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 021-049 06/25/2021 LTC Facilities to Follow Safe Start Plans Beyond June 30, 2021 Current
NH 024-009 03/08/2024 Reporting and Instructions of Minimum Staffing Standards 3.4 Hours of Direct Care Per Resident Per Day (HPRD) Temporary Inclusion of Previously Unreported Hours for State Q2, Q3, and/or Q4, 2023 Current
NH 015-010 03/30/2015 CR-101 Filed Amending Sections to Chapter 388-97 WAC Current
NH 022-051 09/13/2022 Up to Date Definition - Bivalent COVID-19 Vaccine Current
NH 012-011 09/17/2012 Influenza and Pneumococcal Immunization Reminders Current
NH 017-032 11/27/2017 Testing for Cure with Clostridium Difficile Infected Residents Current
NH 021-079 10/08/2021 CR-103E Filed to Extend Emergency Rules Amending Nursing Home Requirements for Disaster and Emergency Preparedness, Quality Assessment and Assurance, and Resident Rooms Current
NH 024-041 08/29/2024 UPCOMING TRAINING OPPORTUNITY: WASHINGTON STATE’S CRISIS SYSTEM: WHAT SERVICES ARE, HOW TO ACCESS, AND WHAT TO EXPECT Current
NH 016-006 03/21/2016 Service Episode Records for PASRR Level II Developmental Disability Clients Current
NH 020-037 05/28/2020 COVID-19 Testing of Residents and Staff of Nursing Homes Current

Revised June 3, 2020

NH 021-017 02/19/2021 CR-103E Filed to Extend Emergency Rules Amending NH Requirements for Disaster & Emergency Preparedness, Quality Assessment and Assurance and Resident Rooms Current
NH 023-021 04/28/2023 State Operations Manual Chapter 5 - Implementation Dates for Revised Guidance Current
NH 014-002 05/13/2014 S&C 14-12: Emergency Preparedness Initiative – Revised Checklist Current
NH 019-004 02/01/2019 Notification of Final Rule Adjusting Civil Money Penalties for Inflation Current
NH 022-020 03/18/2022 Secretary of Health Order 20-03.8, Face Coverings - Statewide, Effective March 12, 2022 Current

Amended April 1, 2022

NH 025-011 03/26/2025 QSSAM-25-1-ALL: Clarification of CMS' Provider Enrollment Site Visits and Specific Disclosure Requirements for SNF and NF Current
NH 016-038 11/16/2016 Supplemental 3.4 HPRD Instructions & Reporting Template for NH Facilities Current
NH 020-070 09/29/2020 QSO-20-39-NH Nursing HOme Visitation - COVID-19 Current

Superseded August 8, 2025

NH 021-050 06/28/2021 Precautions for Residents and Staff Related to Heatwave Current
NH 020-006 02/28/2020 QSO-20-11-NH Release of Additional Toolkits to Ensure Safety and Quality in Nursing Homes Current
NH 022-052 09/20/2022 COVID-19, Influenza and Pneumococcal Reminder Current
NH 025-044 09/22/2025 RCS STAFF MASK WEARING AND RELATED PROCEDURES DURING THE 2025-2026 RESPIRATORY ILLNESS SEASON Current
NH 012-012 09/24/2012 Reasonable Accommodation and Non-Discrimination for Services Animals Current
NH 017-033 12/12/2017 Minimum Documentation for the Activities of Daily Living Coded on the Minimum Data Set (MDS) 3.0 Current
NH 021-081 10/08/2021 30-Day Extension Approved of Proclamation 21-15 Related to the Transfer and Discharge of Nursing Home Residents Current