Area Agencies on Aging in Washington

Complete Guide to Area Agencies on Aging in Washington (2025)

Last updated: August 2025

If You Need Emergency Help

Call 911 immediately if you or someone you know is in immediate danger, experiencing a medical emergency, or being abused or neglected.

For urgent aging or disability assistance:

  • Washington State Information and Assistance: 1-800-422-3263 – Statewide aging and long-term support services
  • Adult Protective Services: 1-866-ENDHARM (1-866-363-4276) – Report elder abuse, neglect, or exploitation
  • Crisis Text Line: Text HOME to 741741 – Free, confidential support
  • National Suicide Prevention Lifeline: 988 – Mental health crisis support

For immediate assistance:

  • 211 Washington – Dial 2-1-1 for local emergency resources and crisis services
  • Contact your local Area Agency on Aging for immediate support needs

Key Takeaways

  • Washington has 13 Area Agencies on Aging serving all 39 counties with diverse geographic and demographic needs
  • Community Living Connections program provides unified access to aging and disability services statewide
  • All core services are free or low-cost for seniors 60+ and adults with disabilities
  • COPES Medicaid Waiver and Community First Choice programs help eligible individuals receive long-term care at home
  • Self-directed care options allow participants to hire and manage their own caregivers, including family members
  • No waiting lists for Community First Choice – services available to all who qualify
  • Urban and rural service adaptations address Washington’s diverse geography from Seattle to rural communities

What Makes Washington’s Aging System Unique?

Washington State operates one of the most innovative and comprehensive aging service systems in the nation. The state’s approach combines traditional Area Agency on Aging services with cutting-edge long-term care programs that prioritize consumer choice and community-based care.

Community Living Connections serves as Washington’s unified brand for aging and disability services, creating a “no wrong door” approach where seniors and people with disabilities can access information and services through any entry point. This integrated system recognizes that many people have both age-related and disability-related needs.

Washington was an early adopter of the Community First Choice program, which provides personal care services through regular Medicaid without enrollment caps or waiting lists. This means eligible individuals can receive services immediately rather than waiting months or years like in many other states.

The state’s COPES (Community Options Program Entry System) Waiver complements Community First Choice by providing additional home and community-based services that help people avoid nursing home placement. Washington residents can receive services through both programs simultaneously.

Washington’s system emphasizes consumer direction and choice. Through various programs, eligible individuals can hire their own caregivers, including family members, manage their own care budgets, and direct their services according to their preferences and needs.

Washington’s 13 Area Agencies on Aging

AAA 1: Aging & Disability Services of Seattle & King County

Counties Served: King County
Service Population: Approximately 500,000 seniors
Contact Information:

  • Phone: (206) 684-0660
  • Address: Seattle Municipal Tower, 700 Fifth Avenue, 51st Floor, Seattle, WA 98104
  • Website: agingkingcounty.org

Regional Characteristics:

  • State’s largest metropolitan area with diverse urban communities
  • Significant technology industry presence
  • High cost of living requiring innovative service approaches
  • Large immigrant and refugee senior populations
  • Extensive public transit system

AAA 2: Area Agency on Aging & Disabilities of Southwest Washington

Counties Served: Clark, Cowlitz, Klickitat, Skamania, Wahkiakum (5 counties)
Service Population: Approximately 75,000 seniors
Contact Information:

  • Phone: (360) 735-3130
  • Address: 201 NE 73rd Street, Vancouver, WA 98665
  • Website: helpingelders.org

Regional Characteristics:

  • Portland metropolitan area proximity
  • Mix of urban Vancouver and rural communities
  • Columbia River Gorge region
  • No state income tax benefit for Oregon retirees
  • Volcanic region emergency preparedness needs

AAA 3: Olympic Area Agency on Aging

Counties Served: Clallam, Jefferson (2 counties)
Service Population: Approximately 25,000 seniors
Contact Information:

  • Phone: (360) 532-0520
  • Address: Multiple locations serving the Olympic Peninsula

Regional Characteristics:

  • Olympic Peninsula geography creates transportation challenges
  • Tribal nations partnerships (multiple tribes)
  • Tourism and timber economy
  • Ferry-dependent transportation
  • Rural and frontier communities

AAA 4: Lewis-Mason-Thurston Area Agency on Aging

Counties Served: Lewis, Mason, Thurston (3 counties)
Service Population: Approximately 70,000 seniors
Contact Information:

