AGING AND DISABILITY SERVICES ADMINISTRATION
Professionals & Providers
Information for our Business Partners, Vendors, Contractors and other interested parties.
Residential Care Services (RCS)
RCS is responsible for the licensing and oversight of adult family homes, assisted living facilities, nursing facilities, intermediate care facilities for persons with intellectual disabilities, and certified residential programs.
Home & Community Services (HCS)
The Home and Community Services (HCS) Division promotes, plans, develops and provides long-term care services for persons with disabilities and the elderly who may need state funds (Medicaid) to help pay for them.
Training Requirements & Classes
- Implementing Initiative 1163

Learn about the required training, certification, and background check requirements resulting from 1163 - 1163 Training Application Forms, Information, and Resources for:
- Adult Family Homes/Boarding Homes
- Home Care Agencies
- DSHS Contracted Community Instructors
Information and Forms for applicants and existing community instructors - Individual Providers
- Supported Living Providers (coming soon)
- Fingerprint-based Background Checks
- Find a Training Class or Instructor in Your Area
- Becoming a Paid Caregiver
- ...more Training & Classes
Nurse Delegation Program
Nursing Assistant Program
Office of Rates Management
The mission of the Office of Rates Management is to design and administer payment systems that support the provision of cost-effective long-term care.
Family Caregiver Assessment and Planning
Other Resources
- Employment Opportunities
- About ADSA (factsheets, reports, laws & regulations, presentations)
- Payment Error Rate Measurement (PERM)
Medicaid providers in Washington may be contacted by a contractor informing you that a claim you submitted has been selected for a federal audit program called Payment Error Rate Measurement (PERM).
