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Long-Term Services and Supports (LTSS) rules

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NOTE: Long-Term Services and Supports (LTSS) is now called WA Cares Fund. Visit us at wacaresfund.wa.gov.


Rules under development

    • Stakeholder meeting:

    • Rulemaking hearing:


Recently closed rulemaking activity 

  • Implementation of SHB 1323 regarding elective coverage for federally recognized tribes

    • Description: SHB 1323 provides a pathway for federally recognized Washington tribes to elect coverage into the LTSS program. A tribe that opts in may opt out at any time for any reason it deems necessary. The bill requires the department to adopt rules to implement these provisions.

    • Documents: CR 101 | CR-102 Proposed Rules CR-103 | Adopted Rules - effective Feb. 26, 2022

    • Concise Explanatory Statement

    • Implementation Plan

    • Significant Analysis

    • Rulemaking Hearing:

      • January 6, 2022 (Note: a transcript is not currently available and will be added later)



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