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HCBS waivers · Washington

Washington Medicaid waivers

Washington runs 9 Medicaid home and community-based services (HCBS) waiver programs in our records.

Verified Oct 6, 2026Sources: official state and federal agencies

Waiver programs
9
With a waiting list
0
On this page
Programs

Washington waiver programs

Washington runs 9 Medicaid home and community-based services (HCBS) waiver programs in our records.

WaiverAuthorityWho it servesWaiting listApproved through
WA Basic Plus WaiverWA.0409Services: Community inclusion, Individual supported employment/group supported employment, Respite, Occupational therapy, Physical therapy, Speech/hearing/language services, Assistive technology, Community engagement…1915(c)People with autism, intellectual disabilities, or developmental disabilities, all ages, Must meet ICF/IID level of care—Aug 31, 2027
WA Children's Intensive In-Home Behavioral Support WaiverWA.40669Services: Respite, Assistive technology, Environmental adaptations, Equine therapy, Life skills, Music therapy, Nurse delegation, Peer mentoring…1915(c)People with autism, intellectual disabilities, or developmental disabilities, ages 8–20, Must meet ICF/IID level of care—Aug 31, 2027
WA Community Protection WaiverWA.0411Services: Individual supported employment/group supported employment, Residential habilitation, Occupational therapy, Physical therapy, Speech/hearing/language services, Assistive technology, Community transition, Environmental adaptations…1915(c)People with autism, intellectual disabilities, or developmental disabilities, age 18+, Must meet ICF/IID level of care—Aug 31, 2027
WA COPES WaiverWA.0049Services: Adult day health, Adult day care, Client support training & wellness education, Community choice guiding, Community support: goods and services, Environmental modifications, Home delivered meals, Skilled nursing services…1915(c)Adults 65+, People with physical or other disabilities, ages 18–64, Must meet nursing facility level of care—Dec 31, 2028
WA Core WaiverWA.0410Services: Community inclusion, Individual supported employment/group supported employment, Residential habilitation, Respite, Occupational therapy, Physical therapy, Speech/hearing/language services, Assistive technology…1915(c)People with autism, intellectual disabilities, or developmental disabilities, all ages, Must meet ICF/IID level of care—Aug 31, 2027
WA Individual and Family Services WaiverWA.1186Services: Respite, Occupational therapy, Physical therapy, Speech/hearing/language services, Assistive technology, Community engagement, Environmental adaptations, Life skills…1915(c)People with autism, intellectual disabilities, or developmental disabilities, all ages, Must meet ICF/IID level of care—Aug 31, 2024
WA New Freedom WaiverWA.0443Services: Personal assistance services, Environmental and vehicle modification, Individual directed goods/services/supports, Training and educational supports, Treatment and health maintenance1915(c)Adults 65+, People with physical or other disabilities, ages 18–64, Must meet nursing facility level of care—Dec 31, 2029
WA Residential Support WaiverWA.1086Services: Adult day health, Adult family home specialized behavior support service, Client support training and wellness education, Community choice guiding, Community stability supports, Enhanced residential services, Expanded community services, Nurse delegation…1915(c)Adults 65+, People with physical or other disabilities, ages 18–64, Must meet nursing facility level of care—Dec 31, 2028
Washington Medicaid Transformation Project 2.0Services: Caregiver training and support groups, Respite, Help with housework and errands, Supplies, Home-delivered meals1115Adults age 55+ who are Medicaid eligible but not using Medicaid LTSS, plus their unpaid caregivers (MAC), Adults age 55+ at risk of needing Medicaid LTSS who are above Medicaid financial limits but meet functional criteria (TSOA)—Jun 30, 2028

Waiting-list counts are the state's own published figures, as of the date shown; states count differently, so compare with care.

FAQ

Frequently asked questions

What Medicaid waivers does Washington have?

Washington runs 9 Medicaid home and community-based services (HCBS) waiver programs in our records. They are: WA Basic Plus Waiver; WA Children's Intensive In-Home Behavioral Support Waiver; WA Community Protection Waiver; WA COPES Waiver; WA Core Waiver; WA Individual and Family Services Waiver; WA New Freedom Waiver; WA Residential Support Waiver; Washington Medicaid Transformation Project 2.0.