  • Phone: (360) 664-2168
  • Address: 2404 Heritage Court SW, Olympia, WA 98502
  • Website: lmtaaa.org

Regional Characteristics:

  • State capital region (Olympia)
  • State government employee retirees
  • Puget Sound access
  • Mix of urban and rural communities
  • Strong environmental awareness

AAA 5: Pierce County Aging & Disability Resources

Counties Served: Pierce County
Service Population: Approximately 200,000 seniors
Contact Information:

  • Phone: (253) 798-4600
  • Address: 9850 64th Street West, University Place, WA 98467

Regional Characteristics:

  • Tacoma metropolitan area
  • Joint Base Lewis-McChord military presence
  • Large veteran population
  • Diverse urban and suburban communities
  • Port of Tacoma economic center

AAA 6: Snohomish County Aging & Disability Services

Counties Served: Snohomish County
Service Population: Approximately 180,000 seniors
Contact Information:

  • Phone: (425) 388-3399
  • Address: 3000 Rockefeller Avenue, MS #305, Everett, WA 98201

Regional Characteristics:

  • Boeing and aerospace industry presence
  • Suburban communities north of Seattle
  • Puget Sound waterfront access
  • Mix of urban Everett and rural areas
  • Tech industry growth

AAA 7: Island County Area Agency on Aging & Information Services

Counties Served: Island County
Service Population: Approximately 20,000 seniors
Contact Information:

  • Phone: (360) 321-1600
  • Address: 14 NE 4th Street, Coupeville, WA 98239

Regional Characteristics:

  • Whidbey and Camano Islands
  • Ferry-dependent access
  • Naval Air Station Whidbey Island
  • Seasonal population variations
  • Tourist economy impacts

AAA 8: Aging & Adult Care of Central Washington

Counties Served: Adams, Chelan, Douglas, Grant, Lincoln, Okanogan (6 counties)
Service Population: Approximately 40,000 seniors
Contact Information:

  • Phone: (509) 662-1651
  • Address: 2230 N. Wenatchee Avenue, Wenatchee, WA 98801
  • Website: aaccw.org

Regional Characteristics:

  • Apple country agricultural region
  • Rural and frontier communities
  • Large geographic service area
  • Seasonal agricultural workforce
  • Tribal nations partnerships

AAA 9: Aging & Long Term Care of Eastern Washington

Counties Served: Asotin, Columbia, Garfield, Walla Walla, Whitman (5 counties)
Service Population: Approximately 25,000 seniors
Contact Information:

  • Phone: (509) 525-5387
  • Address: Multiple locations in southeastern Washington

Regional Characteristics:

  • Wheat country and wine region
  • University communities (Washington State University, Whitman College)
  • Rural agricultural communities
  • Oregon and Idaho border region
  • Limited transportation infrastructure

AAA 10: Spokane County Aging & Long Term Care

Counties Served: Spokane County
Service Population: Approximately 125,000 seniors
Contact Information:

  • Phone: (509) 477-2273
  • Address: 1116 W. Broadway Avenue, Spokane, WA 99260

Regional Characteristics:

  • Eastern Washington’s largest city
  • Regional medical center
  • University communities (multiple institutions)
  • Four-season climate
  • Urban core with rural surroundings

AAA 11: Benton-Franklin Counties Area Agency on Aging

Counties Served: Benton, Franklin (2 counties)
Service Population: Approximately 50,000 seniors
Contact Information:

  • Phone: (509) 735-3551
  • Address: Multiple locations in Tri-Cities area

Regional Characteristics:

  • Tri-Cities region (Richland, Kennewick, Pasco)
  • Hanford Site legacy and cleanup
  • Nuclear industry workforce
  • Hispanic/Latino population growth
  • Agricultural Columbia Valley

AAA 12: Whatcom County Area Agency on Aging

Counties Served: Whatcom County
Service Population: Approximately 55,000 seniors
Contact Information:

  • Phone: (360) 676-6749
  • Address: 3133 Squalicum Parkway, Bellingham, WA 98225

Regional Characteristics:

  • Canadian border proximity
  • University community (Western Washington University)
  • Agricultural Nooksack Valley
  • Puget Sound access
  • Environmental consciousness

AAA 13: Skagit County Area Agency on Aging

Counties Served: Skagit County
Service Population: Approximately 35,000 seniors
Contact Information:

  • Phone: (360) 416-1500
  • Address: Multiple locations in Skagit County

Regional Characteristics:

  • Tulip country agricultural region
  • Anacortes ferry connections to San Juan Islands
  • Rural and small town communities
  • Swinomish Tribal Nation partnerships
  • Puget Sound and Cascade Mountains access

Note: Contact information may change. Always verify current details by calling 1-800-422-3263.

