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 023-021 04/28/2023 State Operations Manual Chapter 5 - Implementation Dates for Revised Guidance Current
NH 023-022 05/19/2023 Launch of CareLearn Retention Toolkit Current
NH 020-054 08/04/2020 Pilot Modified Off-Site Case Mix Accuracy Reviews (CMAR) Current
NH 022-019 05/05/2022 Emergency Rules and Proposed Rules Filed Regarding Long-Term Care Worker Training Requirements Current
NH 025-012 03/28/2025 Update to RCS Staff Mask Wearing in LTC Settings During Respiratory Illness Season Current
NH 026-019 05/05/2026 Cardiopulmonary Resuscitation (CPR) Requirements in Long Term Care Facilities Current
NH 014-019 10/16/2014 Resident Client Protection Program (RCPP) Transitioning to Adult Protective Services (APS) Current
NH 019-021 10/11/2019 CR-103 Filed (Permanent Rules) to Chapter 388-97 WAC (Appeal Rights) Current
NH 017-013 05/26/2017 S&C 17-26-NH: Notice of Proposed Regulation Changes to Requirements Related to Survey Team Composition and Investigation of Complaints Current
NH 021-057 07/16/2021 Long-Term Care Proclamations Remain in Effect Current
NH 020-087 11/13/2020 Risk Assessment During Holiday Travel Current
NH 015-027 07/27/2015 S&C 15-47-NH: Medication Related Adverse Events Current
NH 020-098 12/14/2020 COVID-19 GOVERNOR PROCLAMATIONS EXTENDED Current
NH 020-022 04/16/2020 CMS/CDC Infection Control Guidance, Additional Blanket Waivers, COVID-19 Transfer/Discharge & Proclamation 20-44 Current

Superseded August 8, 2025

NH 021-089 11/17/2021 New Notification Policy Regarding Sex Offenders Living in LTC or Receiving LTC Services and Supports Current

Amended March 18, 2022

NH 024-042 08/29/2024 EMERGENCY MEDICAL SERVICES AND LONG-TERM CARE WEBINAR Current
NH 025-055 10/31/2025 PROPOSED AMENDMENTS TO CHAPTER 388-78A WAC, CHAPTER 388-97 WAC, CHAPTER 388-107 WAC Current
NH 013-011 06/13/2013 Changes to Quality Assurance Nurse (QAN) Program Current
NH 018-017 06/11/2018 Behavioral Health Training Survey Current
NH 016-023 08/09/2016 Exception to 24 Hour R.N. Staffing Requirement Current
NH 021-026 03/30/2021 24-Hour Registered Nurse Staffing Requirement Update Current
NH 021-027 03/31/2021 Reimplementation of Surveys, Inspections and Evaluations Current

Amended 04/08/2021

NH 023-023 05/25/2023 Federal Public Health Emergency Ends May 11, 2023, Including Certain CMS 1135 Waivers and Flexibilities Current
NH 020-055 08/06/2020 Order of the Secretary of Health 20-03.1 Face Coverings – Statewide Current
NH 022-029 05/17/2022 Begin Using DOH Construction Review Services for All Construction Projects Prior to the End of the Proclamation Current