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 016-023 08/09/2016 Exception to 24 Hour R.N. Staffing Requirement Current
NH 024-033 11/15/2024 Processing of Background Checks While Washington State Administrative Office of the Courts i Experiencing an Outage Current
NH 026-005 01/29/2026 CR-103P (PERMANENT RULE) FILED TO REPEAL SECTIONS OF CHAPTER 388-97 WAC THAT ARE NO LONGER IN USE (NURSING HOMES) 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 020-063 08/28/2020 CFR 103E Filed to Extend Emergency Rules Amending NH Requirements and CR-101 Filed to Consider Permanently Amending the Rules for Physician Services Current
NH 014-020 10/06/2014 Building Respect for Lesbian, Gay Bisexual, Transgender (LGBT) Older Adults Current
NH 023-039 11/17/2023 Quality, Safety and Education Portal (QSEP) Current
NH 021-043 05/25/2021 QSO-21-19-NH Interim Final Rule: COVID-19 Vaccine Immunization Reporting Requirements for Residents and Staff Current
NH 019-030 12/13/2019 Nursing License Not Required for Use of Opioid Reversal Medication in Long-Term Care Facilities Current
NH 017-014 05/26/2017 S&C 17-27-NH: Implementation Issues, Long-Term Care Regulatory Changes: Substandard Quality of Care (SQC) and Clarification of Notice Before Transfer or Discharge Requirements Current
NH 022-045 08/03/2022 CMS QSO-22-19-NH: Announcing Revisions to Surveyor Guidance for Phases 2 & 3, Arbitration Agreements, Investigating Complaints and Facility Reported Incidents, and the Psychosocial Outcome Severity Guide Current
NH 017-026 09/22/2017 Pre-Admission Screening & Resident Review (PASRR) Process Webinar Current
NH 015-028 08/06/2015 Revision to S&C 14-42-NH Current
NH 024-027 06/06/2024 Clarification to the Pre-Admission Screening and Resident Review (PASARR or PASRR) Level 1 Screening Process Current

Amended August 23, 2024

NH 021-075 09/24/2021 Interim Final Rule: CMS-3401-IFC: Additional Policy & Regulatory Revisions Related to LTC Facility COVID Testing Requirements Current

Superseded August 8, 2025

NH 020-031 05/06/2020 Additional Blanket Waivers, CMS Commission, Governor Proclamation Extensions Current
NH 013-012 07/17/2013 2013 Legislation: HB 1003 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 021-011 02/05/2021 Certificates of Parental Improvement and Background Checks Current
NH 018-025 10/12/2018 Background Check Citations and Processing Delays Current
NH 016-024 08/25/2016 CR-103E Filed to Extend Emergency Rules on Chapter 388-97 WAC Current
NH 024-058 12/06/2024 Updated: Investigation and Referral process for Allegations Unrelated to Physical or Sexual Abuse Current
NH 026-006 02/12/2026 Revisions to the State Operations Manual (SOM) Chapters 5 and 7 Current
NH 022-014 02/17/2022 QSO-22-10-ALL Vaccination Expectations for Surveyors Performing Federal Oversight Current
NH 020-064 09/10/2020 QSO-20-37-CLIA, NH and QSO-20-38-NH Regarding Rule Changes to Require COVID-19 Testing and Guidance Current

Superseded August 8, 2025