Aging and Long-Term Support Administration

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Blake Office Park Employee Emergency Line: 360-725-2301
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State leaders and advocates gathered in Tacoma on May 22 to discuss ways to ensure Washingtonians can age with dignity, fulfillment and fun at the Aging and Longevity Summit. Hosted by the Department of Social and Health Services, the Department of Health and Health Care Authority, the summit included discussions about improving quality of life as more people are living longer, how to reframe aging and avoid ageism and a look at the history and current state of long-term services and supports here in Washington.

Governor image

Read the full story on the DSHS Medium page.




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.