Washington

Washington state currently has four Medicaid waivers that can serve children, and all of them are home and community based 1915(c) waivers. Three waivers are based only on child income without regard to parent income, but we are uncertain if Individual and Family Services counts parent income or not. For more information, see this general overview of Washington's Medicaid waivers. See also the Informing Families website for services available throughout the lifespan.

For those already eligible for Medicaid, the Community First Choice option allows for additional services. Similarly, those who access Medicaid based on income or through waivers can receive home nursing care through the Medically Intensive Children's Program.

Washington also has several adult-only waivers, including Residential Support Waiver, Community Protection Waiver, New Freedom, and COPES.

Advocacy Organizations in Washington:

Programs in Washington

CHILDREN'S INTENSIVE IN-HOME BEHAVIORAL SUPPORT
  • Target Population: Children with intellectual or developmental disabilities, including autism.
  • Ages: 8-20
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: The waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 115
  • Expiration Date: 8/31/2022
  • Description from medicaid.gov: Provides respite, assistive technology, behavioral health stabilization services-crisis diversion bed services, behavioral health stabilization services-positive behavior support and consultation, environmental adaptations, nurse delegation, positive behavior support and consultation, risk assessment, specialized clothing, specialized medical equipment and supplies, staff/family consultation and training, therapeutic equipment and supplies, transportation, vehicle modifications for individuals with ID, DD, or autism, ages 8-20.
  • Online State Information: CIIBS Fact Sheet
  • Official Federal Information
  • How to Apply: Contact the program manager at (360) 725-3448 or apply through DDA.
  • Waiting List: None
INDIVIDUAL AND FAMILY SERVICES
  • Target Population: Children and adults with developmental disabilities.
  • Ages: 3+
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Unknown
  • Waiver Type: 1915(c)
  • Spots: 100
  • Expiration Date: 5/31/2019
  • Description from medicaid.gov: Provides respite, OT, PT, speech/hearing/language, assistive technology, behavior support and consultation, behavioral health stabilization services-behavior support and consultation, behavioral health stabilization-specialized psychiatric services, community engagement, environmental accessibility mods, nurse delegation, peer mentoring, person-centered planning facilitation, psychosexual evaluation, skilled nursing, specialized clothing, specialized medical equipment and supplies, specialized nutrition, specialized psychiatric services, staff/family consultation and training, supported parenting services, therapeutic equipment and supplies, transportation, and vehicle mods for DD individuals, ages 3 with no maximum age.
  • Online State Information: Individual and Family Services
  • Official Federal Information
  • How to Apply: Contact the program manager at (360) 725-3415 or apply through DDA.
  • Waiting List: None
CORE WAIVER
  • Target Population: Children and adults with intellectual or developmental disabilities, including autism.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: The waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 5338
  • Expiration Date: 8/31/2022
  • Description from medicaid.gov: Provides community inclusion, individual supported employment/group supported employment, prevocational services, residential habilitation, respite, behavioral health stabilization services-specialized psychiatric services, specialized psychiatric services, behavioral health stabilization services-behavioral health crisis diversion bed services, behavioral health stabilization services-positive behavior support and consultation, chemical extermination of bed bugs, community guide, community transition, environmental adaptations, individualized technical assistance, occupational therapy, physical therapy, positive behavior support and consultation, risk assessment, skilled nursing, specialized medical equipment and supplies, speech, hearing, and language services, staff family consultation and training, transportation, wellness education for individuals with autism, ID, and DD, ages 0 – no max age.
  • Online State Information: Core Waiver
  • Official Federal Information
  • How to Apply: Become eligible for developmental disabilities services following these instructions, and have your case manager help you apply.
  • Waiting List: None
BASIC PLUS WAIVER
  • Target Population: Children and adults with intellectual or developmental disabilities, including autism.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: The waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 10.716
  • Expiration Date: 8/31/2022
  • Description from medicaid.gov: Provides community inclusion, individual supported employment/group supported employment, personal care, prevocational services, respite, behavioral health stabilization services-specialized psychiatric services, specialized psychiatric services, behavioral health stabilization services-behavioral health crisis diversion bed services, behavioral health stabilization services-positive behavior support and consultation, chemical extermination of bed bugs, community guide, emergency assistance, environmental adaptations, individualized technical assistance, occupational therapy, physical therapy, positive behavior support and consultation, risk assessment, skilled nursing, specialized medical equipment and supplies, speech, hearing and language services, staff/family consultation and training, transportation, wellness education for individuals with autism, ID, or DD, ages 0 – no max age.
  • Online State Information: Basic Plus Waiver Fact Sheet
  • Official Federal Information
  • How to Apply: Become eligible for developmental disabilities services following these instructions, and have your case manager help you apply.
  • Waiting List: None
OTHER PROGRAMS