Aging and Long-Term Support Administration

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

Facility Providers are Needed to Participate in a Staff Stability Survey 

The Staff Stability Survey is active from September 2 – October 31. The survey will collect important data that has the potential to impact future national and state policies related to long-term care. A unique survey link has been emailed to Facility Providers and their participation is encouraged. Learn more about this opportunity by clicking here.

October is Domestic Violence Awareness Month

Throughout Domestic Violence Awareness Month, it is essential for us to remember the vital role that social services professionals play in keeping Washington’s most vulnerable adults safe, secure, and free from harm. APS can help vulnerable adults live free of harm with appropriate services in place, and to assure the accountability of perpetrators. The National Adult Protective Services Association (NAPSA), in collaboration with Washington’s Adult Protective Services, has developed some great resources to help identify the signs of abuse. Those resources can be found here, and more will be published and made available in the near future. Administration for Community Living resources for late-life domestic violence can be found here.  

Washington COVID-19 Immigrant Relief Fund Launches New Application Period Through November 14, 2022

The Department of Social and Health Services is pleased to announce the Washington COVID-19 Immigrant Relief Fund is open for new applications as of Monday, Sept. 19, 2022. The fund provides at least $1,000 in cash assistance for immigrants living in Washington state. 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.