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 022-012 02/10/2022 Clarification on NH Safe Start for LTC Plan Visitation Requirements and CMS QSO-20-39-Revised Current
NH 013-019 10/03/2013 S&C 13-42: Reminder About Access & Visitation Rights in Long-Term Care (LTC) Facilities Current
NH 020-054 08/04/2020 Pilot Modified Off-Site Case Mix Accuracy Reviews (CMAR) Current
NH 016-031 09/27/2016 Update Regarding Resource Utilization Group: Reduction for Medicaid Residents in the Low Acuity RUG Groups Current
NH 023-038 11/09/2023 Informal Dispute Resolution (IDR) Pilot Project for Nursing Homes Wrap Up and Feedback Request Current
NH 021-042 05/25/2021 CR-103E Filed to Extend Emergency Rules Amending NH Requirements and Two CR-101s Filed to Consider Permanently Amending Some NH Rules Current
NH 019-021 10/11/2019 CR-103 Filed (Permanent Rules) to Chapter 388-97 WAC (Appeal Rights) Current
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 022-044 07/22/2022 QSO-22-18-ALL: Clarifying Vaccination Expectations for Surveyors Performing Federal Oversight and Rescinding QSO-10-22-ALL 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 020-083 11/13/2020 COVID-19 Proclamations Extended Until 11:59 P.M. December 7, 2020 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Superseded August 8, 2025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 012-005 06/07/2012 S&C 12-30: Use of Insulin Pens Current
NH 020-024 04/20/2020 Department Request for Ongoing COVID-19 Status Updates Current
NH 015-036 12/17/2015 S&C 16-04-NH Focused Dementia Care Survey Tools 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 025-063 12/18/2025 WASHINGTON (WA) STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN NURSING HOMES (NH)  Current
NH 018-015 05/30/2018 Updated Information Regarding Required Notice When NH Residents Transfer or Discharge to Acute Care Current
NH 024-058 12/06/2024 Updated: Investigation and Referral process for Allegations Unrelated to Physical or Sexual Abuse Current
NH 022-014 02/17/2022 QSO-22-10-ALL Vaccination Expectations for Surveyors Performing Federal Oversight Current
NH 013-020 10/15/2013 Recurrent Nationwide Shortage of Tuberculin Skin Test Antigen Solutions Current
NH 020-055 08/06/2020 Order of the Secretary of Health 20-03.1 Face Coverings – Statewide Current
NH 016-032 09/28/2016 S&C 16-33: Emergency Preparedness Requirements Conference Call Current