Aging and Long-Term Support Administration

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Blake Office Park Employee Emergency Line: 360-725-2301
Office Closures

 

Are you a Home and Community Services client? Share your experience (and get paid to do it)! More information at Ready, S.E.T., Make a Difference!


DSHS has maintained Apple Health Medicaid Coverage for the Aged, Blind or Disabled population during the Public Health Emergency, and will continue into the future, however beginning April 1, 2023 customers must complete a renewal in order to keep your coverage.

You will receive a letter in the mail when it is time for your renewal. Make sure your address and phone number with Washington Connection is up to date so you can stay enrolled. Report a change.

What We Do

The Aging and Long-Term Support Administration (ALTSA) promotes choice, independence, and safety through innovative services and partnerships with tribes, advocates, providers and caregivers to support seniors and people with disabilities so they can live with good health, independence, dignity and control over decisions that affect their lives.


Adult Protective Services (APS) investigates reports of abuse, neglect, and exploitation of vulnerable adults.

Home and Community Services (HCS) provides and administers long-term care services to eligible individuals and collaborates with Area Agencies on Aging to share community service options. 

Residential Care Services (RCS) provides licensing, certification, and regulatory oversight to long-term care facilities including:

  • Nursing Homes
  • Assisted Living Facilities
  • Adult Family Homes
  • Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID)
  • Supported Living; and
  • Enhanced Services Facilities

The Office of the Deaf and Hard of Hearing (ODHH) provides service to individuals who are deaf, hard of hearing, deaf-blind and speech-disabled facing communication barriers. Services include telecommunications, reasonable accommodations and client services.

The Management Services Division (MSD) supports the operations of the Aging and Long-Term Support Administration providing rates management, administrative support services, information technology, fiscal and contract management, and personnel operations.