Jun
30
2025
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.
About FCS
What is supportive housing and supported employment?
- Supportive housing helps individuals get and keep community housing.
- Supported employment helps individuals with barriers to employment get and keep a job.
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.
- Email: Wellpoint
- Call: 1-844-451-2828
- Visit: Wellpoint’s FCS participant website
What isn't covered?
FCS does not pay rent, rental subsidies, wages, or wage enhancements.
Provider enrollment and resources
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
- FCS enrollment pause and waitlist
- Provider map
- Residence/Oxford House locations
- FCS reimbursement rate information
- Division of Behavioral Health and Recovery (DBHR) housing program map
- Washington's Electronic Business Solution (WEBS) frequently asked questions
- FCS supplanting vs. supplementing
FCS training
Contact information for HCA's supportive housing program manager:
- Anessa Williams (Eastern Washington)
Contact information for HCA's supported employment program managers:
- Darren Paschke (Western Washington)
- Dawn Miller (Eastern Washington)
Foundations newsletters
Sign up to receive FCS emails and the Foundations monthly newsletter. See an archive of past editions below.
- 2025
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Date Title 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 - 2024
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Date Title December 1 Foundations November 7 Foundations October 11 Foundations September 10 Foundations August 6 Foundations July 5 Foundations June 6 Foundations May 6 Foundations April 1 Foundations March 5 Foundations February 6 Foundations January 9 Foundations - 2023
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Date Title December 1 Foundations November 1 Foundations October 3 Foundations September 5 Foundations July 6 Foundations June 1 Foundations May 5 Foundations April 11 Foundations March 2 Foundations February 6 Foundations January 4 Foundations
HRSN housing services
Under the Medicaid Transformation Project (MTP 2.0), the Centers for Medicare & Medicaid Services (CMS) approved the Health Care Authority (HCA) to provide housing transition navigation and rent/temporary housing services.
Supportive Housing and Supported Employment services under the Foundational Community Supports (FCS) program will continue under MTP 2.0, in addition to the newly approved health-related social needs (HRSN) housing services. Together, these services can remove barriers to affordable housing and provide the necessary assistance to help a person live independently.
On this page
Who is eligible for HRSN housing services?
Individuals must meet the following criteria to be eligible for housing transition navigation and rent/temporary housing services:
- Enrolled in Apple Health (Medicaid)
- Homeless or at risk of homelessness, as defined by 24 Code of Federal Regulations (CFR) 91.5
- Have complex behavioral health, co-occurring substance use needs among others, disability requiring assistance, or other long-term care needs
For questions and information about specific program eligibility, please refer to program-specific information on this page.
Housing transition navigation services
These services aim to remove barriers to affordable housing, including transition costs and housing deposits to assist with identifying, coordinating, securing, or funding one-time services and modifications necessary to help a person establish a basic household.
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Transition Assistance Program (TAP)
The state will leverage the existing TAP to administer housing transition navigation services to enrollees of the FCS Supportive Housing program. For more information on TAP, please see the TAP program overview document or visit the FCS Supportive Housing page.
Rent and temporary housing services
These services provide stable, independent living situations for individuals transitioning out of institutional care or congregate settings who are homeless or at risk of homelessness. Payment may cover rent and/or short-term temporary stays for up to six months. These services will be implemented statewide for eligible individuals through the FCS program, Apple Health and Homes, and Home and Community Services.
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Rent and temporary housing under Foundational Community Supports (FCS)
Rental assistance payments will be made on behalf of eligible recipients in the FCS Supportive Housing program through the Spokane Housing Authority. -
Rent and temporary housing with Apple Health and Homes (AHAH)
AHAH is a multi-agency effort that pairs housing resources (capital financing and rental/operations assistance) with supportive services through the FCS program. HRSN funds will be used for up to six months of rental assistance for eligible AHAH recipients. Rent will be paid directly to landlords on behalf of tenants by the Department of Commerce’s Office of Apple Health and Homes. - Rent and temporary housing with Home and Community Services (HCS) through the Office of Housing and Employment (OHAE)
- OHAE teams work to increase access to permanent, affordable housing and employment opportunities. They ensure services and supports are available and used to help maintain one's housing and employment, while also honoring client choice, preference, and need.
- HCS is expanding access for rent assistance programs, including Emergency Rental Assistance, Interim Housing, and temporary rent for HCS FCS Supportive Housing clients, for HCS HRSN-eligible individuals.
Provider information
This section links to additional information about providers that offer MTP 2.0 HRSN housing services.
- Foundational Community Supports (FCS)
The FCS provider network is made up of over 150 agencies, including behavioral health providers, substance use disorder providers, Tribal partner providers, nonprofits, and housing authorities. FCS services are available at more than 400 sites statewide. - Home and Community Services (HCS)
- Provider network: Counties with provider availability
- How to become an HCS rent/temporary housing provider: Learn more about contracting with DSHS
Program contact information
Additional information and contact details for each HRSN housing services program is listed below.
- Foundational Community Supports (FCS)
- Email: FCS team
- For questions about FCS eligibility, contact Wellpoint
- Visit: FCS page
- Apple Health and Home (AHAH)
- Email: Anessa Williams
- For questions on AHAH eligibility, contact Wellpoint
- Call: 844-451-2828
- Visit: AHAH page
- Home and Community Services (HCS)
- Email: Whitney Howard
- For questions on eligibility, contact your local HCS office
- Visit: HCS page