When the Office of Rates Management sends a letter to facility administrators, the letter is assigned a reference number. The letters are available by year. If you have questions about the letters or need a letter from a year not listed below, please contact Jonathon Smith, Office Chief, at (360) 522-3366 or Jonathon.Smith@dshs.wa.gov, or Tiffany Hills, Nursing Facility Rates Manager at (360) 995-2809 or tiffany.hills@dshs.wa.gov.