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Disability services in Washington

379 Confirmed Profiles and 17,007 Registry Listings across 122 counties, plus organizations that serve the whole country.

Friends walk down a city sidewalk, one in a power wheelchair.

Search by area in Washington

Key statewide contacts

Agencies and networks that serve people with any disability in Washington. Each area's Resources and data tab lists the contacts for that area.

Protection and Advocacy (2)

The legal advocacy agency for people with disabilities in your state, set up under federal law. Free help with rights, abuse and neglect, and discrimination.

Vocational Rehabilitation (2)

The state agency that helps people with disabilities prepare for, find, and keep a job.

Assistive Technology Act program (1)

Try, borrow, or get help paying for assistive technology, from communication devices to mobility equipment.

Centers for Independent Living (4)

Run by and for people with disabilities: peer support, skills training, advocacy, and help moving from an institution to the community.

Statewide Independent Living Council (1)

Plans and monitors independent living services across the state.

Aging and Disability Resource Centers (1)

One place to start for long-term services and supports for older adults and people with disabilities.

Parent Training and Information Centers (2)

Free help for families of children with disabilities, including special education rights and IEPs.

Services by county in Washington

Each county page shows what serves that county, your local intake offices, and Confirmed Profiles based there. Numbers are listings that serve the county.

Show all 39 counties

How to get services in Washington

Most long-term supports are paid for by Medicaid, often through a waiver program. Start with Medicaid, then get on the program that fits. Many programs have a waiting list, so apply early.

Start here Washington Apple Health (Medicaid) · Health Care Authority (HCA); DSHS Community Services Offices for aged, blind, and disabled coverage

Apply online (opens in a new tab) · Call (877) 501-2233 · Visit your local DSHS Community Services Office.

People who get SSI in Washington get Apple Health automatically (Washington is a 1634 state).

Classic Medicaid (SSI-related) covers people 65 and older, blind, or disabled. People who need long-term care apply for Apple Health long-term care through DSHS Home and Community Services or DDA.

For children: None (no TEFRA option); children with developmental disabilities can get services through DDA waivers.

If you work: Apple Health for Workers with Disabilities (HWD): Medicaid for people with disabilities who work, with a premium based on income.

Steps

  1. Apply online at washingtonconnection.org, call 1-877-501-2233, or go to a Community Services Office.
  2. Say that you are applying for aged, blind, or disabled coverage.
  3. Complete an interview if DSHS asks for one.
  4. Send the proofs DSHS asks for.
  5. If you need long-term care, also contact HCS or DDA intake.

Have these ready

  • Social Security number
  • Proof of income
  • Bank and resource statements
  • Proof of disability or SSI letter
  • Medicare and other insurance cards

Find a local benefits office (opens in a new tab)

Brain injury, HIV, and complex medical needs

Children's Intensive In-home Behavioral Support (CIIBS) Waiver Waiting list varies

Children and youth ages 8 to 20 eligible for DDA with very complex behavior needs who live in the family home.

Start with: DDA Regional Intake and Eligibility Office · Region 1 800-462-0624; Region 2 800-326-1247; Region 3 800-248-0949 · Website (opens in a new tab)

CIIBS has limited capacity.

Medicaid and this program are applied for together.

Steps

  1. Get the DDA intake packet (form 14-151 and consent form 14-012) online, at a DDA office, or by mail.
  2. Send the packet and disability records to the DDA Intake and Eligibility office for your region.
  3. Wait for the decision, which comes within 30 days after DDA gets the last document.
  4. If eligible, ask for waiver services using the Service and Information Request form, or call your DDCS Case Resource Manager.
  5. Complete the DDA assessment so DDA can see which waiver fits.

