current
ALF 021-023 04/30/2021 Resuming Fingerprint Background Checks Current
ALF 017-001 02/15/2017 Licensed Rooms Information Current
ALF 022-031 08/25/2022 CR-103P (Permanent Rule) Filed to Add Sections to Chapters 388-76, 388-78A, 388-97, and 388-107 WAC to Re-establish Inspection Schedules Current