Tailored Supports for Older Adults (TSOA)

Tailored Supports for Older Adults (TSOA) is a Medicaid Transformation Demonstration program for older Washingtonians (55+) who are NOT on Medicaid but who would functionally qualify for Medicaid long-term services and supports. TSOA provides supports either directly to the older adult or, more often, to their unpaid family caregiver, with the goal of delaying or preventing entry onto the formal Medicaid LTSS rolls. As of December 1, 2025, TSOA has paused new enrollments and is operating a waitlist.