Medicaid and Long Term Care services for adults

Care Services

Medicaid

Explore:

n The process for applying and receiving

Medicaid.

n Care options for people receiving Medicaid.

And

L ong-Term

for Adults

Maximizing independence, dignity, choice, and quality of life for adults with disabilities and their families.

A message from the Director of…

Home and Community Services

If you have received this booklet, then you (or your loved one) are

looking at options for getting help with your care. This is unchartered

territory for many people and things may feel unfamiliar and confusing.

It can be difcult to know what help is available and how you will pay

for it.

Home and Community Services is the part of state government that

helps low income seniors and adults with disabilities and their families

get information, support, and services when long term care is needed.

We are proud that Washington State is recognized as a pioneer and

national leader in helping all adults who need care continue to live as

independently as possible at home or in a community setting.

What does this mean for you? You have many options and choices to get

the care you need. You are not alone in knowing what they are and

getting services set up.

Home and Community Services’ nancial and social workers are

professionals that will help you understand your options and match

your needs and preferences to quality services available in your

community.

I encourage you to read through this booklet and ask your nancial or

social worker any questions you may have. I know you are in capable,

knowledgeable hands.

Sincerely,

Bill Moss

Director, Home and Community Services

Choice

Quality

Care

A national

leader

You Have

a Choice.

This booklet will help you learn more about:

 How to apply for Medicaid.

The income and resource eligibility limits for Medicaid.

 Estate recovery of any funds you receive.

 In-home and residential care service options and resources if

you are eligible for Medicaid.

his booklet is for adults 18 or older

who have a chronic condition,

disease, or disability, need help with

care, and are exploring using Medicaid

to help pay for it.

Care Services

Medicaid

And

Long-Term

for Adults

DSHS does not discriminate in serving or contracting with people

because of race, color, national origin, gender, sexual orientation, age,

religion, creed, marital status, disability, or Vietnam Era Veteran

status, or the presence of any physical, mental, or sensory handicap.

Photos by Carole Huff

Contents

Applying for Medicaid .........................................................................1

How to Apply ....................................................................................1

Filling Out the Application ............................................................1

Financial Review ..............................................................................2

Income and resource eligibility limits ...........................................3

Personal Care Assessment ............................................................. 4

What to Expect When Your Application is Approved ...................5

Your Income Once You Receive Medicaid ................................... 6

Recovery of Funds From Your Estate ............................................7

Liens Against Property .................................................................8

Care Options for People Receiving Medicaid ..............................9

Services And Programs That Help You Stay at Home ..................9

Help With Personal Care .............................................................. 9

Help With Health Care Needs .................................................... 11

Other Services That Can Help ......................................................12

Additional Programs ...................................................................13

Residential Housing and Care Options ........................................ 14

Adult Family Homes and Assisted Living Facilities ................... 14

Nursing Facilities ...........................................................................15

You Have a Choice ............................................................................16

Additional Information .......................................................................16

Ordering Publications ....................................................................16

Senior Information and Assistance .............................................. 17

Resources for Caregivers ............................................................. 17

Medicaid and Long-Term Care Services for Adults

Applying for Medicaid

Medicaid is a government health insurance program that pays

for medical long-term care services for people who have very

limited income and resources.

If you are eligible, Medicaid pays for services in your own

home, a community residential care facility (adult family

home or assisted living facility) or nursing facility.

How to Apply

If you are 18 or older, you can apply for Medicaid through

your local Home and Community Services (HCS) ofce or

online.

There are three main parts to the application process:

1. Filling out and turning in an application.

2. A nancial review to determine your nancial

eligibility.

3. A personal care assessment to determine your

functional eligibility.

Apply in person or by mail

Call or visit the HCS ofce to get an application form. Phone

numbers for HCS ofces are on the back of this booklet. The

application form can be:

• Mailed to you.

• Picked up at the HCS ofce.

• Downloaded and printed off the Internet at:

http://www.dshs.wa.gov/pdf/ms/forms/14_001.pdf.

Apply online

To ll out and submit the application online, go to

www.dshs.wa.gov and click on “Apply for Services.” This brings

you to a secure Internet page. Any information you enter on the

application is protected. There are step-by-step instructions to

help you.

Filling Out the Application

Follow the instructions and answer all the questions on the

application. If you need help lling out the application, call your

local HCS ofce.

HCS is part of the Aging

and Disability Services

Administration (ADSA), an

administration within the

Department of Social and

Health Services (DSHS).