Have these ready

  • Request for DDA Eligibility Determination (form 14-151)
  • Consent (form 14-012)
  • School, psychological, and medical records showing the disability
  • Social Security number

DDA Regional Intake and Eligibility Offices

All 3 offices
DDA Region 1 Intake and Eligibility
(800) 462-0624 · Website (opens in a new tab) · 1611 W Indiana Ave, Spokane, 99205
Serves: Adams, Asotin, Benton, Chelan, Columbia, Douglas, Ferry, Franklin, Garfield, Grant, Kittitas, Klickitat, Lincoln, Okanogan, Pend Oreille, Spokane, Stevens, Walla Walla, Whitman, Yakima
DDA Region 2 Intake and Eligibility
(800) 326-1247 · Website (opens in a new tab) · 20311 52nd Ave W, Ste 302, Lynnwood, 98036
Serves: Island, King, San Juan, Skagit, Snohomish, Whatcom
DDA Region 3 Intake and Eligibility
(800) 248-0949 · Website (opens in a new tab) · 1305 Tacoma Ave S, Ste 300, Tacoma, 98402
Serves: Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Kitsap, Lewis, Mason, Pacific, Pierce, Skamania, Thurston, Wahkiakum

Mental health

Individual and Family Services (IFS) Waiver Waiting list varies

People eligible for DDA who live in the family home and whose caregivers need extra support; budgets are set each year.

Start with: DDA Regional Intake and Eligibility Office · Region 1 800-462-0624; Region 2 800-326-1247; Region 3 800-248-0949 · Website (opens in a new tab)

IFS has limited capacity.

Medicaid and this program are applied for together.

Steps

  1. Get the DDA intake packet (form 14-151 and consent form 14-012) online, at a DDA office, or by mail.
  2. Send the packet and disability records to the DDA Intake and Eligibility office for your region.
  3. Wait for the decision, which comes within 30 days after DDA gets the last document.
  4. If eligible, ask for waiver services using the Service and Information Request form, or call your DDCS Case Resource Manager.
  5. Complete the DDA assessment so DDA can see which waiver fits.

Have these ready

  • Request for DDA Eligibility Determination (form 14-151)
  • Consent (form 14-012)
  • School, psychological, and medical records showing the disability
  • Social Security number

DDA Regional Intake and Eligibility Offices

All 3 offices
DDA Region 1 Intake and Eligibility
(800) 462-0624 · Website (opens in a new tab) · 1611 W Indiana Ave, Spokane, 99205
Serves: Adams, Asotin, Benton, Chelan, Columbia, Douglas, Ferry, Franklin, Garfield, Grant, Kittitas, Klickitat, Lincoln, Okanogan, Pend Oreille, Spokane, Stevens, Walla Walla, Whitman, Yakima
DDA Region 2 Intake and Eligibility
(800) 326-1247 · Website (opens in a new tab) · 20311 52nd Ave W, Ste 302, Lynnwood, 98036
Serves: Island, King, San Juan, Skagit, Snohomish, Whatcom
DDA Region 3 Intake and Eligibility
(800) 248-0949 · Website (opens in a new tab) · 1305 Tacoma Ave S, Ste 300, Tacoma, 98402
Serves: Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Kitsap, Lewis, Mason, Pacific, Pierce, Skamania, Thurston, Wahkiakum

Other programs

Basic Plus Waiver Waiting list varies

People eligible for DDA who live with family, in their own home, or another community setting and have health and welfare needs.

Start with: DDA Regional Intake and Eligibility Office · Region 1 800-462-0624; Region 2 800-326-1247; Region 3 800-248-0949 · Website (opens in a new tab)

Basic Plus has a capacity limit of 13,400 people at a time; when full, requests wait.

Medicaid and this program are applied for together.

Steps

  1. Get the DDA intake packet (form 14-151 and consent form 14-012) online, at a DDA office, or by mail.
  2. Send the packet and disability records to the DDA Intake and Eligibility office for your region.
  3. Wait for the decision, which comes within 30 days after DDA gets the last document.
  4. If eligible, ask for waiver services using the Service and Information Request form, or call your DDCS Case Resource Manager.
  5. Complete the DDA assessment so DDA can see which waiver fits.