Core Services Provided by Washington AAAs

Information and Assistance

Every AAA operates Information and Assistance (I&A) programs that serve as the entry point to Washington’s aging and disability service network.

Services Include:

  • Comprehensive information about available programs and services
  • Benefits counseling for Medicare, Medicaid (Apple Health), Social Security, and SNAP
  • Long-term care options counseling and planning
  • Referrals to appropriate service providers
  • Crisis intervention and emergency assistance
  • Consumer protection and fraud prevention education

Community Living Connections: Washington’s unified brand ensures consistent, high-quality information regardless of which entry point you use.

Nutrition Programs

Washington’s nutrition programs address food insecurity while promoting social connections and health monitoring.

Congregate Meal Programs: Nutritious meals served at senior centers, community centers, and other locations throughout Washington. Programs provide more than nutrition—they offer social interaction, health screenings, and access to other services. Suggested donation is typically $3-5 for seniors 60+.

Home-Delivered Meals: For seniors who cannot attend congregate meal sites due to mobility, health, or transportation barriers. Volunteers and paid staff deliver meals directly to homes, often providing vital social contact for isolated seniors.

Nutrition Education and Counseling: Programs addressing chronic disease management, food safety, meal planning on limited budgets, and culturally appropriate nutrition for Washington’s diverse populations.

Farm-to-Table Programs: Some AAAs coordinate with local farmers markets and community gardens to provide fresh, locally-grown produce to seniors.

Transportation Services

Transportation services are adapted to Washington’s diverse geography, from dense urban areas to rural communities and islands accessible only by ferry.

Medical Transportation: Priority service for healthcare appointments, including transportation to Seattle-area medical centers for specialized care. Services accommodate wheelchairs and other mobility devices.

General Transportation: Scheduled service for shopping, banking, social activities, and essential errands. Urban areas offer more frequent service while rural areas typically operate on scheduled route days.

Ferry Transportation: Specialized coordination for island residents who need to travel to mainland medical appointments or services.

Volunteer Driver Programs: Community volunteers provide transportation, especially important in rural areas where commercial services are unavailable.

Public Transit Partnerships: AAAs coordinate with local transit authorities to provide reduced-fare programs and transportation training for seniors.

Legal Services

Free legal assistance for seniors addressing civil legal issues affecting their safety, security, and independence.

Legal Issues Addressed:

  • Medicare and Medicaid (Apple Health) problems and appeals
  • Social Security and SSI benefit issues
  • Consumer protection against scams and fraud
  • Housing issues including landlord-tenant disputes
  • Estate planning basics (wills, advance directives, power of attorney)
  • Healthcare decision-making and end-of-life planning
  • Family law issues affecting seniors
  • Immigration issues for foreign-born seniors

Service Delivery: Legal aid attorneys provide services through offices, senior centers, telephone consultations, and community outreach programs.

Family Caregiver Support

Comprehensive support for unpaid family caregivers recognizing their crucial role in Washington’s long-term care system.

National Family Caregiver Support Program Services:

  • Information and education about caregiving resources
  • Caregiver skills training and education programs
  • Support groups (in-person and virtual)
  • Respite care services to give caregivers breaks
  • Limited financial assistance for respite and support services
  • Specialized support for caregivers of people with dementia

Washington-Specific Innovations:

  • Multilingual caregiver resources
  • Technology training for virtual support
  • Workplace flexibility advocacy for employed caregivers
  • Kinship care support for grandparents raising grandchildren

Health Promotion and Disease Prevention

Evidence-based programs designed to help seniors maintain health, prevent disease complications, and avoid injuries.

