Foundational Community Supports

Foundational Community Supports (FCS) provides supportive housing and supported employment services to our most vulnerable Medicaid beneficiaries. These services are designed to promote self-sufficiency and recovery by helping participants find and maintain stable housing and employment.

On this page

About FCS

What is supportive housing and supported employment?

Who's eligible?

FCS is a targeted Apple Health (Medicaid) benefit designed to meet the needs of individuals with significant barriers to finding stable housing and employment.

Participants must be:

  • Apple Health (Medicaid)-eligible
  • Meet certain age requirements
  • Meet specific medical risk factors including:
    • Chronic homelessness
    • Complex behavioral health needs
    • Co-occurring substance use needs
    • A disability or other long-term care needs

Learn more about FCS eligibility with our quick reference guide.

How can someone be referred to FCS?

Providers can refer clients who need supportive housing and supported employment to Wellpoint, the third-party administrator of FCS.

What isn't covered?

FCS does not pay rent, rental subsidies, wages, or wage enhancements, but those eligible for FCS Supportive Housing may qualify for rental assistance through HRSN housing services or the Apple Health and Homes (AHAH) Rental Assistance Program. Please view our HRSN housing services page for more information.

Provider enrollment and resources

How does provider enrollment work?

To begin the application process, please complete the FCS New Provider Inquiry Form and attach the FCS Provider Application. A SecureAccess Washington (SAW) account is required to complete this step. Please see the How to access the HCA support portal instructions or email the HCA FCS inbox if you have questions.

The FCS team will review your inquiry form submission and determine whether to move your organization to our second phase of the application process. If you receive a denial after you submit an inquiry form, you may reapply six months after your initial submission date.

Provider enrollment is based on a variety of factors, including regional service gaps and enrollee demand. Enrollment is not guaranteed for applying providers and one-on-one feedback might not be available for denied applications. To provide FCS services, organizations must hold an active contract with our third-party administrator (TPA), Wellpoint.

Provider resources

FCS training

Contact information for HCA's Supportive Housing Program Manager:

Contact information for HCA's Supported Employment Program Manager:

Foundations newsletters

Sign up to receive FCS emails and the Foundations monthly newsletter.

2026
Date Title
August Foundations newsletter
July Foundations newsletter
June Foundations newsletter
May Foundations newsletter
April Foundations newsletter
March Foundations newsletter
February Foundations newsletter
January Foundations newsletter
2025
Date Title
December Foundations newsletter
November Foundations newsletter
October Foundations newsletter
September Foundations newsletter
August Foundations newsletter
July Foundations newsletter
June Foundations newsletter
May Foundations newsletter
April Foundations newsletter
March Foundations newsletter
February Foundations newsletter
January Foundations newsletter

FCS reports

Washington State Health Care Authority (HCA) and Department of Social and Health Services (DSHS) Research and Data Analysis (RDA) generate monthly reports to analyze access and engagement in the Foundational Community Supports program. These reports review historical enrollment information to verify data accuracy and completeness.

FCS supportive housing reports

2026

2025

2024

FCS supported employment reports

2026

2025

2024

Contact

Email: Rayan Orbom
Foundational Community Supports program administrator

Related forms and publications

Related links