1. Online at Washington Connection at www.washingtonconnection.org;
2. By sending a completed HCA 18-005 application for TSOA form to P.O. Box 45826, Olympia, WA 98605;
3. By faxing a completed HCA 18-005 application for TSOA form to 1-855-635-8305;
4. By contacting your local area agency on aging (AAA) office at 1-855-567-0252; or
5. By contacting your local home and community services (HCS) office. To find your local HCS office, see https://www.dshs.wa.gov/ALTSA/resources.

1. The Medicaid agency or the agency's designee provides help with the application or renewal process in a manner that is accessible to people with disabilities, limitations, or other impairments as described in WAC 182-503-0120 and to those who are limited-English proficient as described in WAC 182-503-0110;
2. For help filing an application:
   1. Contact a local AAA office;
   2. Contact a local HCS office;
   3. Have an authorized representative apply on the person's behalf.

1. The applicant (the person receiving care);
2. The applicant's spouse;
3. The applicant's caregiver (person providing in-home caregiver services);
4. A legal guardian; or
5. An authorized representative, as defined in WAC 182-500-0010.

1. Due to the applicant's medical condition; and
2. Because the applicant does not have another person that is able to conduct the interview on the applicant's behalf.

1. Have TSOA rights and responsibilities explained and provided in writing;
2. Be treated politely and fairly without regard to race, color, political beliefs, national origin, religion, age, gender (including gender identity and sex stereotyping), sexual orientation, disability, honorably discharged veteran or military status, or birthplace;
3. Get help with the TSOA application if requested;
4. Have an application processed promptly and no later than the timelines described in WAC 182-503-0060;
5. Have at least ten calendar days to give the medicaid agency or the agency's designee information needed to determine eligibility and be given more time if asked for;
6. Have personal information kept confidential. The agency or the agency's designee may share information with other state and federal agencies for purposes of eligibility and enrollment in other Washington apple health programs;
7. Get written notice, in most cases, at least ten calendar days before the agency or its designee denies, terminates, or changes eligibility for TSOA;
8. Ask for an appeal if the person disagrees with the agency or the agency's designee's decision. A person can also ask a department supervisor or administrator to review the decision or action without affecting the right to a fair hearing.
9. Ask for and get interpreter or translator services at no cost and without delay.
10. Ask for voter registration assistance;

11. Refuse to speak to an investigator if the person's case is audited. If the person does not want to let the investigator enter their home, there is no requirement to do so and the person may ask the investigator to come back at another time. Such a request will not affect a person's eligibility for TSOA; and

12. Get equal access services under WAC 182-503-0120 if eligible.

An applicant or recipient of TSOA is responsible to:

1. Report changes in household or family circumstances as required under WAC 182-513-1650;

2. Provide the agency or the agency's designee with any information or proof needed to determine eligibility. If the person has trouble getting proof, the agency or the agency's designee helps get the proof needed or contacts other persons or agencies for it;

3. Provide a valid Social Security number or immigration document number in order to verify identity, citizenship, immigration status, date of birth, and whether the person has other health care coverage. This information is not shared with the department of homeland security;

4. Complete renewals when requested; and

5. Cooperate with quality assurance when requested.