STATE PROFILE • Last updated: April 23, 2026
Washington Elder Care & Medicaid
Washington's Apple Health offers comprehensive long-term care support for seniors, featuring an entitlement-based Home and Community-Based Services waiver and a robust Medically Needy pathway for those with higher incomes.
leaderboard
RANKED #34
GRADE C
FEATURED
Medicaid Coverage Guide for Washington
Full breakdown of COPES (Community Options Program Entry System) for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
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Program
COPES (Community Options Program Entry System)
Income cap
$2,982/mo
Medically-needy
Yes
Elder Care Index Report Card
5-pillar composite scoring vs other states
C
Grade
AFFORDABILITY
MODERATE
QUALITY
MODERATE
STAFFING
CRITICAL
ACCESS
CRITICAL
MEDICAID SUPPORT
STRONG
Composite score: 49.1 / 100
Methodology arrow_forward
Washington At a Glance
Nursing Home Facilities
194
Senior Medicaid Waivers
2
National Rank
#34 / 51
Senior Care Costs in Washington
holiday_village
Assisted Living
$6,000/mo
+30.7% vs national avg
View Assisted Living Guide arrow_forward
local_hospital
Nursing Home
$13,095/mo
+18.6% vs national avg
View Nursing Home Guide arrow_forward
psychology
Memory Care
$7,500/mo
+30.7% vs national avg
View Memory Care Guide arrow_forward
home_health
Home Health Aide
$33/hr
+22.2% vs national avg
View Home Health Aide Guide arrow_forward