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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

  • Phase Three - Audit functions and other rules as necessary

    • Description: Rules for Phase Three include, but are not limited to, audit functions and other rules as necessary.

    • Stakeholder meetings: TBD

    • Documents: CR 101 

    • Previous filing: The previous CR 101 was withdrawn in order to modify the subject of rulemaking for Phase Three.

  • Implementation of SHB 1732 and ESHB 1733 regarding the delay of the WA Cares program and new voluntary exemptions.

    • Description: SHB 1732 delays the WA Cares Fund program by eighteen months. ESHB 1733 adds four new voluntary exemptions for individuals who live out of state and work in Washington, military spouses, workers with non-immigrant visas, and certain veterans with disabilities. The bills require the department to adopt rules to implement these provisions.

    • Documents:  CR-101

    • Stakeholder meeting: Date TBD


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

    • Rules Hearing:

      • January 6, 2022, 9 a.m. (Note: a transcript is not currently available and will be added later)



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