HCS staff provide a variety

of services and support to

you.

Medicaid and Long-Term Care Services for Adults

Information you will need to provide includes:

• A Social Security number.

• Proof of identication.

• Proof of income.

• Documentation of resources (such as bank statements,

property tax statements, life insurance).

• Immigration or alien documents.

• Proof of citizenship if you do not receive Medicare or

Supplemental Security Income (SSI), or Social Security

Disability Benets.

Additional Support

If you have difculty reading the application or have mental,

physical, hearing, or sight issues that makes it difcult to

understand what is happening during the application process,

ask a HCS staff person for help.

HCS staff may be able to offer you Braille materials, written

materials translated or on computer disk, large print materials,

use of assisted listening devices, TTYs, or a qualied/certied

interpreter.

If you want someone else to apply for you, you need to sign a

consent form giving the other person permission to represent

you during the application process. The consent form must be

updated yearly.

Make sure the person is prepared to answer questions about

your personal and nancial situation.

Financial Review

Once you have completed your application, a HCS nancial

services specialist works with you to see if you are nancially

eligible to receive Medicaid. Depending on what works best for

you, this can be an in-person or telephone interview.

When you talk to the nancial services specialist, you can

explain in more detail the answers on your application form.

See the next section “Income and Resource Eligibility Limits”

for more information about the income and resource eligibility

limits and any resource transfers the nancial services

specialist will be reviewing with you.

Medicaid rules can be

found at:

http://www.dshs.wa.gov/

manuals/eaz/sections/

ltcindex.shtml

Medicaid and Long-Term Care Services for Adults

HCS employees can explain Medicaid rules but are not able to

give you personal, nancial, or legal advice. You may want to

talk with an attorney who understands Medicaid rules if you

need help with a decision.

Staff at your local Senior Information and Assistance Ofce can

help you locate legal assistance. See page 17 for how to contact

them.

Income and resource eligibility limits

You must meet various income and resource requirements to be

eligible for Medicaid. Income and resource limits are set by law

and change each year.

Income

Medicaid income limits vary depending on the services you

need, your living situation, and your marital status. The HCS

ofce will have current information.

Resources

You must declare all resources you have when applying for

Medicaid. Resources include money, assets, or property you

have such as cash, bank accounts, stocks and bonds,

retirement plans, trusts, annuities, life insurance policies,

sales contracts, vehicles and land. If you are married,

resources of both spouses will be used to determine your

eligibility for Medicaid.

Certain “exempt” resources are not counted toward the

resource limits. Exempt resources can include your home,

household goods and personal effects, some real estate sales

contracts, a car, life insurance with a face value not more than

$1,500, burial plots, and most prepaid burial plans.

Transferring resources

Under state and federal law, the HCS nancial services

specialist must review any transfer of resources that took place

60 months before the date you apply for Medicaid.

If resources were transferred within that timeframe and you did

not receive fair market value for them, you may not be eligible

to receive long-term care Medicaid services for a period of time.

Federal law states that

certain gifts or transfers

made to qualify for

Medicaid are subject to

penalties. State law also

contains penalties for

the person who receives

resources transferred for

less than fair market value.

You must declare all

resources you have when

applying for Medicaid.

Medicaid and Long-Term Care Services for Adults

You can transfer your home without penalty to your:

• Spouse.

• Sibling who has an equity interest in the home

and has lived there for at least one year

immediately before the date of Medicaid

eligibility.

• Dependent child under 21 years of age.

• Child who is blind or disabled.

• Adult child who has lived with you and

provided care to allow you to remain at home

for the past two years.

Personal Care Assessment

A HCS social worker comes to your home and talks to you at

length. This interview allows the social worker to understand

and evaluate what is currently happening in your day-to-day life

and what kind of help you need. This is called an assessment.

This assessment is then used to determine if the level of care

services you need makes you functionally eligible to receive

Medicaid.

If you are eligible to receive Medicaid, the social worker will

review your options for care services with you. See pages 9-13

for a review of what some of these options may be. It is helpful

to read this section before you meet with a social worker.

As part of your care assessment, a nurse can be available to

help assess and plan what kind of help you may need with

skilled health care task(s). This may be a consultation between

a nurse and your social worker, or a phone call or home visit

between you and the nurse.

Many people already have family and friends helping with care.