Chronic Disease Self-Management Programs:

  • Chronic Disease Self-Management Program (CDSMP)
  • Diabetes Self-Management Program
  • Chronic Pain Self-Management Program
  • Cancer Survivorship Programs

Fall Prevention Programs:

  • Matter of Balance
  • Stepping On
  • Tai Chi for Arthritis and Fall Prevention
  • Home safety assessments and modifications

Mental Health and Wellness:

  • Depression screening and support
  • Suicide prevention programs
  • Social isolation intervention
  • Mindfulness and stress reduction programs

Washington’s Medicaid Long-Term Care Programs

Washington operates some of the nation’s most innovative Medicaid programs to help eligible individuals receive long-term care in their homes and communities.

Community First Choice (CFC) Program

Washington’s Community First Choice program provides personal care services through regular Apple Health (Medicaid) without enrollment caps or waiting lists.

How CFC Works:

  • Available through regular Apple Health Medicaid
  • No enrollment caps or waiting lists
  • Services available immediately upon eligibility
  • Can be combined with COPES Waiver services
  • Enhanced federal funding (6% higher match rate)

Services Provided:

  • Personal care assistance with activities of daily living
  • Assistance with instrumental activities of daily living
  • Backup systems and equipment to support independence
  • Training for family caregivers

Self-Direction Options:

  • Participants can hire their own caregivers, including family members (except spouses)
  • Individual budget management with fiscal intermediary support
  • Flexible scheduling based on participant needs
  • Authority to hire, train, and terminate caregivers

Eligibility Requirements:

  • Must be eligible for Apple Health (Medicaid)
  • Must need nursing facility level of care
  • Must be able to live safely in community with services
  • Age 18+ with disability; 65+ for elderly
  • Income limit: $2,901/month for individuals (2025)
  • Asset limit: $2,000 for individuals

COPES (Community Options Program Entry System) Waiver

COPES is Washington’s comprehensive home and community-based services waiver serving approximately 47,000 people statewide.

Services Available:

  • Adult day care and adult day health programs
  • Environmental modifications (home and vehicle accessibility)
  • Assistive technology and equipment
  • Non-medical transportation
  • Specialized dementia care
  • Community transition services (nursing home to community)
  • Case management and care coordination
  • Personal emergency response systems
  • Skilled nursing services
  • Caregiver training and support

Unique COPES Features:

  • Can be combined with Community First Choice
  • Specialized Dementia Care Program for assisted living
  • Community transition support for nursing home residents
  • Environmental modifications up to $7,500 per person
  • Vehicle modifications for accessibility

Eligibility Requirements:

  • Must be eligible for Apple Health (Medicaid)
  • Must need nursing facility level of care
  • Age 65+ or 18-64 with qualifying disability
  • Income limit: $2,901/month (300% of Federal Benefit Rate)
  • Asset limits same as Community First Choice

Enrollment: COPES has approximately 47,000 slots. When full, eligible applicants are placed on waiting lists prioritized by need and application date.

Tailored Support for Older Adults (TSOA)

Washington’s innovative Section 1115 waiver provides limited services to seniors who don’t qualify for regular Medicaid but need some support.

Target Population:

  • Adults age 55 and older
  • Income up to 300% of SSI ($2,313/month in 2025)
  • Assets up to $53,100
  • Need nursing home level of care but don’t financially qualify for Medicaid

Services Provided:

  • Limited personal care services
  • Care coordination
  • Adult day care
  • Home-delivered meals
  • Transportation
  • Minor home modifications

Program Goals:

  • Delay need for more intensive services
  • Prevent or delay nursing home placement
  • Reduce future Medicaid costs
  • Support aging in place

Specialized Programs

New Freedom Consumer Directed Services: Allows participants in certain programs to self-direct their care with maximum flexibility.

Money Follows the Person: Helps people transition from nursing homes back to community living with one-time transition services and ongoing support.

Veteran Directed Care: Coordinates VA and state benefits for eligible veterans needing long-term care.

Special Population Services

Urban Seniors

Washington’s urban areas, particularly Seattle-King County and Pierce County, serve diverse populations with unique needs.

Urban Adaptations:

  • Multilingual services (Spanish, Chinese, Vietnamese, Korean, Somali, and others)
  • Culturally specific programming
  • High-rise and apartment-focused services
  • Public transit coordination
  • Higher cost-of-living considerations
  • Technology-enhanced service delivery

Specialized Urban Programs:

  • Immigrant and refugee senior services
  • LGBTQ+ affirming programs
  • Homeless senior outreach
  • Affordable housing advocacy
  • Urban gardening and nutrition programs

Rural and Frontier Seniors

Washington’s rural counties face challenges including geographic isolation, limited transportation, and fewer service providers.

