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
NH 016-031 09/27/2016 Update Regarding Resource Utilization Group: Reduction for Medicaid Residents in the Low Acuity RUG Groups Current
NH 020-083 11/13/2020 COVID-19 Proclamations Extended Until 11:59 P.M. December 7, 2020 Current
NH 023-023 05/25/2023 Federal Public Health Emergency Ends May 11, 2023, Including Certain CMS 1135 Waivers and Flexibilities Current
NH 022-014 02/17/2022 QSO-22-10-ALL Vaccination Expectations for Surveyors Performing Federal Oversight 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 025-013 03/28/2025 Emergency Preparedness Considerations for Volcanic Ashfall Current
NH 025-056 11/13/2025 CR-105 FILED TO REPEAL SECTIONS OF CHAPTER 388-97 WAC THAT ARE NO LONGER IN USE (NURSING HOMES) Current
NH 020-024 04/20/2020 Department Request for Ongoing COVID-19 Status Updates 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 012-005 06/07/2012 S&C 12-30: Use of Insulin Pens 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 018-015 05/30/2018 Updated Information Regarding Required Notice When NH Residents Transfer or Discharge to Acute Care Current
NH 015-036 12/17/2015 S&C 16-04-NH Focused Dementia Care Survey Tools Current
NH 025-045 09/25/2025 EXPIRED CENTERS FOR MEDICARE AND MEDICAID (CMS) MEMOS AND UPDATED PRACTICE GUIDANCE Current
NH 020-055 08/06/2020 Order of the Secretary of Health 20-03.1 Face Coverings – Statewide Current
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Superseded August 8, 2025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 013-020 10/15/2013 Recurrent Nationwide Shortage of Tuberculin Skin Test Antigen Solutions Current
NH 024-043 09/04/2024 REMINDER OF REQUIREMENTS RELATED TO RESIDENTS’ RIGHT TO VOTE Current
NH 019-022 10/11/2019 Pre-Admission Screening and Resident Review (PASRR) Webinar Current
NH 021-011 02/05/2021 Certificates of Parental Improvement and Background Checks Current
NH 016-032 09/28/2016 S&C 16-33: Emergency Preparedness Requirements Conference Call Current
NH 021-014 02/09/2021 Discontinued: Incentives for Skilled Nursing Facilities That Accept Admission from Acute Care Hospitals Current
NH 016-033 10/20/2016 LTCOP Federal Regulations Current
NH 020-088 11/17/2020 Visitation Restrictions Required Under Governor Proclamation 20-25.8 Current

Amended 1/4/2021

NH 023-024 06/05/2023 WAC 388-97-1081, Minimum Staffing Standards 3.4 Direct Care Hours Emergency Rule Implementation Plan Current