Aging and Long-Term Support Administration Long-Term Care Manual

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PLEASE NOTE: The ALTSA Long-Term Care Manual is also available as a single, searchable PDF. (June 2025)


Chapter Title Revised
All Chapters   09/2025
Chapter 1 LTC Manual Roles and Responsibilities 08/2025
Chapter 2 Records Management 04/2025
  Chapter 2a Privacy 04/2025
Chapter 2b Legal Holds and Discovery 04/2025
Chapter 3  Assessment and Care Planning 08/2025
Chapter 4 Social Service Intake 08/2025
Chapter 5 Case Management 08/2025
  Chapter 5a Washington Roads 08/2025
     
Chapter 6 Housing Resources for ALTSA Clients 03/2025
  Chapter 6a ALTSA Subsidies and GOSH Services 08/2025
Chapter 6b Interim Housing Resources (Motel Interim Stay for Transitions & Emergency Rental Assistance) 08/2025
Chapter 6c Permanent Federal Vouchers 08/2025
Chapter 6d Housing and Service Coordination 08/2025
Chapter 7 Intro to Medicaid, State Plan, and 1915c waivers 08/2025
  Chapter 7a Financial Eligibility for Core Programs 08/2025
Chapter 7b Community First Choice (CFC) 08/2024
Chapter 7c MPC 04/2025
Chapter 7d COPES 08/2025
Chapter 7e New Freedom  
Chapter 7f Residential Support Waiver 07/2024
Chapter 7g State-funded Programs 08/2025
Chapter 7h Appendices 08/2025
Chapter 8  Residential Services 04/2025
  Chapter 8a Meaningful Day Activities 12/2023
Chapter 9  Hospital Assessment  
  Chapter 9a Acute Care Hospital Assessments 08/2025
Chapter 9b State Hospital Assessments 04/2025
Chapter 10 Nursing Facility Case Management and Relocation 08/2025
Chapter 11 Consumer Directed Employer08/2023 08/2025
Chapter 12 Adult Day Services 08/2024
Chapter 13 Nurse Delegation 11/2023
Chapter 14 Legal Services 02/2020
Chapter 15    
  Chapter 15a Communicating with Individuals with LEP & SD, Guidance for AAA Staff 08/2025
Chapter 15b Communicating with Individuals with LEP & SD Guidance for ALTSA and DDA Staff 08/2025
Chapter 16 Assistive Technology – State only Fund 08/2025
Chapter 17 Family and Kinship Caregiver Support Programs  
  Chapter 17a Family Caregiver Support Program 08/2025
Chapter 17b Kinship Caregivers Support Program 12/2022
Chapter 17c Kinship Navigator Program 09/2023
Chapter 18 Home Delivered Nutrition  
Chapter 19 Congregate Nutrition  
Chapter 20 Transportation 08/2025
Chapter 21 Volunteer Chore Service  
Chapter 22 Managed Care 03/2018
  Chapter 22a

Apple Health Managed Care and Apple Health Medicare Connect (D-SNP)

03/2025
Chapter 22b Health Homes 08/2025
Chapter 22c Program of All-Inclusive Care for the Elderly (PACE) 03/2025
Chapter 23 Quality Assurance and Improvement 03/2018
  Chapter 23a Social Services Monitoring 01/2025
Chapter 23b Financial Services Monitoring 01/2025
Chapter 23c Adult Protective Services Quality Assurance 12/2024
Chapter 24 Nursing Services 10/2023
Chapter 25 Private Duty Nursing 10/2024
Chapter 26 Administrative Hearings 04/2023
Chapter 27 Notices 04/2025
Chapter 28 Medicaid Fraud 09/2024
Chapter 29 Roads to Community Living 08/2025
Chapter 30 Medicaid Transformation Demonstration 03/2019
  Chapter 30a Intro to Medicaid Transformation Demonstration 04/2025
Chapter 30b Initiative 2: LTSS - Medicaid Alternative Care & Tailored Supports for Older Adults 03/2025
Chapter 30c Initiative 3: Foundational Community Supports – Supported Employment 08/2025
Chapter 30d Foundational Community Supports -- Supportive Housing 04/2025
Chapter 30e Long-Term Services and Supports, Presumptive Eligibility (LTSS PE) 08/2025