Washington Personal Assistance Agency Policy Manual

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The Washington Personal Assistance Agency Policy Manual provides a comprehensive operational framework for agencies delivering non-medical personal care services to individuals with disabilities, chronic illnesses, and aging-related needs across Washington State. This manual aligns with the regulations established by the Washington State Department of Social and Health Services (DSHS), including the Aging and Long-Term Support Administration (ALTSA) and the Developmental Disabilities Administration (DDA). It also ensures compliance with Medicaid-funded programs such as the Community First Choice (CFC) program and other Home and Community-Based Services (HCBS) waiver supports. The manual includes policies and procedures governing agency licensing and enrollment, participant eligibility and assessment, person-centered service planning, assistance with activities of daily living (ADLs) and instrumental activities of daily living (IADLs), staff qualifications, training, and supervision, participant rights and protections, infection control, emergency preparedness, documentation and billing, incident reporting, and quality assurance. It emphasizes flexible, in-home support services that help individuals maintain their health, independence, and quality of life while remaining in the least restrictive environment—their home. This manual serves as a foundational resource for personal assistance providers in Washington, ensuring the delivery of high-quality, compliant, and person-directed services that promote autonomy, safety, and community integration.