Have these ready

  • Request for DDA Eligibility Determination (form 14-151)
  • Consent (form 14-012)
  • School, psychological, and medical records showing the disability
  • Social Security number

DDA Regional Intake and Eligibility Offices

All 3 offices
DDA Region 1 Intake and Eligibility
(800) 462-0624 · Website (opens in a new tab) · 1611 W Indiana Ave, Spokane, 99205
Serves: Adams, Asotin, Benton, Chelan, Columbia, Douglas, Ferry, Franklin, Garfield, Grant, Kittitas, Klickitat, Lincoln, Okanogan, Pend Oreille, Spokane, Stevens, Walla Walla, Whitman, Yakima
DDA Region 2 Intake and Eligibility
(800) 326-1247 · Website (opens in a new tab) · 20311 52nd Ave W, Ste 302, Lynnwood, 98036
Serves: Island, King, San Juan, Skagit, Snohomish, Whatcom
DDA Region 3 Intake and Eligibility
(800) 248-0949 · Website (opens in a new tab) · 1305 Tacoma Ave S, Ste 300, Tacoma, 98402
Serves: Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Kitsap, Lewis, Mason, Pacific, Pierce, Skamania, Thurston, Wahkiakum
Community First Choice (CFC) No waiting list

People on Apple Health who meet an institutional level of care and need help with daily activities.

Start with: DSHS Home and Community Services (HCS) intake, or DDA if you have a developmental disability · HCS Region 1 1-866-323-9409; Region 2 425-977-6579; Region 3 1-800-786-3799 · Website (opens in a new tab)

CFC is a Medicaid entitlement with no cap.

Apply for Medicaid first.

Steps

  1. Apply for Apple Health if you do not have it.
  2. Call HCS intake for your county, or your DDA case manager if you get DDA services.
  3. Complete the CARE assessment.
  4. Choose personal care and related supports.

Have these ready

  • Apple Health ID
  • Medical information
  • Social Security number

DDA Regional Intake and Eligibility Offices

All 7 offices
DDA Region 1 Intake and Eligibility
(800) 462-0624 · Website (opens in a new tab) · 1611 W Indiana Ave, Spokane, 99205
Serves: Adams, Asotin, Benton, Chelan, Columbia, Douglas, Ferry, Franklin, Garfield, Grant, Kittitas, Klickitat, Lincoln, Okanogan, Pend Oreille, Spokane, Stevens, Walla Walla, Whitman, Yakima
DDA Region 2 Intake and Eligibility
(800) 326-1247 · Website (opens in a new tab) · 20311 52nd Ave W, Ste 302, Lynnwood, 98036
Serves: Island, King, San Juan, Skagit, Snohomish, Whatcom
DDA Region 3 Intake and Eligibility
(800) 248-0949 · Website (opens in a new tab) · 1305 Tacoma Ave S, Ste 300, Tacoma, 98402
Serves: Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Kitsap, Lewis, Mason, Pacific, Pierce, Skamania, Thurston, Wahkiakum
HCS Region 1 Intake
Serves: Adams, Asotin, Benton, Chelan, Columbia, Douglas, Ferry, Franklin, Garfield, Grant, Kittitas, Klickitat, Lincoln, Okanogan, Pend Oreille, Spokane, Stevens, Walla Walla, Whitman, Yakima
HCS Region 2 King County Intake
Serves: King
HCS Region 2 North Intake
Serves: Island, King, San Juan, Skagit, Snohomish, Whatcom
HCS Region 3 Intake
Serves: Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Kitsap, Lewis, Mason, Pacific, Pierce, Skamania, Thurston, Wahkiakum
Community Protection Waiver Waiting list varies

Adults eligible for DDA who need 24-hour on-site staff for the safety of themselves and others.

Start with: DDA Regional Intake and Eligibility Office · Region 1 800-462-0624; Region 2 800-326-1247; Region 3 800-248-0949 · Website (opens in a new tab)

Enrollment depends on open capacity and specific risk criteria.

Medicaid and this program are applied for together.

