2025 HCS Management Bulletins
| MB# | Issue Date | Subject | Type |
|---|---|---|---|
| H25-072 | 12/31/2025 | Increase to the TSOA Income and Resource Standards | Policy and Procedure |
| H25-071 | 12/31/2025 | New Residency Agreement Requirements for Residential Providers Serving Clients Receiving Medicaid Services | Policy and Procedure |
| H25-070 | 12/24/2025 | Changes to Client Overpayment Notice (DSHS Form 18-398) and client overpayment submission process | Policy and Procedure |
| H25-069 | 12/24/2025 | Senior Citizens Services Act (SCSA) Fee Schedule and State Median Income (SMI) Chart for 2026 | Information |
| H25-068 | 12/19/2025 | January 2026 changes with COLA | Policy and Procedure |
| H25-067 | 12/19/2025 | CARE Change Control Information-December 30, 2025 | Information |
| H25-066 | 12/17/2025 | January 1, 2026, Home and Community Services and Developmental Disabilities Community Services Rates | Policy and Procedure |
| H25-065 | 12/16/2025 | Washington Administrative Code (WAC) 388-106-0035 and Coordinating Travel Plans with Clients Prior to Departure | Policy and Procedure |
| H25-064 | 12/10/2025 | Updated Electronic Visit Verification (EVV) Systems Requirements Guide and ProviderOne EVV Edit Schedule | Policy and Procedure |
| H25-063 | 12/09/2025 | Changes to QA monitoring tool security requirements. 2026 QA process review calendar and QA question | Policy and Procedure |
| H25-062 | 12/03/2025 | Apple Health requirement to apply for Medicare. Process with the Health Care Authority (HCA) Medicare Buy-In Unit (MBU) and Equal Access case mgmnt | Policy and Procedure |
| H25-061 | 12/02/2025 | Changes to QA monitoring tool security requirements. 2026 QA process review calendar and QA question | Policy and Procedure |
| H25-060 | 12/02/2025 | CY26 Standardized Home Care Agency Statement of Work & Monitoring Tool | Policy and Procedure |
| H25-059 | 11/25/2025 | Waitlist implementation and spending reduction policies for Medicaid Alternative Care (MAC) & Tailored Supports for Older Adults (TSOA) Programs | Policy and Procedure |
| H25-058 | 11/24/2025 | Transportation Pilot Program for Individual Providers | Information |
| H25-057 | 11/20/2025 | Revisions to Long-Term Care Manual Chapters | Policy and Procedure |
| H25-056 | 11/10/2025 | Utilization of DSHS Privacy Practices Form 03-387 for MAC and TSOA Programs | Policy and Procedure |
| H25-055 | 11/05/2025 | Launch of “CareBack Cash” program for Individual Providers | Information |
| H25-054 | 11/05/2025 | Consumer Directed Employer (CDE) Rate Setting Board (RSB) Client Survey | Information |
| H25-053 | 11/05/2025 | Community Living Connections Program Standards | Policy and Procedure |
| H25-052 | 11/04/2025 | Emergency Rules Filed: Chapter 388-106H WAC Health-Related Social Needs (HRSN) Program | Information |
| H25-051 | 10/27/2025 | Updates to the Community Choice Guiding Contract (1071XP) and guidance to applicable service codes. | Policy and Procedure |
| H25-050 | 10/27/2025 | CY 2026 OAA projections for full funding and Nutrition Services Incentive Program (NSIP) funding, and budget forms and budget form instructions. | Policy and Procedure |
| H25-049 Rescinded |
10/15/2025 | Medical Escort Fee Reimbursement in Adult Family Home | Policy and Procedure |
| H25-048 | 10/15/2025 | Assessment and Service Planning for Individuals Receiving Hospital at Home Services | Policy and Procedure |
| H25-047 | 10/15/2025 | 2027-2030 Area Plan, 2027 Written Cost Allocation Plan, 2027 7.01 Plan, 2027-2030 Direct Services Approval, | Procedure |
| H25-046 | 10/06/2025 | Revision of DSHS form #14-225, Acknowledgment of Services | Policy and Procedure |
| H25-045 | 09/17/2025 | CARE Change Control Information – September 30th, 2025. | Information |
| H25-044 | 09/17/2025 | WA Cares Fund Provider Contracting and Registration | Policy and Procedure |
| H25-043 | 09/15/2025 | Older American Act Performance System (OAAPS) Reporting Requirements and Timelines for Federal Fiscal Year (FFY) 2025 | Procedure |
| H25-042 | 09/12/2025 | Revision to Long Term Care (LTC) Manual Chapter 14 Legal Services | Policy and Procedure |
| H25-041 | 09/05/2025 | 2025 Senior Nutrition Program (SNP) Standards Revision | Policy and Procedure |
| H25-040 | 09/03/2025 | Update to Area Agency on Aging (AAA) Policy and Procedures Manual Chapter 1—Policies | Policy and Procedure |
| H25-039 | 09/03/2025 | Revisions to Long-Term Care Manual Chapters 3, 4, 5, 5a, 6a, 6b, 6c, 6d, 7, 7a, 7d, 7g, 7h, 9a, 10, 11, 15a, 15b, 16, 17a, 20, 22B, 29, 30c, 30e | Policy and Procedure |
