Aging and Long-Term Support Administration

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

Save the Date! March 1-2, 2023, Spring Summit Tribal, ALTSA, Home and Community Services (HCS), Area Agencies of Aging (AAA). Download the flyer


ALTSA's Derrick Ross receives the Reverend Dr. Martin Luther King Jr. DSHS "Beloved Community" Award! The Beloved Community Award honored an employee, a community partner and a business that have made significant contributions in the areas of service to the community, social justice/human rights, and/or racial equity, anti-racism and the empowerment of Black, Indigenous and People of Color communities. Read more on the DSHS Medium page.

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.