Steps

  1. Get the DDA intake packet (form 14-151 and consent form 14-012) online, at a DDA office, or by mail.
  2. Send the packet and disability records to the DDA Intake and Eligibility office for your region.
  3. Wait for the decision, which comes within 30 days after DDA gets the last document.
  4. If eligible, ask for waiver services using the Service and Information Request form, or call your DDCS Case Resource Manager.
  5. Complete the DDA assessment so DDA can see which waiver fits.

Have these ready

  • Request for DDA Eligibility Determination (form 14-151)
  • Consent (form 14-012)
  • School, psychological, and medical records showing the disability
  • Social Security number

DDA Regional Intake and Eligibility Offices

All 3 offices
DDA Region 1 Intake and Eligibility
(800) 462-0624 · Website (opens in a new tab) · 1611 W Indiana Ave, Spokane, 99205
Serves: Adams, Asotin, Benton, Chelan, Columbia, Douglas, Ferry, Franklin, Garfield, Grant, Kittitas, Klickitat, Lincoln, Okanogan, Pend Oreille, Spokane, Stevens, Walla Walla, Whitman, Yakima
DDA Region 2 Intake and Eligibility
(800) 326-1247 · Website (opens in a new tab) · 20311 52nd Ave W, Ste 302, Lynnwood, 98036
Serves: Island, King, San Juan, Skagit, Snohomish, Whatcom
DDA Region 3 Intake and Eligibility
(800) 248-0949 · Website (opens in a new tab) · 1305 Tacoma Ave S, Ste 300, Tacoma, 98402
Serves: Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Kitsap, Lewis, Mason, Pacific, Pierce, Skamania, Thurston, Wahkiakum
COPES Waiver No waiting list

Adults who need nursing facility level of care and want care at home or in a community residential setting.

Start with: DSHS Home and Community Services (HCS) regional intake · Region 1 509-568-3767 or 1-866-323-9409; Region 2 425-977-6579 (King 206-341-7750); Region 3 1-800-786-3799 · Website (opens in a new tab)

State pages read did not mention a waiting list for COPES.

Medicaid and this program are applied for together.

Steps

  1. Find the HCS intake office for your county.
  2. Call HCS intake and ask for an assessment for in-home or residential long-term care.
  3. Apply for Apple Health long-term care if you do not have it.
  4. Complete the CARE assessment with a social worker.
  5. Choose your services and providers.

Have these ready

  • Social Security number
  • Proof of income and resources
  • Medical information
  • Medicare or other insurance cards

DSHS Home and Community Services (HCS) Regional Intake

All 4 offices
HCS Region 1 Intake
Serves: Adams, Asotin, Benton, Chelan, Columbia, Douglas, Ferry, Franklin, Garfield, Grant, Kittitas, Klickitat, Lincoln, Okanogan, Pend Oreille, Spokane, Stevens, Walla Walla, Whitman, Yakima
HCS Region 2 King County Intake
Serves: King
HCS Region 2 North Intake
Serves: Island, King, San Juan, Skagit, Snohomish, Whatcom
HCS Region 3 Intake
Serves: Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Kitsap, Lewis, Mason, Pacific, Pierce, Skamania, Thurston, Wahkiakum
Core Waiver Waiting list varies

People eligible for DDA at immediate risk of out-of-home placement whose needs are more than Basic Plus can meet, including people in residential services.

Start with: DDA Regional Intake and Eligibility Office · Region 1 800-462-0624; Region 2 800-326-1247; Region 3 800-248-0949 · Website (opens in a new tab)

Enrollment depends on open capacity.

Medicaid and this program are applied for together.

Steps

  1. Get the DDA intake packet (form 14-151 and consent form 14-012) online, at a DDA office, or by mail.
  2. Send the packet and disability records to the DDA Intake and Eligibility office for your region.
  3. Wait for the decision, which comes within 30 days after DDA gets the last document.
  4. If eligible, ask for waiver services using the Service and Information Request form, or call your DDCS Case Resource Manager.
  5. Complete the DDA assessment so DDA can see which waiver fits.