For example, your nephew may take you grocery shopping, your

daughter may help you pay bills, and a friend may pick you up

each Sunday for church.

Talk with these family and friends and nd out if they are going

to continue to do these things for you before you meet with the

social worker.

Your care assessment

helps determine if you are

functionally eligible to receive

Medicaid.

Medicaid and Long-Term Care Services for Adults

What to Expect When Your Application is

Approved

You will receive a letter letting you know you have been

approved for Medicaid coverage.

The letter will tell you how much of your income you may keep

for your personal needs, spousal support, home maintenance

allowance, medical insurance premiums, necessary medical

expenses not covered by Medicaid, and how much you must pay

your provider towards your cost of care (participation). See the

next section, Your income once you receive Medicaid, for more

information about what these things are.

Contact the person who sent you the letter if you have any

questions about what is in the approval letter.

You will receive a Provider One Services Card. It pays for:

• Medical services covered under Medicaid such as lab work or

doctor visits.

• Prescription drugs if you are not receiving Medicare.

Medicare Part D pays for most of your prescription drugs if

you are receiving Medicare.

The social worker will help you develop an individualized care

plan. He or she then coordinates setting up needed services.

You will receive a Client Rights and Responsibility form (DSHS

14-113) that outlines your rights and responsibilities when

receiving Medicaid. A copy of it can also be viewed at

www.dshs.wa.gov/pdf/ms/forms/14_113.PDF.

Your nancial and functional eligibility to receive Medicaid

benets will be reviewed at least once a year.

If you are not approved

You will receive a letter letting you know your application has

been denied for Medicaid coverage.

There are many low-cost resources and programs that you

might want to explore. Contact your local Senior Information

and Assistance ofce. See page 17 for more information.

Your eligibility to receive

Medicaid beneﬁts will be

reviewed at least once a year.

You will receive a letter

letting you know if you have

been approved for Medicaid

coverage.

Medicaid and Long-Term Care Services for Adults

Your Income Once You Receive Medicaid

Once you begin receiving Medicaid, you may have to contribute

some of your income towards the cost of your care. This is called

your participation. Your participation amount depends on the

services you receive, your marital status, and

your income. You must pay these participation

costs if they are required.

Part of your available income may go towards a

spousal allowance. A spousal allowance is used

to bring your spouse’s income up to established

federal government standards. Receiving a

spousal allowance depends on the program, your

needed services, and your living situation. Part

of your available income may also go to support

dependent relatives.

If you live at home, part of your available income can be kept for

home maintenance such as rent, utilities, and taxes and

personal needs. If you live in a residential care facility, you keep

some of your income for your personal needs.

If you will be staying in a nursing facility a short time, you may

be able to keep additional income to help maintain your home

for your return. This is known as a “Housing Maintenance

Exemption”. Your doctor must verify that you will likely return

home.

Supplemental Payment Policy

Medicaid plus the amount you pay in participation is payment

in full for your care. Adult family homes (AFHs) or assisted

living facilities (ALFs) (see page 14) may request additional

money from you for items not covered in the Medicaid rate.

Here are some examples.

• You would like a private room in a home with available

semi-private rooms. You would have to pay additional money

to the home to have a private room.

• You prefer a name brand incontinent brief rather than the

generic brand the home buys. You would have to pay more for

the brand name incontinent brief.

Supplemental payment policy

requirements are outlined in

Washington Administrative

Code (WAC) 388-105-0050

and 388-105-0055.

Medicaid and Long-Term Care Services for Adults

AFHs or ALFs charging additional money for items not covered

in the Medicaid rate must give you a copy of their supplemental

payment policy outlining additional payments. Contact the RCS

Complaint Resolution Unit at 1-800-562-6078 if after reviewing

the supplemental payment policy you have concerns or

complaints.

Recovery of Funds From Your Estate

By law, Washington State may recover (be paid back) payments

DSHS made for all Medicaid and long-term care services you

received prior to your death. Payment is taken from the your

estate (assets you owned or had an interest in at the time of

death). This is called Estate Recovery.

