HCBS - Residential Support Waiver Amendment

The Centers for Medicare and Medicaid Services (CMS) require states to seek public input when submitting an application for renewal or an amended 1915c waiver.

The Health Care Authority (HCA) and Aging and Long-Term Support Administration (ALTSA) intend to submit a waiver amendment application for the Residential Support Waiver (RSW) to:

  • Add six (6) years of professional/practical social service experience performing functions equivalent to a Social Service Specialist 2 to the qualifications of individuals performing evaluations/assessments.
  • Add a new service of Community Choice Guiding.
  • Update the number of individuals living in Adult Family Homes with Specialized Behavior Support Service from six people to eight people.

The effective date of this waiver amendment will be January 1, 2025.

A paper copy of the draft is available upon request by contacting Anne Moua at the address listed below.

The Department of Social and Health Services (DSHS) welcomes all comments on the draft waiver amendment. Comments may be submitted to DSHS through the website address listed above or may be mailed to Anne Moua at the address listed below. DSHS will receive comments through 5:00pm, close of business, on September 27, 2024.

Anne Moua, Home and Community Services Division
Aging and Long-Term Support Administration
P.O. Box 45600
Olympia, WA 98504-5600