Benefits · Home Care
How to apply for Tailored Supports for Older Adults (TSOA)
DSHS ALTSA with the Health Care Authority (Medicaid Transformation waiver)
Who it's for
TSOA helps Washingtonians 55 and older who need nursing-facility-level care stay at home without enrolling in Medicaid — with much higher financial limits than Medicaid: monthly income up to $3,976 and resources up to $84,354 for a single person ($156,883 with a spouse at home). It funds caregiver supports (respite, training, home-delivered meals, minor home modifications, transportation) and personal-assistance services for those without an unpaid caregiver. Apply at Washington Connection or through the local Area Agency on Aging (1-855-567-0252).
TSOA requires a CARE assessment showing nursing-facility level of care and either an eligible unpaid caregiver or qualifying for services without one — so this shows as a may-qualify result. TSOA is not Apple Health coverage.
What you'll need
- HCA 18-005 application for TSOA (mail/fax route)
- Proof of income
- Proof of resources
Where to apply
Apply online: official application
By phone: 1-855-567-0252
What to say when you call
“Hello, I'm calling to ask about Tailored Supports for Older Adults (TSOA). I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need hca 18-005 application for tsoa (mail/fax route), proof of income, proof of resources — is anything else required? What is the best next step?”
Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.
Renewals
annual
Not sure if you qualify? Run a free check first.
Find my benefitsNot legal or financial advice. The agency makes the final eligibility decision.