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 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 019-030 12/13/2019 Nursing License Not Required for Use of Opioid Reversal Medication in Long-Term Care Facilities Current
NH 025-037 08/08/2025 Nursing Facility (SNF) Prospective Payment System Final Rule (CMS-1827-F) Current
NH 016-033 10/20/2016 LTCOP Federal Regulations Current
NH 021-074 09/24/2021 BYD DE2322 and 3M 8210 Respirators Current
NH 017-027 09/29/2017 Influenza and Pneumococcal Reminder Current
NH 024-036 08/02/2024 Personal Care Services Survey Current
NH 020-032 05/07/2020 QSO-20-29-NH Interim Final Rule Updating Requirements for Notification of Confirmed & Suspected COVID-19 Cases Among Residents & Staff Current
NH 015-005 02/12/2015 Mandated Reporting Requirements for Facility Staff Current
NH 021-014 02/09/2021 Discontinued: Incentives for Skilled Nursing Facilities That Accept Admission from Acute Care Hospitals Current
NH 023-016 04/14/2023 CR-101 Filed to Propose Amending Rules Related to Resident Access to Death with Dignity Medications Current
NH 025-065 12/19/2025 UPDATED TRAINING & REFERENCE MATERIALS: PAYROLL-BASED JOURNAL (PBJ) DATA SUBMISSION & THE WA STATE MINIMUM DIRECT CARE NURSING (MDCN) 3.4 HOURS PER RESIDENT DAY (HPRD) THRESHOLD Current
NH 022-015 02/18/2022 QSO-22-07-ALL, Guidance for the Interim Final Rule – Omnibus COVID-19 Health Care Staff Vaccination Current
NH 018-026 10/12/2018 PASRR Webinar and New Level One Form Current
NH 012-006 07/09/2012 Revisions to Questions on the Complaint Hotline 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Superseded August 8, 2025

NH 016-001 01/05/2016 S&C 16-05-ALL: Infection Control Pilot Project Current
NH 021-044 05/26/2021 Source Control Regardless of Vaccination Status Current
NH 024-004 02/08/2024 Death with Dignity Medications Current
NH 022-046 08/12/2022 CR-103E Emergency Rules Filed to Extend Waived Rules Related to Transfer & Discharge of Nursing Home Residents Current
NH 019-031 12/18/2019 Personal Care Services Client Survey Current
NH 025-038 08/14/2025 CR-103P Filed to Add to Chapter 388-76 WAC and Amend Chapter 388-76 WAC, Chapter 388-78A WAC, Chapter 388-97 WAC, Chapter 388-107 WAC Current
NH 013-022 11/06/2013 Reporting Investigation Results Current
NH 016-034 10/21/2016 CR-101 Filed to Propose Adding & Amending Sections to Chapter 388-97 WAC Current
NH 021-076 09/28/2021 Implementation of Vaccine Mandate Requirements and Review Current