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 development timeline


Rules under development

  • Phase Two - Premium collection, CBA exemption, election of coverage, refunds, reporting and payments, appeals

    • Description: Rules for Phase Two include, but are not limited to, premium collection, collective bargaining agreement exemptions, election of coverage by self-employed individuals, refunds, cadence of reporting and payments, appeals, and other rules as necessary.

    • Documents:

      CR-101 | Draft rules | CR-102 | Proposed Rules: Definitions – Premiums – Self-employed – Collective Bargaining Agreements – Appeals

    • Rules Hearing:

      July 8, 2021, 9:00 a.m. – by conference call due to COVID-19

      Call-in number: 360-407-3780

      PIN Code: 930377#

    • Stakeholder meetings:

      Jan. 7, 2021 – Transcript

  • Phase Three - Determinations of “qualified individual” status, audit functions, designated representatives

    • Description: Rules for Phase Three include, but are not limited to, determinations of “qualified individual” status, audit functions, designated representatives, and other rules as necessary.

    • Stakeholder meetings: TBD

    • Documents: CR 101

  • Implementation of SHB 1323

    • 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.

    • Stakeholder meetings: TBD

    • Documents: CR 101

Recently closed rulemaking activity 




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