Rural Adaptations:

  • Mobile service delivery to remote communities
  • Volunteer driver networks covering large distances
  • Telehealth and virtual programming
  • Coordination with agricultural communities
  • Seasonal service adjustments
  • Weather-dependent service modifications

Rural Innovations:

  • Traveling senior centers
  • Technology training and support
  • Emergency communication systems
  • Volunteer neighbor networks
  • Coordination with local postal services for welfare checks

Island Communities

Washington’s island communities require specialized approaches due to ferry-dependent transportation.

Island-Specific Services:

  • Ferry fare assistance for medical appointments
  • Mainland transportation coordination
  • Emergency evacuation planning
  • Seasonal service adjustments for tourist populations
  • Coast Guard coordination for emergencies
  • Volunteer networks for isolated seniors

Tribal Seniors

Washington is home to 29 federally recognized tribes, each with their own aging services that coordinate with state AAAs.

Tribal Coordination:

  • Government-to-government relationships
  • Cultural competency training for non-tribal staff
  • Traditional foods and healing integration
  • Tribal sovereignty respect in service delivery
  • Title VI Native American aging program coordination
  • Urban Native senior services

Key Tribal Partners:

  • Tulalip Tribes
  • Swinomish Indian Tribal Community
  • Muckleshoot Indian Tribe
  • Yakama Nation
  • Confederated Tribes of the Colville Reservation

LGBTQ+ Seniors

Washington provides inclusive services and works to ensure LGBTQ+ seniors feel welcome and safe.

LGBTQ+ Considerations:

  • Non-discrimination policies in all programs
  • Staff training on LGBTQ+ cultural competency
  • Inclusive intake forms and documentation
  • Support for same-sex couples in care planning
  • Referrals to LGBTQ+ affirming providers
  • Pride events and community engagement

Resources:

  • Senior Services Pride Network
  • LGBTQ Allyship Advocacy Circle
  • Senior Planet LGBTQ programs
  • National SAGE resources and support

Veterans

Washington has a large veteran population, and AAAs coordinate closely with VA services.

Veteran-Specific Services:

  • VA benefit application assistance
  • Transportation to VA medical centers
  • Coordination between VA and state Medicaid programs
  • Veteran Directed Care program
  • Family support for veteran spouses and survivors
  • Honor guard and burial assistance coordination

Key VA Resources:

  • VA Puget Sound Health Care System (Seattle, Tacoma, American Lake)
  • Spokane VA Medical Center
  • Walla Walla VA Medical Center
  • Community-Based Outpatient Clinics throughout the state

How to Access Services in Washington

Step 1: Contact Your Entry Point

Primary Access Methods:

  • Statewide Information Line: 1-800-422-3263
  • Your Local AAA: Find through Community Living Connections
  • 211 Washington: Dial 2-1-1 for comprehensive resource information
  • Online: Community Living Connections website and resource databases

Step 2: Initial Screening and Assessment

AAA staff will gather information about:

  • Your location and service area
  • Type of assistance needed
  • Current living situation and support system
  • Urgency of needs
  • Basic financial information (for Medicaid programs)
  • Preferences for service delivery

Step 3: Service Planning and Coordination

Based on your assessment, you may receive:

  • Information about available services and programs
  • Referrals to appropriate providers
  • Assistance with benefit applications (Apple Health, SNAP, etc.)
  • Long-term care options counseling
  • Scheduling for additional assessments
  • Emergency assistance coordination

Step 4: Implementation and Follow-Up

For ongoing services:

  • Service authorization and provider selection
  • Care plan development (for Medicaid programs)
  • Regular reassessments and plan updates
  • Advocacy and problem-solving assistance
  • Emergency backup planning

Costs and Financial Assistance

Free Services

Available at no cost to eligible participants:

  • Information and assistance through AAAs
  • Benefits counseling and application assistance
  • Long-term care options counseling
  • Legal consultations and advice
  • Case management for Medicaid programs
  • Caregiver education and support

Donation-Based Services

Suggested donations help sustain programs, but services cannot be denied for inability to pay:

  • Congregate meals ($3-5 suggested donation)
  • Home-delivered meals ($3-6 suggested donation)
  • Transportation services ($2-8 suggested donation per trip)
  • Some recreational and educational programs

Apple Health (Medicaid) Funded Services

Long-term care services funded through Washington Medicaid:

  • Community First Choice personal care services
  • COPES Waiver comprehensive services
  • Tailored Support for Older Adults
  • Nursing home care when appropriate

Cost-Sharing: Some Medicaid participants may have small monthly cost-sharing based on income after allowing for basic living expenses.

