Disability services in Washington

Children and youth ages 8 to 20 eligible for DDA with very complex behavior needs who live in the family home.

Start with: DDA Regional Intake and Eligibility Office · Region 1 800-462-0624; Region 2 800-326-1247; Region 3 800-248-0949 · Website (opens in a new tab)

CIIBS has limited capacity.

Medicaid and this program are applied for together.

Steps

1. Get the DDA intake packet (form 14-151 and consent form 14-012) online, at a DDA office, or by mail.
2. Send the packet and disability records to the DDA Intake and Eligibility office for your region.
3. Wait for the decision, which comes within 30 days after DDA gets the last document.
4. If eligible, ask for waiver services using the Service and Information Request form, or call your DDCS Case Resource Manager.
5. Complete the DDA assessment so DDA can see which waiver fits.

Have these ready

• Request for DDA Eligibility Determination (form 14-151)
• Consent (form 14-012)
• School, psychological, and medical records showing the disability
• Social Security number

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

People eligible for DDA who live in the family home and whose caregivers need extra support; budgets are set each year.

Start with: DDA Regional Intake and Eligibility Office · Region 1 800-462-0624; Region 2 800-326-1247; Region 3 800-248-0949 · Website (opens in a new tab)

IFS has limited capacity.

Medicaid and this program are applied for together.

Steps

1. Get the DDA intake packet (form 14-151 and consent form 14-012) online, at a DDA office, or by mail.
2. Send the packet and disability records to the DDA Intake and Eligibility office for your region.
3. Wait for the decision, which comes within 30 days after DDA gets the last document.
4. If eligible, ask for waiver services using the Service and Information Request form, or call your DDCS Case Resource Manager.
5. Complete the DDA assessment so DDA can see which waiver fits.

Have these ready

• Request for DDA Eligibility Determination (form 14-151)
• Consent (form 14-012)
• School, psychological, and medical records showing the disability
• Social Security number

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

People eligible for DDA who live with family, in their own home, or another community setting and have health and welfare needs.

Start with: DDA Regional Intake and Eligibility Office · Region 1 800-462-0624; Region 2 800-326-1247; Region 3 800-248-0949 · Website (opens in a new tab)

Basic Plus has a capacity limit of 13,400 people at a time; when full, requests wait.

Medicaid and this program are applied for together.

Steps

1. Get the DDA intake packet (form 14-151 and consent form 14-012) online, at a DDA office, or by mail.
2. Send the packet and disability records to the DDA Intake and Eligibility office for your region.
3. Wait for the decision, which comes within 30 days after DDA gets the last document.
4. If eligible, ask for waiver services using the Service and Information Request form, or call your DDCS Case Resource Manager.
5. Complete the DDA assessment so DDA can see which waiver fits.

Have these ready

• Request for DDA Eligibility Determination (form 14-151)
• Consent (form 14-012)
• School, psychological, and medical records showing the disability
• Social Security number

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

People on Apple Health who meet an institutional level of care and need help with daily activities.

Start with: DSHS Home and Community Services (HCS) intake, or DDA if you have a developmental disability · HCS Region 1 1-866-323-9409; Region 2 425-977-6579; Region 3 1-800-786-3799 · Website (opens in a new tab)

CFC is a Medicaid entitlement with no cap.

Apply for Medicaid first.

Steps

1. Apply for Apple Health if you do not have it.
2. Call HCS intake for your county, or your DDA case manager if you get DDA services.
3. Complete the CARE assessment.
4. Choose personal care and related supports.

Have these ready

• Apple Health ID
• Medical information
• Social Security number

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

Adults eligible for DDA who need 24-hour on-site staff for the safety of themselves and others.

Start with: DDA Regional Intake and Eligibility Office · Region 1 800-462-0624; Region 2 800-326-1247; Region 3 800-248-0949 · Website (opens in a new tab)

Enrollment depends on open capacity and specific risk criteria.

Medicaid and this program are applied for together.

Steps

1. Get the DDA intake packet (form 14-151 and consent form 14-012) online, at a DDA office, or by mail.
2. Send the packet and disability records to the DDA Intake and Eligibility office for your region.
3. Wait for the decision, which comes within 30 days after DDA gets the last document.
4. If eligible, ask for waiver services using the Service and Information Request form, or call your DDCS Case Resource Manager.
5. Complete the DDA assessment so DDA can see which waiver fits.

Have these ready

• Request for DDA Eligibility Determination (form 14-151)
• Consent (form 14-012)
• School, psychological, and medical records showing the disability
• Social Security number

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

Adults who need nursing facility level of care and want care at home or in a community residential setting.

Start with: DSHS Home and Community Services (HCS) regional intake · Region 1 509-568-3767 or 1-866-323-9409; Region 2 425-977-6579 (King 206-341-7750); Region 3 1-800-786-3799 · Website (opens in a new tab)

State pages read did not mention a waiting list for COPES.

Medicaid and this program are applied for together.

Steps

1. Find the HCS intake office for your county.
2. Call HCS intake and ask for an assessment for in-home or residential long-term care.
3. Apply for Apple Health long-term care if you do not have it.
4. Complete the CARE assessment with a social worker.
5. Choose your services and providers.

Have these ready

• Social Security number
• Proof of income and resources
• Medical information
• Medicare or other insurance cards

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

People eligible for DDA at immediate risk of out-of-home placement whose needs are more than Basic Plus can meet, including people in residential services.

Start with: DDA Regional Intake and Eligibility Office · Region 1 800-462-0624; Region 2 800-326-1247; Region 3 800-248-0949 · Website (opens in a new tab)

Enrollment depends on open capacity.

Medicaid and this program are applied for together.

Steps

1. Get the DDA intake packet (form 14-151 and consent form 14-012) online, at a DDA office, or by mail.
2. Send the packet and disability records to the DDA Intake and Eligibility office for your region.
3. Wait for the decision, which comes within 30 days after DDA gets the last document.
4. If eligible, ask for waiver services using the Service and Information Request form, or call your DDCS Case Resource Manager.
5. Complete the DDA assessment so DDA can see which waiver fits.

Have these ready

• Request for DDA Eligibility Determination (form 14-151)
• Consent (form 14-012)
• School, psychological, and medical records showing the disability
• Social Security number

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

People who meet Medicaid long-term services and supports rules and need residential services the State Plan does not cover, such as specialized behavior support in adult family homes or enhanced residential services.

Start with: DSHS Home and Community Services (HCS) regional intake · Region 1 509-568-3767 or 1-866-323-9409; Region 2 425-977-6579 (King 206-341-7750); Region 3 1-800-786-3799 · Website (opens in a new tab)

Washington reported no one waiting for waivers for older adults and adults with physical disabilities in KFF's 2026 state data. A regional RSW Committee reviews each referral.

Medicaid and this program are applied for together.

Steps

1. Find the HCS intake office for your county.
2. Call HCS intake and ask for an assessment for in-home or residential long-term care.
3. Apply for Apple Health long-term care if you do not have it.
4. Complete the CARE assessment with a social worker.
5. Choose your services and providers.

Have these ready

• Social Security number
• Proof of income and resources
• Medical and behavior support information

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas