ALTSA Tribal Affairs

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The Aging and Long-Term Support Administration (ALTSA) is committed to partnering with tribes in Washington to achieve mutual goals between sovereign governments. By developing partnerships with tribes and Recognized American Indian Organizations (RAIOs), existing Long-Term Services and Support partners and providers such as state and local government and private contractors, we believe the goal of comprehensive, culturally appropriate service delivery can be achieved. 

ALTSA Long-Term Services and Supports 


ALTSA offers services that support elders and adults with disabilities to remain independent and supported in their home. Services are coordinated to respond to health, social and personal care needs of individuals with chronic conditions or disabilities that limit the ability for self-care. Often the eligible person has caregivers that may also be eligible for supports.

Other Programs/Information

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Contact Us

Image icon TamaraTamara Gaston
Tribal Affairs Administrator | 360-725-3489

image icon AnnJulie Jefferson
Tribal Initiative Program Manager | 360-812-4947

image icon JillianJillian Morris
MFP Tribal Initiative Program Manager | (360) 725-3494

image icon ElizabethElizabeth Greil
Health Homes Tribal Initiative Program Manager | (360) 725-2618

Email iconEmail Notifications
Receive information about tribal programs  
in ALTSA through the GovDelivery email newsletter

image icon TribalFor Tribal requests or concerns regarding ALTSA programs, please contact Tribal Affairs Unit at