| H25-038 | 08/28/2025 | Implementation of SENATE BILL 5672 (SB5672): Home Care Aide Certification Requirements — DOH extension of certification deadlines | Information |
| H25-037 | 08/27/2025 | Update to AAA Policy and Procedures Manual Chapter 3—Service Definitions for Title III Older American Act (OAA) and state-funded services and OAA Fina | Policy and Procedure |
| H25-036 | 08/26/2025 | Revision to DSHS Form #14-456, Home Maintenance Allowance (HMA) | Information |
| H25-035 | 08/20/2025 | State Fiscal Year 2026 (SFY26) AAA State-Federal Interlocal Agreement | Procedure |
| H25-034 | 08/19/2025 | Changes to the Residential Support Waiver WAC | Policy and Procedure |
| H25-033 | 08/19/2025 | Apple Health Advisory Council (AHAC) Recruitment Flyer | Information |
| H25-032 | 08/05/2025 | Changes to Insurance Requirements for Medicaid Waiver Contracts | Policy and Procedure |
| H25-031 | 08/05/2025 | Insurance for Interlocal Agreements Non Medicaid. and Home Care | Policy and Procedure |
| H25-030 | 07/30/2025 | National Core Indicators-Aging and Disabilities (NCI-AD) Survey | Information |
| H25-029 | 07/29/2025 | 2026 Area Plan Cost Allocation Plan, 7.01 Plan Progress Reports, Direct Services Approval, and the Contracts and Commercial Relationship Workbook | Procedure |
| H25-028 | 07/24/2025 | Sending Documents to the HCS Imaging Unit (HIU) | Policy and Procedure |
| H25-027 | 07/23/2025 | New RAC 3132 - HRSN created | Policy and Procedure |
| H25-026 | 07/14/2025 | Home Care Agency Vendor Rate, Training Class Time Rate, and link to new Billing Forms | Policy and Procedure |
| H25-025 | 07/11/2025 | Updates to the TSOA Resource Limit and Step 3 Benefit Level for TSOA and MAC participants | Policy and Procedure |
| H25-024 | 07/11/2025 | Community Stability Supports service level change and rate breakdown for Community Behavioral Health Support eligible clients effective 8/1/2025 | Policy and Procedure |
| H25-023 | 07/11/2025 | New Client Support Training Provider Type, Evidence-Based Training (EBT) Enhance®Fitness | Policy and Procedure |
| H25-022 Rescinded |
07/10/2025 | The Long-Term Care Policy Manual: Roles and Responsibilities, Long-Term Care Manual, Chapter 1 | Policy and Procedure |
| H25-021 | 07/02/2025 | New Billing Code for Skin Observation Protocol (SOP) assessments. | Policy and Procedure |
| H25-020 | 06/27/2025 | CARE Change Control Information – June 30, 2025. | Information |
| H25-019 | 06/26/2025 | State Fiscal Year (SFY26) WA Cares Fund Contract, and BARS Billing Form | Policy and Procedure |
| H25-018 | 06/13/2025 | Update to Area Agency on Aging (AAA) Policy and Procedures Manual Chapter 2—Area Agency on Aging Operations | Policy and Procedure |
| H25-017 | 06/10/2025 | Updated Instructions for Purchasing Non-Sterile Gloves for TSOA participants | Policy and Procedure |
| H25-016 | 06/10/2025 | Community Residential Capital Add-on Rate and “Bridge Rate” Qualification July 1, 2025, through June 30, 2026 | Policy and Procedure |
| H25-015 | 06/10/2025 | July 1, 2025, Home and Community Services and Developmental Disabilities Community Services Rates | Policy and Procedure |
| H25-014 | 06/05/2025 | State-Funded Long-Term Care Program for Non-Citizens | Policy and Procedure |
| H25-013 | 05/30/2025 | Meaningful Day Add-On Elimination Effective July 1, 2025 | Policy and Procedure |
| H25-012 | 05/23/2025 | Health Care Authority’s Durable Medical Equipment (DME) Webpage Change | Information |
| H25-011 | 05/12/2025 | Supervisory QA Reviews for New Staff | Information |
| H25-010 | 05/10/2025 | Revisions to Long-Term Care Manual Chapters 2, 2A, 2B, 3, 4, 5, 5A, 6A, 6B, 6C, 6D, 7A, 7C, 7D, 7G, 7H, 8, 9A, 9B, 10, 11, 15A, 15B, 16, 20, 22A, 22B, | Policy and Procedure |
| H25-009 | 05/02/2025 | Update to Area Agency on Aging (AAA) Policy and Procedures Manual Chapter 4--AAA Advisory Councils | Policy and Procedure |
| H25-008 | 04/16/2025 | 2025 Update to adjustments for Adult Family Home claims | Policy and Procedure |
| H25-007 | 04/02/2025 | H25-007 CARE Change Control Information for 03-31-2025 | Information |
| H25-006 | 03/26/2025 | Non-payment Frequently Asked Questions Flyer | Information |
| H25-005 | 03/03/2025 | Reallocation of State Fiscal Year (SFY) 2025 State Funds | Procedure |
| H25-004 | 02/28/2025 | HCS-to-AAA In-Home Transfers without Personal Care Provider | Policy and Procedure |
| H25-003 | 02/11/2025 | Revisions to Long-Term Care (LTC) Manual Chapter 7e – New Freedom | Policy and Procedure |
| H25-002 | 01/23/2025 | ALTSA Acute Care Hospital (ACH) Subsidy | Policy and Procedure |
| H25-001 | 01/07/2025 | 2025 LTC and Financial QA Process Review Calendar and QA Questions | Information |