Washington State will recover the cost of all Medicaid-funded

services (federal and state-funded programs) and long-term care

services from age 55, including:

• Doctor visits

• Hospital stays

• Prescription drugs

• Medical equipment

• All other medical services

• Nursing home services

• Waivers services (COPES and New Freedom)

• Medicaid personal care services

• Adult day health

• Private duty nursing

• Managed care premiums

Washington State will also recover the cost of state-only funded

long-term care services received at any age, including:

• Chore

• Adult family home services

• DDD state-funded long-term care services

• Adult residential care services

• Related hospital services and prescription drug costs

Estate recovery only applies to assets you owned or had an

interest in at the time of death. The state will not begin

recovery efforts until after your death, during the life of a

Resident Personal

Funds Held by a

Facility

If a residential care facility

holds any personal funds

of a resident who dies, the

money must be given within

45 days to:

• Theindividualorprobate

jurisdiction administering

the resident’s estate.

- or -

• TheOfﬁceofFinancial

Recovery. This ofﬁce may

release funds to pay for

burial costs.

Medicaid and Long-Term Care Services for Adults

surviving spouse, domestic partner, or while a surviving

child is under age 21, blind, or disabled. Hardship

provisions to protect dependent heirs may apply.

Certain lands belonging to American Indians or Alaska

Natives may be exempt from Estate Recovery.

Various exemptions have existed over the years. DSHS

will apply whatever estate recovery law existed on the

date that benets were received.

Liens Against Property

DSHS may le a lien or make a claim against any property to

repay the costs of long-term care and medical services received

if:

• The property is part of your estate and you have died.

• You are permanently living in a nursing home or other

medical facility.

Before ling a lien against real property as part of estate

recovery, DSHS will give notice and an opportunity for a

hearing to your estate’s personal representative or any other

established titled owner of the property.

If you are permanently living in a nursing home or other

medical facility and receive Medicaid, DSHS may recover costs

from your estate or the sale of your property. If you return

home, the lien is released. A lien is not led against your home

if your:

• Spouse, domestic partner, or a minor, blind, or disabled child

lives in the home.

• Sibling has an equity interest in the home, currently lives

there, and has lived there for at least one year immediately

before you moved to the facility.

For more information on estate recovery, consult an attorney

with experience in Medicaid law. You can also contact

Coordinated Legal Education, Advice, and Referral (CLEAR)

toll-free at 1-888-201-1014.

CLEAR is a project of the Northwest Justice Project – a non-

prot statewide organization that provides free civil legal

services to low-income Washington State residents. They have a

web site in English and Spanish at www.nwjustice.org.

Medicaid and Long-Term Care Services for Adults

Care Options for People

Receiving Medicaid

A HCS social worker, sometimes referred to as a case manager,

will review your care options with you after your care

assessment (see page 4).

The following pages are a summary of some of the care options

you may discuss. Your social worker will have more information

and answer any questions you may have about these options,

your eligibility for them, and talk through with you what you

think will work best.

Services and Programs That Help You Stay at

Home

Many people can continue to live at home if they have help with

things like preparing meals, personal care, or housekeeping.

There are many services, programs, and resources available to

help you in these areas.

Often, family and friends are already helping you and will

continue to do so. Your social worker will work with you and

develop a care plan to ll in gaps where more help is needed.

Help with Personal Care

Needing help with personal care means you need assistance

with things such as bathing, dressing, or toileting. Programs

such as Medicaid Personal Care (MPC) or Community Options

Program Entry System (COPES) pay for personal care services.

A caregiver can be hired to help you with personal care if you

meet the eligibility requirements. Depending on your income,

DSHS will pay for all or part of these caregiver services (see

page 6 for more information). DSHS also pays for basic caregiver

training for any qualied caregiver(s) hired.

It is your choice who your caregiver(s) will be. You can nd a

caregiver yourself, called an Individual Provider (IP), get one

through a home care agency, or a combination of both. If you want

a family member to be your caregiver, he or she can only be hired

as an IP. Your social worker can help you with this process.

There are many services,

programs, and resources

available to help you

continue to live at home.

It is your choice who your

caregiver(s) will be.

Medicaid and Long-Term Care Services for Adults

Individual Provider (IP)

With an IP, you decide who comes to your house and provides

your care. You set your caregiver’s work schedule and determine

how and when the tasks will be done.

You are the IP’s employer. This means you choose, hire, and

supervise the caregiver. You may also want to nd a backup

caregiver when your regular IP has time off. To nd an IP,

you can:

• Choose a friend or family member (with some exceptions).

• Use the Home Care Referral Registry (see below).

• Look for someone in your community.

DSHS will do a background check on anyone you select.

For a more detailed understanding of your employer

responsibilities, read through the “Acknowledgement of My

Responsibilities as the Employer of My Individual Provider”

(DSHS 11-055). This is a form you will receive from your case

manager.