State and Local Programs

Washington State Programs:

  • Property Tax Exemption and Deferral for Seniors
  • Low Income Home Energy Assistance Program (LIHEAP)
  • Washington Apple Health (Medicaid expansion)
  • Senior Farmers Market Nutrition Program

Local Programs:

  • Utility assistance programs
  • Food banks and emergency assistance
  • Property tax relief programs
  • Senior discounts and reduced fares

Financial Eligibility for Washington Medicaid Programs

2025 Income and Asset Limits

Apple Health (Regular Medicaid):

  • Individual: $1,638/month income, $2,000 assets
  • Couple: $2,208/month income, $3,000 assets

Long-Term Care Programs (COPES, CFC):

  • Individual: $2,901/month income, $2,000 assets
  • Married couple (both applying): $5,802/month combined income, $4,000 assets
  • Married couple (one applying): $2,901/month for applicant; $157,920 maximum for non-applicant spouse

Tailored Support for Older Adults:

  • Individual: $2,313/month income (300% SSI), $53,100 assets

What Counts as Income and Assets

Countable Income: Social Security, pensions, wages, investment income, rental income, unemployment benefits Exempt Income: Small amounts of interest, certain veteran benefits, some tribal payments

Countable Assets: Bank accounts, investments, second homes, vehicles over $6,000 value Exempt Assets: Primary residence, one vehicle, personal belongings, burial funds up to $1,500, life insurance up to $1,500 face value

Quality and Accountability

Program Standards and Oversight

Washington’s aging services operate under comprehensive oversight:

  • Federal Older Americans Act and Medicaid requirements
  • Washington State Department of Social and Health Services standards
  • Health Care Authority oversight for Medicaid programs
  • Professional licensing requirements for service providers
  • Consumer protection and rights enforcement

Monitoring and Quality Assurance

Regular Quality Reviews:

  • Annual AAA performance evaluations
  • Consumer satisfaction surveys
  • Financial audits and compliance monitoring
  • Provider quality assessments
  • Complaint investigation and resolution

Consumer Protections:

  • Background checks for all direct care workers
  • Service provider certification requirements
  • Emergency response protocols
  • Fraud prevention and investigation
  • Consumer rights education

Your Rights as a Service Recipient

Fundamental Rights:

  • Receive services without discrimination
  • Have personal information kept confidential
  • Participate in decisions about services and care
  • File complaints without fear of retaliation
  • Receive services that meet professional standards
  • Choose your own providers (where applicable)
  • Self-direct your care (in eligible programs)

Complaint and Appeals Process

For General AAA Services:

  1. Contact your AAA case manager or supervisor
  2. Contact the AAA director
  3. Contact Washington State Aging and Long-Term Support Administration
  4. Contact federal Administration for Community Living if needed

For Apple Health (Medicaid) Services:

  1. Contact your case manager or service provider
  2. File grievance with Health Care Authority
  3. Request administrative hearing for benefit decisions
  4. Contact Washington State Long-Term Care Ombudsman for advocacy

Key Advocacy Resources:

  • Washington State Long-Term Care Ombudsman: 1-800-422-1384
  • Disability Rights Washington: (206) 324-1521
  • Northwest Justice Project: 1-888-201-1014

Frequently Asked Questions (FAQs)

How do Washington’s aging services differ in urban Seattle versus rural counties?

Urban areas like Seattle-King County offer more frequent services, multilingual programming, and specialized services for diverse populations, while rural counties focus on mobile service delivery, volunteer networks, and coordination with agricultural communities. However, core services like information and assistance, nutrition programs, and transportation are available statewide, adapted to local needs and geography.

Can I receive both Community First Choice and COPES Waiver services at the same time?

