Cassidy Farrow

Description
The agency is developing rules for the Washington Health-Related Social Needs (HRSN) services program. Under the Washington State Section 1115 Medicaid Demonstration wavier, the HRSN services program allows qualifying Medicaid enrollees to receive evidence-based, non-medical services to address unmet, adverse social conditions that contribute to poor health. The agency plans to have new rules to implement:
• Nutritional supports for people who screen positive for certain chronic conditions or for people post-discharge from a hospital, institutional, or congregate setting who screen positive for food insecurity or need assistance to maintain nutrition goals;
• Caregiver respite services that provide temporary, short-term supervision and services usually furnished by a caregiver to people whose caregivers need relief or who have trouble finding alternative affordable care; and
• Environmental accessibility, remediation, and adaptation services to provide physical changes to a home that promote health, safety, or independence to people who meet certain chronic conditions and whose health has been impacted by their living conditions.

Agency contacts

Rulemaking contact

Melinda Froud

Program contact

Cassidy Farrow

Rulemaking status history

Preproposal (CR101)

Description
To implement RCW 43.20B.030, as amended by section 1, chapter 331, Laws of 2025 (SB 5079), the agency is amending WAC 182-520-0015 to give the governing agencies the authority to waive collections when they determine that a state agency error caused a long-term services and supports client overpayment.

Agency contacts

Rulemaking contact

Brian Jensen

Program contact

Paige Lewis

Rulemaking status history

Emergency Adoption (CR103E)

Preproposal (CR101)

Description
Updating chemical-using pregnant (CUP) women to substance-using pregnant people (SUPP). The revision allows for alignment with agency standard language.

Agency contacts

Rulemaking contact

Valerie Freudenstein

Program contact

Melissa Craig

Rulemaking status history

Expedited Adoption (CR105)

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.

What is supportive housing and support employment?

  • Supportive housing help individuals get and keep community housing.
  • Supported employment help individuals with barriers to employment get and keep a job.

What doesn't FCS cover?

FCS does not pay rent, rental subsidies, wages, or wage enhancements.

Who is eligible for the FCS program?

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

Participants must be:

  • 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.

Refer clients who need supportive housing and supported employment to Wellpoint, the third party administrator of FCS.

How does provider enrollment work?

To begin the process, please email HCA FCS to express your interest.

Provider enrollment is based on a variety of factors, including regional service gaps and enrollee demand. Enrollment is not guaranteed for applying providers. To provide FCS services, organizations must hold an active contract with our Third-Party Administrator (TPA), Wellpoint.

Provider resources

Need help with FCS training?

For supportive housing program managers:

For supported employment program managers:

Subscribe to