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Washington provider enrollment

How to Become a Medicaid Waiver Provider in Washington

What Washington requires before you can deliver home and community-based waiver services, in the order the state actually requires it. Every claim links to the official page it came from.

Provider rules change often — confirm fees and deadlines against the linked sources before you rely on them.

Overview

Becoming a waiver provider in Washington

Washington asks you to read before you apply, and names exactly what. DDA's own guidance for potential supported living providers lists fourteen DDA policies to review — 4.02, 5.01, 5.08, 5.14, 5.15, 5.16, 6.02, 6.04, 6.07, 6.09, 6.11, 6.12, 6.14 and 6.19 — plus three more (15.03, 15.04, 15.05) if you intend to provide community protection services. On top of that you need familiarity with the supported living rules at chapters 388-101 and 388-101D WAC, and your staff are governed by chapter 388-829 WAC, which sets the minimum training including CPR, first aid, mandatory reporting, and training specific to each person's needs. You may deliver that training yourself or buy it from another supported living provider. Only after that reading does the mechanical part begin: apply for a business license, complete an application, and mail the complete packet to the Business Analysis and Application Unit. Request the application itself by email — DDA does not publish it as a download.

Who certifies you

The agencies that decide

DSHS Developmental Disabilities Administration (DDA)

Certifies and contracts community residential service providers. Request the Certified Community Residential Service and Support initial application and instructions at ccrssapplicationsrequest@dshs.wa.gov.

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DSHS Business Analysis and Application Unit (BAAU)

Receives the completed application packet. Mail: ALTSA BAAU, PO Box 45600, Olympia, WA 98504-5600; overnight: 4450 10th Ave SE (Blake West), Lacey, WA 98503.

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Before you apply

What has to be true first

Fourteen policies to read, seventeen for community protection

DDA directs potential supported living providers to review policies 4.02, 5.01, 5.08, 5.14, 5.15, 5.16, 6.02, 6.04, 6.07, 6.09, 6.11, 6.12, 6.14, and 6.19 — plus 15.03, 15.04, and 15.05 to provide community protection services.

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Two rule sets govern the service and the staff

Supported living certification is governed by chapters 388-101 and 388-101D WAC, and supported living staff must follow chapter 388-829 WAC.

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A business license comes first

DDA's step list begins with applying for a business license, then completing the application, then mailing the complete packet to BAAU.

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The application is requested, not downloaded

The Certified Community Residential Service and Support initial application and instructions are requested by emailing ccrssapplicationsrequest@dshs.wa.gov.

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Enrollment

How to enroll in Washington

Read the DDA policies and the governing WACs, apply for a business license, request and complete the CCRSS initial application, and mail the complete packet to the Business Analysis and Application Unit.

  1. Work through the named DDA policies

    Fourteen policies for supported living, and three more for community protection services. DDA presents this as the way to decide whether the work is right for you, not merely as background reading.

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  2. Get familiar with 388-101, 388-101D, and 388-829 WAC

    The first two govern supported living certification; the third governs your staff, including minimum training requirements.

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  3. Apply for a business license

    The first of DDA's three mechanical steps once you have decided to pursue a supported living contract.

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  4. Request and complete the CCRSS application

    Email ccrssapplicationsrequest@dshs.wa.gov for the initial application and instructions.

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  5. Mail the complete packet to BAAU

    ALTSA BAAU, PO Box 45600, Olympia, WA 98504-5600 by US mail, or 4450 10th Ave SE (Blake West), Lacey, WA 98503 for FedEx.

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Service types

What you can be approved to deliver

Supported living

DDA Core WaiverCommunity Protection Program

Instruction and support in the person's own home

Supported living offers instruction and support to people living in their own homes, in integrated settings, with support ranging from a few hours a month up to 24 hours a day. DDA contracts with private agencies and with State-Operated Living Alternatives to deliver it.

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Support levels come from the assessment, not from you

A DDA case resource manager completes the Support Intensity Scale within the DDA Assessment, generating a residential support level from 1 to 6 that is described in the Person-Centered Service Plan.

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Community protection services

Community Protection Program

Three additional policies apply

Providers intending to deliver community protection services must also review DDA policies 15.03, 15.04, and 15.05.

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Training

What your staff must complete

Chapter 388-829 WAC sets the staff minimum

Minimum training includes CPR, first aid, mandatory reporting, and training related to each person's individual needs. Providers may deliver this training themselves or purchase it from another supported living provider.

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Delegated nursing carries extra credentials

Staff providing delegated nursing services must complete Nurse Delegation for Nursing Assistants and be a Nursing Assistant Registered, Nursing Assistant Certified, or Home Care Aide-Certified.

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Timeline & cost

What this actually takes

The reading is the first real cost

Fourteen policies, three WAC chapters, and a staff training program you either build or buy — all before an application exists. Washington treats that reading as the decision point.

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After approval

Staying compliant

Provider-based plans implement the state's plan

Supported living providers write person-centered plans for staff — individual instruction and support plans, individual financial plans, positive behavior support plans, and emergency and cross-systems crisis plans — reflecting the Person-Centered Service Plan the DDA case manager develops.

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DDA publishes a standing resource set for residential providers

Residential provider resources are maintained separately from the potential-provider materials and are what you will operate from once contracted.

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Confirm by phone

What the state does not publish

Washington does not publish these in a form we could verify, so we have not guessed at them. Ask directly — and if an answer here would help other providers, tell us and we will add it with its source.

  • How long does DDA take to review a CCRSS application, and is there an application fee?

    Ask: DDA Community Residential Services, 360-764-9909

  • Is DDA currently contracting with new supported living providers, and in which counties?

    Ask: DDA Community Residential Services, 360-764-9909

  • What background checks does DDA require for supported living staff, and who pays?

    Ask: DDA Community Residential Services, 360-764-9909

  • How does Medicaid provider enrollment through the Health Care Authority sequence against DDA certification?

    Ask: Washington Health Care Authority provider enrollment

Key contacts

Washington provider contacts

Interested in Becoming a Certified Supported Living Provider?

DDA's own orientation document: the policies to read, the WACs, the application steps, and the mailing addresses.

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Residential Provider Resources

Where to request the CCRSS initial application, and the materials current residential providers work from.

360-764-9909Visit site

Information for Service Providers

DDA's provider hub.

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FAQ

Washington provider questions

Where do I download the application?

You do not. Email ccrssapplicationsrequest@dshs.wa.gov to request the Certified Community Residential Service and Support initial application and instructions.

What should I read before applying?

DDA names fourteen of its policies — 4.02, 5.01, 5.08, 5.14, 5.15, 5.16, 6.02, 6.04, 6.07, 6.09, 6.11, 6.12, 6.14 and 6.19 — plus 15.03, 15.04 and 15.05 for community protection services, and chapters 388-101, 388-101D, and 388-829 WAC.

Do I have to provide staff training myself?

Not necessarily. Chapter 388-829 WAC sets the minimum training — CPR, first aid, mandatory reporting, and training for each person's individual needs — and providers may deliver it themselves or purchase it from another supported living provider.

How are a client's support hours decided?

By the state, not by you. A DDA case resource manager completes the Support Intensity Scale within the DDA Assessment, producing a residential support level from 1 to 6 that is reflected in the Person-Centered Service Plan.

Where does the completed application go?

To the Management Services Division's Business Analysis and Application Unit — ALTSA BAAU, PO Box 45600, Olympia, WA 98504-5600, or 4450 10th Ave SE (Blake West), Lacey, WA 98503 for FedEx.

Looking for the family-facing guide? Browse state waiver guides