Home Care Agencies

Your other option is to choose a licensed and contracted home

care agency to provide a caregiver. A home care agency recruits,

does background checks through DSHS, hires, supervises their

workers, and makes sure caregivers get required training. A

home care agency provides you with a backup caregiver if your

scheduled caregiver can’t work.

The home care agency supervisor will work with you to nd

caregivers that best meet your needs. However, you have less

control over who is chosen and you may not have the same

caregiver coming into your home each time. Homecare agencies

are not allowed to hire one of your family members to provide

your care.

Home Care Referral Registry of Washington State

The Home Care Referral Registry of Washington State is a

FREE referral service that matches you with prescreened IPs in

your area. You can use the Registry to nd an IP or backup

caregiver.

There are Registry Centers in many communities in Washington.

To see if there is a Registry Center near you, call 1-800-970-5456

or visit their website at www.hcrr.wa.gov for more information.

Hiring Family or Friends as

Your Caregiver – A Guide

for Adults Needing Care

(DSHS 22-1332) is a free

booklet offering practical

tips and suggestions if you

hire a family member or

friend to provide care. See

page 16 for ordering

information.

Medicaid and Long-Term Care Services for Adults

Help with Health Care Needs

In the past, many people moved to a nursing home if care was

needed from a licensed health care professional such as a

registered nurse. Today, there are several in-home care options

that may be available if you need help with health care tasks.

Self-Directed Care

If you live in your home, you can direct and supervise an IP to

help you with health care tasks that you can’t do because of your

disability. This would include things an IP would not usually be

able to do including administering medications, bowel programs,

bladder catheterization, and wound care.

Nurse Delegation

In this program, a registered nurse (RN) evaluates your health

care needs and trains and supervises a nursing assistant or

certied home care aide (HCA) to provide health care tasks that

you can’t do for yourself. There are rules about what types of

care can and cannot be delegated.

The nursing assistant or HCA must receive training and be

approved by the delegating nurse before doing any delegated

tasks. Nurse delegation is available in your home or a

residential care facility.

Home Health Care

A home health care agency provides skilled nursing care or a

home health aide. Your social worker can work with you on

this.

Hospice

Hospice care involves a team of professionals and volunteers

who provide medical, psychological, and spiritual care for people

near the end of life and their families. Hospice care is most

often provided at home but is also available in other care

settings, including a hospital. A doctor’s referral is needed.

There are several in-home

care options available if you

need help with health care.

Medicaid and Long-Term Care Services for Adults

Other Services That Can Help

The following are additional services that may be available.

Adult Day Services

Adult day services are programs offering services in a group

setting outside the home. Adult Day Care programs include help

with personal care, social and therapeutic activities, education,

routine health monitoring, a nutritious meal and snacks,

coordination of transportation, rst aid, and emergency care.

Adult Day Health programs provide all of these services plus

nursing and rehabilitative therapies.

Environmental Modiﬁcations

Modications, such as ramps, a grab-bar in the shower or near

a toilet, or widening doorways for a wheelchair, may be added to

your home to help you adapt to your changing needs safely.

Home Delivered Meals

A nutritious meal is delivered to your home once a day.

Individualized Training

Training is provided if you or your caregiver(s) need further

information/skills to effectively carry out your care plan.

Medical Equipment

Necessary medical equipment is purchased that isn’t covered by

Medicaid or Medicare.

Personal Emergency Response System (PERS)

An electronic device is provided that allows you to get help in an

emergency. The system is connected to your phone or you may

also wear a portable “help” button. When activated,

staff at a response center will call 911 and/or take

whatever action has been set-up ahead of time.

Transportation

Limited transportation is provided to help you get to

needed services and activities.

Medicaid and Long-Term Care Services for Adults

Additional Programs

The following programs are limited to certain geographic areas

throughout the state. Talk with your social worker to learn

more about these programs.

New Freedom Consumer Directed Services

New Freedom is a program that allows you greater control and

choice over the services you receive. With New Freedom, you

receive a monthly budget to purchase services and items to help

you live as independently as possible.

A consultant knowledgeable about local service options works

with you to purchase the services you want. A nancial

management service pays your service providers and helps

you monitor your budget.

New Freedom is currently available in King and Pierce

Counties for people who live at home.

Washington Medicaid Integration Partnership (WMIP)

WMIP is a managed care program available to adults 21 and

older who are eligible for Medicaid.