Have these ready

  • Request for DDA Eligibility Determination (form 14-151)
  • Consent (form 14-012)
  • School, psychological, and medical records showing the disability
  • Social Security number

DDA Regional Intake and Eligibility Offices

All 3 offices
DDA Region 1 Intake and Eligibility
(800) 462-0624 · Website (opens in a new tab) · 1611 W Indiana Ave, Spokane, 99205
Serves: Adams, Asotin, Benton, Chelan, Columbia, Douglas, Ferry, Franklin, Garfield, Grant, Kittitas, Klickitat, Lincoln, Okanogan, Pend Oreille, Spokane, Stevens, Walla Walla, Whitman, Yakima
DDA Region 2 Intake and Eligibility
(800) 326-1247 · Website (opens in a new tab) · 20311 52nd Ave W, Ste 302, Lynnwood, 98036
Serves: Island, King, San Juan, Skagit, Snohomish, Whatcom
DDA Region 3 Intake and Eligibility
(800) 248-0949 · Website (opens in a new tab) · 1305 Tacoma Ave S, Ste 300, Tacoma, 98402
Serves: Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Kitsap, Lewis, Mason, Pacific, Pierce, Skamania, Thurston, Wahkiakum
Residential Support Waiver No waiting list

People who meet Medicaid long-term services and supports rules and need residential services the State Plan does not cover, such as specialized behavior support in adult family homes or enhanced residential services.

Start with: DSHS Home and Community Services (HCS) regional intake · Region 1 509-568-3767 or 1-866-323-9409; Region 2 425-977-6579 (King 206-341-7750); Region 3 1-800-786-3799 · Website (opens in a new tab)

Washington reported no one waiting for waivers for older adults and adults with physical disabilities in KFF's 2026 state data. A regional RSW Committee reviews each referral.

Medicaid and this program are applied for together.

Steps

  1. Find the HCS intake office for your county.
  2. Call HCS intake and ask for an assessment for in-home or residential long-term care.
  3. Apply for Apple Health long-term care if you do not have it.
  4. Complete the CARE assessment with a social worker.
  5. Choose your services and providers.

Have these ready

  • Social Security number
  • Proof of income and resources
  • Medical and behavior support information

DSHS Home and Community Services (HCS) Regional Intake

All 4 offices
HCS Region 1 Intake
Serves: Adams, Asotin, Benton, Chelan, Columbia, Douglas, Ferry, Franklin, Garfield, Grant, Kittitas, Klickitat, Lincoln, Okanogan, Pend Oreille, Spokane, Stevens, Walla Walla, Whitman, Yakima
HCS Region 2 King County Intake
Serves: King
HCS Region 2 North Intake
Serves: Island, King, San Juan, Skagit, Snohomish, Whatcom
HCS Region 3 Intake
Serves: Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Kitsap, Lewis, Mason, Pacific, Pierce, Skamania, Thurston, Wahkiakum

Rules change. Check with the agency before you rely on this. Checked October 2026.

How Washington pays for services

Washington ranks 4 of 51 on Medicaid waiver funding for people with intellectual and developmental disabilities. See its spending, waiting list, every named program, service rates, and its vocational rehabilitation agency.

Open the Funding Atlas for Washington

How Washington is graded

A-

Rank 6 of 51 on State of Support

ConnectIDD's report card for services to people with intellectual and developmental disabilities.

  • Access to servicesB
  • Community livingB-
  • Family supportB-
  • Real workA+
  • Direct support workforceA+
  • Quality of lifeD+
  • State investmentD+
  • TransparencyC-

Open the full report card

An older woman smiles beside an apple tree in a garden.

A map for every stage of your family's journey in Washington

Eight stages most families of people with intellectual and developmental disabilities pass through, from the first diagnosis to planning for the years ahead. Each stage shows what to do now, what to start planning, and the services to look for nearby, with a free printable guide.

  1. Diagnosis
  2. Early childhood
  3. School years
  4. Transition
  5. After graduation
  6. A place to live
  7. Work
  8. The future

Open The Family Journey Download the free guide (PDF)