Long-term services and supports (LTSS) manual

Important: Stay covered! Are you enrolled in Apple Health (Medicaid) coverage? Make sure your address and phone number are up to date so you can stay enrolled. Report a change.

HCA’s lobby is now open for walk-in customer service. Learn about customer service options.

Long-term services and supports index

Revised Date: 
July 1, 2015

Purpose: Alphabetical index of Long-term care manual material

A to Z manual for cash and food

ACES manual

Adult abuse and prevention

Apple Health (Medicaid) manual revision log

Applications for LTSS

Authorized Representatives

LTC Change of Circumstances

Community Service Division (CSD) Social Service Manual

Community First Choice

Long-Term Services and Supports

DDA Home and Community Based (HCB) Waivers

DDA Residential Habilitation Centers (RHC)

General Eligibility for LTC

Eligibility Requirements for LTSS

Equal Access - Necessary Supplemental Accommodation (NSA) and Long-Term Care)

Estate Recovery

Exception To Rule (ETR) process due to inability to provide citizenship and/or verification

Excess home equity

Family and dependent allocation

DSHS and HCA forms, WACs, rule-making and useful LTC links

Determining eligibility for noninstitutional coverage in an alternate living facility

Guardianships - deductions to participation, room and board

Hardship Waivers for Long-term care (LTC) services

Home and Community Based (HCB) waivers and programs using HCB waiver rules

DDA Home and Community Based (HCB) Waivers

HCB Waivers, Room and Board, ETRS and bed holds

HCS Home and Community based (HCB) Waivers

Hospice index

Income requirements Index

Excluded income

Institutional status

How Life Estates Affect eligibility

Determining the Value of Life Estates

Third Party Resources and LTC insurance

Long-term Care Partnership

Long-term Care Partnership - Information for Consumers

Long-term Care Partnership - Frequently Asked Questions

Long-term services and supports authorized under Apple Health

Lump sum income

Managed Care and Long-Term Care

Medicaid Personal Care

Allowable Medical Expenses

Medically Needy LTC programs

Medicare and Long-Term Care

Medicare Coinsurance Days

Modified Adjusted Gross Income (MAGI) - Based Institutional Care

Equal Access - Necessary Supplemental Accommodation (NSA) and Long-Term Care

State-funded Long-term Care for Noncitizens

Long-term Services and Supports Authorized under Apple Health

Determining eligibility for noninstitutional coverage in an alternate living facility (G03 or L52 group C and D)

Overview - Long-term care Services and Supports Chart

Program of all-inclusive care for the elderly (PACE)

Participation in a medical facility

Long-Term services and supports Personal Needs Allowance (PNA) chart

Post-Eligibility Index

Reverse mortgage, promissory notes, and loans


Resources eligibility index

Available Resources

Reverse Mortgage, Promissory Notes, and Loans

Roads to Community Living

Short Stays

SSI deemed eligible

Standards - LTSS

HCS State-funded Residential Program through the Medical Care Service (MCS) program

State-funded Long-term Care for noncitizens

Third Party Resources and LTC Insurance

Transfer of an asset

Treatment of Entrance fees in Continuing Care Communities, Clients living in Fraternal/Religious/Benevolent Nursing Facility

Trusts Index WAC 182-516-0100

DSHS and HCA Forms, WACs, Rule-making, and Useful LTC Links

VA Benefits Chart and VA Information Appendix 4

Verification Requirements

Apple Health (Medicaid) Manual WAC Index

Managed Care and Long-Term Care

Working clients on long-term care programs (Waivers, Residing in a Medical Institution, or MPC)