WMIP is currently offered in Snohomish County. To learn more

about WMIP, visit http://hrsa.dshs.wa.gov/mip/ or call Molina

Healthcare of Washington at 1-800-869-7165.

Program of All-Inclusive Care for the Elderly (PACE)

PACE provides an integrated, multidisciplinary, team approach

to health care and social services for adults 55 and older at a

local PACE center. Tailored to meet your individual needs, the

PACE center is the focal point for coordinating and providing

most services.

PACE is currently available in parts of King County. To learn

more about the King County PACE program, call Providence

ElderPlace at 206-320-5325.

Medicaid and Long-Term Care Services for Adults

Residential Housing and Care Options

There are many options where you can live and get care if you

can no longer stay at home. Most people are familiar with

nursing homes. People are not as familiar with other live-in

care options.

Assisted living is often used to describe any live-in care

facility that provides housing, basic services and assumes

general responsibility for the safety and well-being of

residents.

The following is some helpful information about possible

residential care housing options for people receiving Medicaid.

The facility must be licensed by Washington State and accept

Medicaid payment for residents.

Adult Family Homes and Assisted Living

Facilities

An adult family home (AFH) is licensed to provide housing and

care services for up to six people in a house. The AFH may be

run by a family with children, a single person, couple, friends,

or business partners. The AFH may also hire other employees.

Some AFHs allow pets. In some homes, multiple languages may

be spoken.

An assisted living facility (ALF) is licensed to provide housing

and care for seven or more people in a home or facility. Housing

options range from a room with access to shared living space to

your own apartment. ALFs vary in size and ownership from a

family operated 7-bed facility to a 150-bed facility operated by a

large national corporation.

All AFHs and ALFs provide housing and meals (room and

board), varying levels of help with personal care, and assume

general responsibility for your safety and care. What additional

services are offered is different for each home and may include:

• Intermittent nursing care (a nurse available on a part-time

basis).

• Assistance with or administering of medications.

• Specialized care to people living with developmental

disabilities, dementia, or mental illness.

There are many options

where you can live and get

care if you can no longer

stay at home.

Medicaid and Long-Term Care Services for Adults

Your social worker will have a listing and knowledge of what

homes are available in your local area. A listing of adult family

homes and assisted living facilities can also be found on the

internet at www.adsa.dshs.wa.gov.

Choosing Care in an Adult Family Home or Assisted Living

Facility (DSHS 22-707) is a free booklet from DSHS that talks

about how to nd and choose the right home for you. The

booklet includes a checklist of things to ask and look for that

can help you make your decision. Read it on the internet at

www.adsa.dshs.wa.gov (click on Publications).

Nursing Facilities

Nursing facilities provide 24-hour, supervised nursing care,

personal care, therapy, nutrition management, organized

activities, social services, room, board, and laundry services.

Returning Home after a Stay in a Nursing Facility or

Hospital

If you currently live in a nursing facility or have been in the

hospital, there may be several services and support available

to help you return home or to other housing options where

you can get the care you need. A nursing facility case

manager from your local Home and Community Services

ofce will help you review your care and housing options and

work with you to develop a discharge plan.

In addition, your nursing facility case manager can help identify

transition services that may be available to you. Examples of

these services may include help:

• Exploring your housing options and nding a place to live.

• Creating an individualized discharge and care plan.

• Paying some of your home expenses while you are in a

nursing facility (for six months or less).

• Paying for a security deposit or getting utilities turned on.

• Modifying your home to make it safer such as a adding a

ramp or bathroom grab bars.

• Getting settled again in the community.

Contact your nursing facility case manager or local Home and

Community Services ofce for more information (see back of

booklet for phone numbers).

With support, you may not

need to stay in a nursing

facility.

Medicaid and Long-Term Care Services for Adults

You Have a Choice...

This booklet has given you information on applying for Medicaid

and your options for care if you are eligible to receive it.

There are many people, options, and resources available to help

you stay as independent as possible.

Participating in home and community services is voluntary. You

have the right to decline or stop services at any time.

Once you start receiving services, always contact your social

worker if you have questions or your care needs change.

Additional Information

Ordering Publications

You may order this booklet and other DSHS publications

through the Washington State Department of Printing (DOP).

Go to the DOP’s website at: www.prt.wa.gov and click on

General Store.

