---
title: "Washington Home Care Medicaid | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/washington/home-care-medicaid/
description: "Washington’s COPES, Community First Choice, and DDA waiver pathways support services outside a nursing facility."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
Washington · Home & Community Care

# Washington Home Care Medicaid

Last updated 2026-10-20

Washington offers more than one route to care outside a nursing facility. HCA points to Home and Community Services waivers, Developmental Disabilities Administration waivers, and Community First Choice as the main Apple Health options that let someone stay home with paid assistance. Which pathway fits depends on functional eligibility, financial eligibility, age or disability status, the care setting, and which program is administering the benefit.

For SSI-related applicants seeking a home-and-community-based waiver, Washington compares gross countable income to the special income level — though certain HCS-authorized programs may apply a higher threshold when income exceeds that level but net income still falls under the medically needy income limit.

## Sources and official resources

- [Washington DSHS: Getting Started with Long-Term Care](https://www.dshs.wa.gov/adult-and-aging-services/getting-started-long-term-care)
- [CMS: 2026 SSI and Spousal Impoverishment Standards](https://www.medicaid.gov/federal-policy-guidance/downloads/cib04272026.pdf)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full Washington guide](https://fundingltcmarketplace.com/states/washington/)