Home and Community Services Division

A division of DSHS, Home and Community Services provides long-term care services and supports to people with disabilities and older adults with low incomes.

Home and Community Services staff work with people to understand available programs, review eligibility, and connect them to services that support safety, independence, and quality of life.

Home and Community Services partners with clients, families, caregivers, and community providers to help people remain at home when possible or transition to other care settings when needed. 

Programs and Services

Age‑Related Programs

Programs that support older adults, caregivers, and families. These include nutrition programs, caregiver support, kinship care, guardianship, and statewide aging initiatives.

Fostering Well-Being

Kinship Care

Guardianship

Program of All-Inclusive Care for the Elderly

Senior Nutrition Program

Senior Farmers Market Nutrition Program

Washington State Council on Aging

CareLearn Washington

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.

CareLearn Washington 

Dementia/Alzheimer's

Specialized Dementia Care Program

Housing

Information and programs related to adult family homes, assisted living facilities, supportive housing, and transitions to community living.

Information for Adult Family Home Providers

About Assisted Living Facilities

Enhanced Services Facilities

Housing Resources

Housing and Essential Needs Referral Program

Office of Housing and Employment

Supportive Housing Services

Roads to Community Living

Health Home Program 

Medicaid

Resources for applying for Medicaid, understanding coverage, and accessing long‑term care programs funded by Medicaid.

How to apply

Medicaid Alternative Care & Tailored Supports for Older Adults

Electronic Visit Verification

Reference Materials 

Home and Community Service Rates

Long-Term Care Manual

Nursing Programs

Nursing services that support adults receiving long‑term care, including nurse delegation and private duty nursing.

Nursing Services

Nurse Delegation Program

Private Duty Nursing

Traumatic Brain Injury

Information and resources for adults living with a traumatic brain injury.

Traumatic Brain Injury