Publication requests may also be placed by:

E-mail at: fulllment@prt.wa.gov

Phone at: 360-570-3062

Fax at: 360-586-6361

Make sure to include the name of the publication, publication

number, and a contact name and street mailing address.

All publications listed in this booklet and more can be found

and read on-line at www.adsa.dshs.wa.gov.

Translated versions of all publications can also

be found there in Spanish, Russian,

Cambodian, Chinese, Korean, Laotian, and

Vietnamese

Senior Information and Assistance (I&A)

Many of the care options discussed in this booklet are available

to an adult paying privately or through other insurance for

long-term care services. If you are not eligible for Medicaid and

want to talk with someone about what services and resources

are available where you live, call your I&A ofce.

To nd your local I&A ofce, visit the Area Agency on Aging

(AAA) website at www.agingwashington.org and click on “local

AAAs”, look for the AAA ofce in the yellow pages of your

telephone book under “Senior Services”, or call 1-800-422-3263

and ask for the number.

Resources for Caregivers

There are several resources to help support family and friends

providing unpaid care. You do not have to be applying for or

receiving Medicaid to take advantage of these resources.

Family Caregiver Support Program

The Family Caregiver Support Program helps unpaid caregivers

of older adults. Services are free or low cost and generally

include:

• Caregiver support groups and counseling

• Caregiver training and education

• Respite care

• Information and help getting services

Contact your local Senior Information and Assistance ofce for

more information on this program.

Free booklet

The Family Caregiver Handbook (DSHS 22-277) is a free

booklet that can help you learn more about all aspects of

providing care. See page 16 for ordering information or read it

on the Internet at www.adsa.dshs.wa.gov (click on Publications).

Medicaid and Long-Term Care Services for Adults

ADSA Website

Visit the ADSA website to learn more about:

 The types of care services, programs, and resources available

and how to nd them.

 Residential housing options for a person who can no longer

live at home and how to nd them.

 State, federal, and local resources that help pay for care and

prescription drugs.

 Information, resources, and programs for people who are

caring for a loved one.

 Long-term care planning:

• Thelegalandnancialstepsnecessarytohelpplanwisely

for the future.

• Tipsonhealthyaging.

 Translated versions of this booklet in Cambodian, Chinese,

Korean, Laotian, Russian, Spanish, and Vietnamese.

Visit www.adsa.dshs.wa.gov today!

Home and Community Services Regional Phone Numbers

See map to ﬁnd the region you live in. Call the number listed

for your region and ask for the local HCS ofﬁce nearest you.

REGION 1

509-323-9400

1-800-459-0421

TTY 509-329-3698

Adams, Asotin, Benton, Chelan, Columbia,

Douglas, Ferry, Franklin, Garﬁeld, Grant,

Kittitas, Klickitat, Lincoln, Okanogan, Pend

Oreille, Spokane, Stevens, Walla Walla,

Whitman, and Yakima Counties

REGION 3

253-476-7200

1-800-442-5129

TTY 253-593-5471

Clallam, Clark, Cowlitz, Grays Harbor,

Jefferson, Kitsap, Lewis, Mason,

Paciﬁc, Pierce, Skamania, Thurston,

and Wahkiakum Counties

REGION 2

206-341-7600

1-800-346-9257

TTY 1-800-833-6384

Island, King, San Juan, Skagit,

Snohomish, and Whatcom Counties

WAHKIAKUM

Region 2

Region 3

Region 1

PACIFIC

GRAYS HARBOR

JEFFERSON

CLALLAM

MASON

THURSTON

LEWIS

SKAMANIA

COWLITZ

CLARK

KLICKITAT

YAKIMA

KITTITAS

PIERCE

KING

CHELAN

SNOHOMISH

SKAGIT

WHATCOM

OKANOGAN

FERRY

STEVENS

PEND

OREILLE

SPOKANE

LINCOLN

WHITMAN

ADAMS

GRANT

DOUGLAS

FRANKLIN

WALLA WALLA

COLUMBIA

GARFIELD

ASOTIN

BENTON

KITSAP

SAN JUAN

ISLAND

DSHS 22-619(X) (Rev. 10/12)

Abuse of vulnerable adults (people who need help to care for themselves) can

happen anytime, anywhere. DSHS investigates alleged abuse, neglect, exploitation,

or abandonment of vulnerable adults.

If you suspect abuse, neglect, or

exploitation of a vulnerable adult:

Call DSHS toll-free

We are all partners against adult abuse