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 021-073 09/17/2021 COVID-19, Influenza and Pneumococcal Reminder Current
NH 023-038 11/09/2023 Informal Dispute Resolution (IDR) Pilot Project for Nursing Homes Wrap Up and Feedback Request Current
NH 014-011 08/13/2014 Handling of E. WA Wildfires & Emergency Preparedness Planning Reminder Current
NH 018-008 04/13/2018 Clarification: RN Hours for Meeting 24 Hour RN Staffing Requirement 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 017-005 02/22/2017 CDC Guidance for Water Management Plans Current
NH 021-010 02/01/2021 COVID-19 Vaccination Information Current
NH 020-046 07/17/2020 QSO 20-34-NH: Ending of PBJ Waiver and Changes to Info Posted on NH Compare and Five Star Quality Rating System Due to COVID-19 Public Health Emergency Current
NH 022-012 02/10/2022 Clarification on NH Safe Start for LTC Plan Visitation Requirements and CMS QSO-20-39-Revised Current
NH 024-026 06/06/2024 Updates to NH State Survey Report DSHS Form 10-207 Current
NH 015-018 05/18/2015 S&C 15-36: Requesting an Appeal with the Departmental Appeals Board (DAB) Current
NH 019-013 06/21/2019 Nationwide Shortage of Tuberculin Skin Test Antigen Solution 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 020-079 11/06/2020 CR-103E Filed to Extend Emergency Rules Amending NH Requirements & CR-101 Filed to Consider Permanently Amending the Rules for Disaster and Emergency Preparedness, Quality Assessment and Assurance, and Resident Rooms 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 013-004 04/15/2013 S&C 13-13: New Dining Standards of Practice Resources 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 024-058 12/06/2024 Updated: Investigation and Referral process for Allegations Unrelated to Physical or Sexual Abuse Current
NH 016-016 06/09/2016 Character, Competence & Suitability for Owner or Designee Current
NH 020-015 04/21/2020 Revised Processes: Personal Protective Equipment Ordering and COVID-19 Testing Current

Revised 04-21-2020

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 023-039 11/17/2023 Quality, Safety and Education Portal (QSEP) Current
NH 014-012 09/02/2014 S&C Memo 14-34-NH: Advance Revisions Interpretive Guidance at F-371 Current
NH 018-009 04/13/2018 Specialized Infection Prevention & Control Training Current
NH 025-029 06/30/2025 WA State 24/7 Registered Nurse (RN) Staffing Exception Process - Updated Current