Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
What are the Medicaid income and asset limits for home care in Washington?
Last verified October 17, 2026 · All Washington resources
In Washington, the income limit is $2,982/month and the asset limit is $2,000 single. Washington's Medicaid Special Income Level for long-term services and supports is $2,982 a month in 2026, which is 300% of the SSI benefit and the maximum gross income for categorically needy institutional Medicaid. People with higher income can still be covered through medically needy rules. The resource limit for a single person is $2,000, and Washington uses the highest home equity limit federal law allows, $1,130,000. A spouse at home can keep resources up to the state spousal standard ($72,529) or the federal maximum ($162,660) where it applies.
| Program | Washington Apple Health long-term services and supports: COPES and other HCS waivers, Community First Choice (CFC), Medicaid Personal Care, and nursing facility care |
|---|---|
| Income limit (single applicant) | $2,982/month for a single applicant (Medicaid Special Income Level, 300% of the SSI benefit); people over it can qualify as medically needy |
| How income is counted | special income limit (300% SSI) |
| Medically needy spend-down | Yes |
| Asset limit (single) | $2,000 single |
| Asset limit (couple, both applying) | $3,000 couple (medically needy standard) |
| Home equity limit | $1,130,000 |
| Look-back period | 60 months |
What if a married applicant's spouse stays at home?
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Which programs pay for care at home?
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the Washington Medicaid waivers that pay for home care.
How to apply in Washington (Washington State Health Care Authority (HCA) and Department of Social and Health Services (DSHS) Aging and Long-Term Support Administration)
Sources
More for Washington
Medicaid eligibility by state: other states
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