Caregiver support · state
Medicaid Alternative Care (MAC)
WA DSHS ALTSA
Medicaid Alternative Care (MAC) is one of two programs offered under Washington's Medicaid Transformation Demonstration (MTD), administered by DSHS/ALTSA. MAC supports unpaid family caregivers of Medicaid-eligible older adults by providing services that help the caregiver continue caring for their loved one at home, delaying or preventing the need for paid Medicaid long-term services. As of December 1, 2025, MAC has paused new enrollments and is operating a waitlist due to overspending projections.
Source www.dshs.wa.gov/altsa/stakeholders/medicaid-transformation-demonstration