Yes, Washington specifically allows participants to receive services from both programs simultaneously, provided the services don’t duplicate each other. For example, you might receive personal care through Community First Choice and adult day care through COPES. This coordination maximizes available supports while avoiding service overlaps.

What happens if I live on an island and need mainland medical care?

Washington’s island AAAs coordinate specialized transportation including ferry fare assistance, mainland transportation connections, and emergency medical transport. Some programs arrange group trips to Seattle-area medical centers, and emergency evacuation protocols exist for urgent situations. Island residents may also qualify for enhanced transportation benefits.

How do Washington’s programs serve the large immigrant and refugee senior population?

Washington’s AAAs provide multilingual services in languages including Spanish, Chinese, Vietnamese, Korean, Somali, and others. Cultural competency training ensures respectful service delivery, and specialized programs address unique needs of immigrant seniors including citizenship assistance, culturally appropriate meals, and navigation of complex systems.

What services are available for seniors experiencing homelessness or housing instability?

Washington AAAs coordinate with housing authorities, homeless services, and healthcare systems to provide specialized outreach, benefits assistance, rapid rehousing support, and connection to permanent supportive housing. Some areas have dedicated senior homeless coordinators and partnerships with low-income housing providers.

How does Washington coordinate services between tribal and state aging programs?

Washington respects tribal sovereignty while coordinating complementary services. Tribal members can access both tribal Title VI programs and state AAA services. Staff receive cultural competency training, and government-to-government protocols ensure respectful collaboration while avoiding duplication of services.

What technology support is available for seniors who want to age in place?

Washington AAAs provide technology training, equipment assistance, telehealth coordination, and digital literacy programs. Some areas offer loaner tablets, internet assistance, and virtual social programming. Technology assessments help identify assistive devices and smart home modifications that support independence.

How do services work for seasonal residents who split time between Washington and other states?

Services generally require Washington residency, but emergency services are available to temporary residents. AAAs can coordinate with aging agencies in other states for information sharing and service transitions. Seasonal residents should establish clear residency for benefit purposes and may qualify for emergency assistance during their Washington stay.

What options exist for seniors who need more care than home services can provide but want to avoid nursing homes?

Washington offers various alternatives including enhanced adult family homes, assisted living with specialized services, adult day health programs, and intensive case management. The Specialized Dementia Care Program provides dementia-specific services in assisted living settings, and enhanced services packages can support people with higher needs at home.

How does Washington’s system help families navigate complex care decisions and benefit programs?

Washington’s options counselors provide unbiased guidance about all available care options, help families understand benefit programs, and support decision-making without pressure. Complex case coordination helps families access multiple programs simultaneously, and advocacy services assist when problems arise with benefits or services.


Disclaimer

Service availability, contact information, and program details can change without advance notice. While this guide uses the most current information available as of August 2025, we strongly recommend verifying all details directly with your local AAA or the Washington State Department of Social and Health Services before making decisions or applying for services.

This guide is for informational purposes only and does not constitute professional legal, medical, or financial advice. Always consult with qualified professionals for advice specific to your situation.

For the most current information, contact:

  • Washington State Aging Information: 1-800-422-3263
  • Your local Area Agency on Aging
  • Community Living Connections resources
  • 211 Washington: Dial 2-1-1

About This Guide

Researched and Compiled by Grants for Seniors

This guide has been carefully researched using publicly available government resources and official program websites. We systematically review federal and state program information to create comprehensive, accurate guides for older Americans and people with disabilities seeking assistance programs.

Our Sources: All information comes from official sources including the Washington State Department of Social and Health Services, Health Care Authority, federal agency websites (HHS, Administration for Community Living, CMS), official program documentation, and verified nonprofit organization resources.

Verification Process: Each program listing undergoes thorough verification by cross-referencing information across multiple official sources, checking current program status, verifying contact information, and confirming eligibility requirements and service availability.

Information Currency: • Last Updated: August 2025 • Sources Verified: August 2025
• Next Review: February 2026

Important Note: Government programs can change without advance notice. While this guide uses the most current available information, we strongly recommend verifying all details directly with program administrators before applying.

Found an Error? If you discover outdated information or additional programs that should be included, please contact us at info@grantsforseniors.org.

Disclaimer: This guide is for informational purposes only and does not constitute professional advice. Always confirm program details with official sources before applying.


This resource is independently researched to help seniors and people with disabilities access available assistance programs in Washington State.