---
title: "Washington Nursing Home Medicaid | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/washington/nursing-home-medicaid/
description: "Washington nursing-facility eligibility combines Apple Health financial rules with a CARE-based nursing-facility level-of-care assessment."
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 · Nursing Home Coverage

# Washington Nursing Home Medicaid

Last updated 2026-10-20

Nursing-facility coverage in Washington runs through Apple Health long-term care. For an SSI-related institutional applicant, the state compares countable income against the special income level to determine categorically needy eligibility, and routes anyone who doesn't clear that bar toward separate medically needy long-term-care rules.

Passing the financial test isn't the finish line. Washington's nursing-facility rule also requires a completed CARE assessment alongside financial eligibility. CARE — DSHS's Comprehensive Assessment Reporting Evaluation — is the tool case managers use to document functional ability, confirm eligibility, gauge how much assistance is needed, and build the actual care plan.

## 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/)