Washington Health Home Program
WA DSHS HCLA
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A joint program of the state Department of Social and Health Services (DSHS) and the Washington Health Care Authority, running since 2013. It is for people on both Medicare and Medicaid who have the highest health risks. A Care Coordinator builds a personal Health Action Plan with you and provides six main kinds of help: managing your overall care, coordinating between your different doctors and services, teaching you about your health, helping you through hospital stays and follow-up, supporting you and your family, and connecting you to community and social services. Taking part is completely voluntary. It does not replace your current services, it adds support on top of them. There is also a separate Health Home program for Tribes.
Who qualifies
What it covers
Cost
How to apply
Where to get this in Washington
9 organizations deliver this program. Coverage varies, so check the area each one serves.
Spokane, Ferry County
AAA for the Spokane region; one number connects callers to information, caregiver support, dementia help, Medicaid in-home care, Medicare counseling, and nutrition.
Seattle, King County
Largest Asian American and Native Hawaiian/Pacific Islander multiservice nonprofit in the Pacific Northwest, culturally and linguistically responsive aging, behavioral health, food, and case management services in King County.
Seattle, King County
ACRS's multicultural senior center for adults 55+ in Seattle, activities, nutritious ethnic meals, and a welcoming space for Asian and Pacific Islander older adults.
King County
Seattle-based nonprofit operating adult day health centers, in-home caregiver respite, and elder companionship programs for older adults and people with chronic illness or disability in King and Snohomish counties.
Lynnwood, Snohomish County
Lynnwood senior center site of Homage, the Snohomish County nonprofit running Meals on Wheels, transportation, dementia support, and home repair.
Statewide multicultural human-services nonprofit (founded 1972) providing in-home care, senior services, DV/survivor services, immigration & legal aid, housing, and veterans services across Western Washington.
Bellingham, Island County
AAA for Whatcom, Skagit, Island, and San Juan counties. Helps older adults, adults with disabilities, and family caregivers navigate aging and disability services since 1971.
Aberdeen, Clallam County
AAA covering the Olympic Peninsula and southwest Washington coast; offers information & assistance, caregiver support, nutrition, transportation, and Medicaid case management for seniors and adults with disabilities.
Colville, Adams County
Community Action Agency serving 12+ rural counties in eastern Washington since 1965. Runs the SAILS senior services department covering info & assistance, caregiver support, kinship care, SHIBA, senior nutrition, and tailored supports for older adults.
Where to go from here
A Matter of Balance
A Matter of Balance is a structured eight-week class developed at Boston University and managed nationally by MaineHealth. Trained coaches lead small groups through discussion and gentle exercises that help participants reduce fear of falling, set realistic goals for activity, change environments to lower fall risk, and exercise to increase strength and balance. The CDC recognizes it as an evidence-based fall prevention program. In Washington it is hosted by Area Agencies on Aging, senior centers, hospitals, and faith communities.
ACRS Care Transitions
ACRS Care Transitions gives short-term help to adults coming home after a hospital stay. Staff help them follow their discharge plan, manage medications, get to follow-up appointments, and connect with ongoing community resources. It works alongside the ACRS Health Home program, which offers longer-term Medicaid care coordination through a health plan built around each person's needs.
ACRS Case Management for Older Adults
ACRS case managers, who speak many languages, meet with homebound older adults and adults with disabilities to understand their needs and build a full care plan around them. The goal is to help older adults live safely at home with support from their families and caregivers. Staff pay close attention to the language and cultural needs of Asian and Native Hawaiian/Pacific Islander communities.
ACRS Food Bank
The ACRS Food Bank gives out healthy foods that fit people's cultures, including rice, tofu, noodles, and fresh produce, matched to the diets of Asian and Native Hawaiian/Pacific Islander families across King County. Anyone in the community can use it, but the food is chosen for Asian and Pacific Islander cooking that most food banks don't carry.
Not sure this one fits your situation? Your local Area Agency on Aging can check what you qualify for and point you to the right programs, for free. No one will sell your information, and no one will cold-call you.
Source www.dshs.wa.gov/altsa/washington-health-home-program
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