Washington Respite Care Agency Policy Manual

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The Washington Respite Care Agency Policy Manual provides a comprehensive operational framework for agencies delivering respite care services to individuals with disabilities, chronic conditions, or aging-related needs—and their caregivers—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 supports services funded through Medicaid Home and Community-Based Services (HCBS) waiver programs, the Community First Choice (CFC) program, and Lifespan Respite Washington. The manual includes policies and procedures governing agency enrollment and licensure, participant and caregiver eligibility, referral and intake, person-centered respite planning, in-home and out-of-home service models, emergency respite procedures, staff qualifications and training, participant rights and protections, infection control, emergency preparedness, documentation and billing, incident reporting, and quality assurance. It emphasizes short-term, flexible relief for unpaid caregivers while maintaining the safety, dignity, and care continuity of the care recipient. This manual serves as a foundational resource for respite care providers in Washington, ensuring the delivery of high-quality, compliant, and compassionate services that reduce caregiver stress, support family stability, and promote independent community living for individuals receiving care.