
Advocacy & guidance in Washington
Your local Area Agency on Aging, the Long-Term Care Ombudsman, advocacy nonprofits, helplines, and benefits counseling. Almost always free. Start here when you're not sure where to start.
If you or a family member served
The VA and the state veterans affairs office can help with benefits, health care, and long-term care that other programs do not cover.
VA Puget Sound Health Care System
FreeGovernment agency · SeattleVHA health-care system covering Western Washington with two main campuses: Seattle VA Medical Center (1660 S Columbian Way) and American Lake VA Medical Center in Tacoma (9600 Veterans Dr SW). Hub for VA primary care, geriatrics, mental health, and extended care for the Puget Sound region.
VA Spokane Health Care System (Mann-Grandstaff VA Medical Center)
FreeGovernment agency · SpokaneMann-Grandstaff VA Medical Center, the VAMC anchoring VA Spokane Health Care System, serving veterans in Eastern Washington and North Idaho.
VA Walla Walla Health Care System (Jonathan M. Wainwright Memorial VA Medical Center)
FreeGovernment agency · Walla WallaJonathan M. Wainwright Memorial VA Medical Center, the VAMC anchoring VA Walla Walla Health Care System, serving veterans across SE Washington, NE Oregon, and West Idaho.
Washington State Department of Veterans Affairs (WDVA)
FreeGovernment agencyState agency serving Washington veterans and their families. Operates four state veterans homes and administers WDVA programs (VEMP, VIP, War Trauma Counseling, county VSO locator).
Programs and services
Caregiver support and respite, benefits counseling, legal help, dementia support, and adult protection. Almost all are free.
Aging and Disability Resource Centers (ADRCs)
Aging and Disability Resource Centers offer free long-term care information, referral, and assistance for people of all ages. An ADRC can help you plan, find, and set up care services such as transportation, meals, housekeeping, and personal care. It can help you look at ways to pay for long-term care and check whether you qualify for benefits. It can help you sort out health insurance and prescription drug options, get listings of adult housing and assisted living, and work through legal matters such as advance directives and living wills. ADRCs operate statewide under the Community Living Connections name.
Area Agency on Aging (AAA)
Area Agencies on Aging were established under the federal Older Americans Act in 1973 to help older adults (60 or older) remain in their homes. AAAs are located throughout the United States and are available in every county within Washington State. They help older adults plan and find additional care, services, or programs, from arranging services for a frail adult so they can remain at home, to providing access to activities and socialization through programs like senior centers. AAAs also support family or friends helping to care for older adults.
Family Caregiver Support Program (FCSP)
FCSP serves unpaid caregivers of adults in Washington. Local FCSP offices, administered by Area Agencies on Aging, provide individualized support: identifying local resources and services, connecting caregivers to support groups and counseling, training on specific caregiving topics, arranging respite care, and one-on-one problem-solving for caregiving challenges.
Medicaid Alternative Care (MAC)
Medicaid Alternative Care (MAC) is one of two programs offered under a special Washington Medicaid project run by the state Department of Social and Health Services. MAC supports unpaid family caregivers who look after older adults on Medicaid. It provides services that help the caregiver keep caring for their loved one at home, which can delay or prevent the need for paid Medicaid long-term care. As of December 1, 2025, MAC has paused new sign-ups and is running a waitlist because it is projected to spend more than its budget.
Respite Care
Respite care is a service where another trained person or staff at a facility provide planned, short-term care for the person you care for so you have time away from caregiving. It may be delivered in the home, through an adult day center, or at a residential care facility, and may be provided by home health care agencies, adult family homes, boarding homes, adult day health or adult day care programs, nursing facilities, or family, friends, and volunteers.
Senior Information & Assistance (I&A)
Senior Information & Assistance (I&A) is a free service that answers questions and connects you to help, for adults age 60 and older and for the family and friends caring for them. Local offices across Washington can help you plan, find, and get care services or programs like transportation, meals, housekeeping, and personal care. They can help you look at ways to pay for long-term care and check what benefits you qualify for. They can help you sort out health insurance and prescription drug options. They can give you listings of adult housing and assisted living. And they can help you work through legal matters such as advance directives and living wills, or point you to legal advice.