Skilled nursing facilities provide 24-hour care for people who need help with daily activities and medical support. They serve older adults, people with disabilities, and those recovering from illness or injury. DSHS partners with facilities across Washington to ensure respectful, high-quality care.
Billing Resources
- Nursing Facility Billing Guide (Washington Health Care Authority Webpage | PDF)
- Nursing Facility Rates and Reports
- State-funded long-term care for Noncitizens
- Information for MAGI Apple Health
- Classic Medicaid Financial Contacts or For Escalation and Troubleshooting (PDF)
- Nursing Facility Notice of Action Form (DSHS 15-031 PDF | Word)
- Intake and Referral Form (DSHS 10-570 PDF | Word)
- How to apply for Medicaid
ProviderOne:
- Log into ProviderOne
- Learn ProviderOne
- ProviderOne Billing and Resource Guide (PDF)
HCS/AAA Operations Information
- Nursing Home Guidelines “The Purple Book” (PDF)
- List of Provide/Administrator Letters
- Acute Care Hospitals
- Aging and Long-Term Support Administration Long-Term Care Manual
- Nurse Delegation
- Behavioral Health Support Training Calendar
Resources
- Find Local Services, Information, and Resources
- Medicare.gov Find and Compare Providers Near You
- Behavioral Health Support for Providers
- National Alliance for Care at Home: Find a Provider
- Centers for Medicare & Medicaid Services
- Medicaid.gov Nursing Facilities
- Information on Apple Health Managed Care
- Map of Apple Health managed care service area (PDF)
- Behavior Support Training and Consultation includes Monthly Training Opportunities
Regional Contacts Medicaid Nursing Facility Transitions
Public Benefits Program Managers: sesdshpchelpdesk@dshs.wa.gov
Transition Support
- Learn about Lifeline phone services
- Room & Care: Find and Book Assisted Living Directly
- Family Caregiver Alliance: Hiring in-home help
Roads to Community Living
One of Washington’s programs that helps people move from nursing homes and other care facilities back into their homes and communities.
This person-centered program supports individuals with complex, long-term care needs. It promotes independence, dignity, and inclusion—and is part of the federally funded Money Follows the Person initiative.
Eligible participants may include people living in nursing homes, hospitals, or residential habilitation centers who are ready to transition to a qualified community setting.
Developmental Disabilities Administration
Managed Care and Medicare
Washington’s Dual Special Needs Plan program helps coordinate care for people who qualify for both Medicare and Medicaid. It’s designed to support smooth transitions between care settings and connect individuals with the services they need. Visit our website Cross System Care Coordination.
Preadmission Screening and Resident Review
Information and Trainings:
- Washington State Health Care Authority PASRR Screening Process
- Medicaid.gov: Preadmission Screening and Resident Review
- Washington State PASRR Program Contractors by County Map (HCA 82-0431 PDF)
- PASRR Training Video: January 2024
- 2025 Annual PASRR Hospital Nursing Facility Presentation (PDF)
CareLearn
CareLearn is an online training solution that provides accessible DSHS-approved training and continuing education on a variety of topics. CareLearn helps non-union, family and paid long-term caregivers in various care settings easily access free training and can reduce the amount of time caregivers need to be away from the people they care for.
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Downloadable
Brochures
Medicaid and Long-Term Care Services for Adults
(22-619 Multiple Languages)
Adult Protective Service
(22-810 Multiple Languages)
Choosing care in an Adult Family Home or Assisted Living Facility
(22-707 Multiple Languages)
Resources for Individuals in Skilled Nursing Facilities
(22-2032 Multiple Languages)
Roads to Community Living
(22-1297 Multiple Languages)
Technology Support Services
(22-2033 English Only)