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
NH 025-028 06/30/2025 Reinstating the Temporary Process for Verification of Nursing Assistant-Registered (NAR) Eligibility to Continue Working Past 4 Months in a NH Current
NH 021-065 09/03/2021 Governor Proclamation on Mandatory Vaccination Current
NH 020-014 03/26/2020 QSO-20-20-All Prioritization of Survey Activities & Focused Infection Control/PPE Reviews Current

Superseded August 8, 2025

NH 013-019 10/03/2013 S&C 13-42: Reminder About Access & Visitation Rights in Long-Term Care (LTC) Facilities Current
NH 024-026 06/06/2024 Updates to NH State Survey Report DSHS Form 10-207 Current
NH 016-031 09/27/2016 Update Regarding Resource Utilization Group: Reduction for Medicaid Residents in the Low Acuity RUG Groups Current
NH 021-002 01/15/2021 Interim Recommendations for Co-administration of COVID-19 Vaccine and Tuberculosis Testing Products Current
NH 021-003 01/19/2021 QSO 21-06-NH - Updates to the NH Compare Website and Five Star Quality Rating System Current
NH 018-009 04/13/2018 Specialized Infection Prevention & Control Training Current
NH 023-007 03/03/2023 CMS Released Admin Info: 20-08-ALL REVISED, Updating Guidance for Voluntary Termination Based on Temporary Closures Current
NH 025-063 12/18/2025 WASHINGTON (WA) STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN NURSING HOMES (NH)  Current
NH 022-006 01/07/2022 Additional PASRR CR 103E Filed to Extend Emergency Rules Amending or Suspending some NH Requirements Current
NH 020-047 07/17/2020 Clarification of NH #2020-038 and CMS QSO 20-31-AL: Enhanced Enforcement Standards for Infection Control 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 024-058 12/06/2024 Updated: Investigation and Referral process for Allegations Unrelated to Physical or Sexual Abuse Current
NH 021-036 05/05/2021 QSO-20-39-NH Revised - NH Visitation and Other Safe Start Plan Updates – COVID 19 Current

Superseded August 8, 2025

NH 019-014 06/28/2019 CR 102 Filed (Formal Phase) to Amend Sections of 388-97 WAC (Appeal Rights) Current
NH 012-005 06/07/2012 S&C 12-30: Use of Insulin Pens Current
NH 023-039 11/17/2023 Quality, Safety and Education Portal (QSEP) Current
NH 022-037 06/16/2022 RCS Transition to Paperless Work During Inspections in LTC Settings Current
NH 020-079 11/06/2020 CR-103E Filed to Extend Emergency Rules Amending NH Requirements & CR-101 Filed to Consider Permanently Amending the Rules for Disaster and Emergency Preparedness, Quality Assessment and Assurance, and Resident Rooms Current
NH 015-036 12/17/2015 S&C 16-04-NH Focused Dementia Care Survey Tools Current
NH 025-029 06/30/2025 WA State 24/7 Registered Nurse (RN) Staffing Exception Process - Updated Current
NH 021-066 09/03/2021 Correction Regarding LTC Setting Requirements Under Governor Proclamation 21-14, COVID Vaccination Requirements Current
NH 020-015 04/21/2020 Revised Processes: Personal Protective Equipment Ordering and COVID-19 Testing Current

Revised 04-21-2020