Aging and Long-Term Support Administration
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Billing Forms

Document Name Last Modified
2023 Appendix B - Medicaid Administrative Claiming 12/29/2023
2023_IATimeStudy Template_ ALTSA_09.22.2023 12/29/2023
AAA LTSS Presumptive Eligibility 09/17/2024
AWHI and CGT Tuition - FCSP Respite and Non-Core Personal Services - SFY24 11/22/2023
AWHI and CGT Tuition - FCSP Respite and Non-Core Personal Services - SFY25 07/10/2024
AWHI and CGT Tuition - FCSP Respite and Non-Core Personal Services - SFY26 07/21/2026
AWHI and CGT Tuition - FCSP Respite and Non-Core Personal Services - SFY27 07/24/2026
AWHI Monitoring Tool SFY27 07/22/2026
AWHI Reimbursement Calculation Form and Instructions SFY27 07/22/2026
BDCC BARS SFY26 09/17/2025
BlankA191A 10/23/2014
Building Dementia Capable Communities 02/26/2024
Care Transitions BARS - SFY24 06/28/2024
CaregiverTraining SFY25 06/27/2024
CaregiverTraining SFY26 08/25/2025
CaregiverTraining SFY27 06/24/2026
Expanded Nutrition 09/20/2017
Health Related Social Needs (HRSN) BARS 07/09/2026
KCSP WCMM 06/16/2026
KCSP 08/29/2023
KinNav 10/03/2025
KNAV WCMM 06/16/2026
Local Match Certification 02/02/2026
MTP BARS Effective CY24 04/18/2024
MTP BARS SFY26 with waitlist 05/27/2026
MTP BARS SFY26 09/16/2025
MTP BARS SFY27 07/22/2026
MTP LTSS PE BARS SFY26 08/25/2025
NSIP - OAA Contract 08/29/2023
OAA 01/28/2019
PACE BARS form - SFY24 06/29/2023
PACE BARS SFY26 07/31/2025
PACE BARS SFY27 06/16/2026
SCSA effective 070125 09/22/2025
SCSA 10/03/2024
Senior Drug Education 08/13/2025
Senior Nutrition 07/08/2024
SFCSP effective 070125 09/22/2025
SFMNP - State SFY25 05/24/2024
SFMNP - State SFY26 08/25/2025
SignatureAuthorizationForm 03/02/2026
SignaturePage 09/14/2018
T3B Admin Discretionary 08/27/2018
T3B Admin Special Projects 07/10/2018
T3B BARS Form Effective Grant Year 2026 02/09/2026
T3B BARS Form Thru Grant Year 2025 10/03/2024
T3C1 BARS Form 04/16/2026
T3C2 BARS Form 04/16/2026
T3D BARS Form 10/24/2024
T3E Admin Kinship Projects 12/29/2025
T3E BARS form Effective Grant Year 2026 02/11/2026
T3E BARS form Thru Grant Year 2025 01/30/2026
T7 Elder Abuse Prevention 08/29/2023
Title V SCSEP SFY26 11/12/2025
Tribal Kinship Navigator 05/21/2025
TXIX CM NS Billing Instructions 01/09/2012
TXIX Matched SFY24 06/03/2026
TXIX SFY25 02/04/2025
TXIX SFY26 11/04/2025
Veteran Directed Home Services (VDHS) 06/28/2024
Volunteer Services - CCS 07/01/2025
Volunteer Services - NW AAA 07/19/2016
WA Cares AAA Outreach SFY24 07/11/2023
WA Cares AAA Outreach_ProviderNetwork SFY25 09/24/2024
WA Cares AAA SFY26 04/27/2026
~$cal Match Certification 10/08/2019

Budget Forms

Document Name Last Modified
2025 Area Plan Template 11/14/2024
2025 OAA Budget Form TEMPLATE 10/16/2024
2026 OAA Budget template-Incl all funding 01/05/2026
2026 OAA Budget template 11/19/2025
Cost Allocation Certification 10/09/2017
Family Caregiver Support Program Fiscal Report 10/24/2014
SFY25 StateFedBudget Template 09/24/2024
SFY26 StateFedBudget Template 08/05/2025