The Washington Medicaid Alternative Care (MAC) Program provides supportive services to unpaid primary caregivers of elderly Washington residents. The MAC Program is intended to assist the caregiver, help prevent burnout, as well as prevent premature nursing home placements. It does so by helping senior care recipients continue to live in their homes or the homes of a relative. Examples of available benefits include adult day care, durable medical equipment, respite care, personal emergency response systems, and more.
MAC is under the umbrella of the Medicaid Transformation Project Demonstration, and it may be called, informally, the Family Caregiver Support Program. That said, there is a very similar program to MAC also under the Medicaid Transformation Project Demonstration called the Tailored Support for Older Adults (TSOA) Program. Unlike MAC, which is for seniors who are eligible for Medicaid, TSOA is for the elderly who do not qualify financially for Medicaid. However, the services and benefits available through both programs are very similar.
In order to be eligible for this program, there are, age, living arrangement, functional, and financial requirements. There are eligibility criteria that apply to both the care recipient and their caregiver.
Care Recipient Requirements
The care recipient must be receiving Medicaid, which in the state of Washington is also called Apple Health. If one is not currently on Medicaid, they must be found eligible for Medicaid. As of 2022, the income limit for an individual who is aged, blind, or disabled is $841 / month. Couples can have a monthly income up to $1,261, regardless of whether both spouses are applying. (The income limits are consistent to 100% of the Federal Benefit Rate for a household of one and a household of two). Assets (resources) are also limited, and are set at $2,000 for a single individual and $3,000 for a married couple. Certain assets are exempt, meaning they are not counted towards eligibility purposes. These include one’s primary home (there is no equity limit), one automobile, prepaid burial arrangements, and some sentimental items, such as one’s wedding ring.
One should not be frustrated if they are over the income and / or asset limit(s), as this does not equate to automatic Medicaid disqualification. For those over the limit(s), it is highly suggested one consult a professional Medicaid planner, as Medicaid is complicated, and income and / or resources can be reallocated to meet the limits.
A word of caution: Persons over the asset limit must not give away cash, transfer investments to family, or sell valuables cheaply in an effort to “spend down” assets and qualify for Medicaid. This is because Medicaid has a look-back period that doing the above would violate if done within 5 years of one’s application. Learn more here.
Applicants are not able to receive MAC services if they are receiving other long-term care supports via Medicaid.
With the Medicaid Alternative Care Program, a participant can receive as much as $743 per month in the following benefits and services:
One must be receiving benefits from Medicaid in order to be eligible for the Medicaid Alternative Care Program. If not on Medicaid, the care receiver must first apply and be found eligible. To apply for Medicaid, one can do so online through Washington Connection or call the Department of Social and Health Services (DSHS) at 877-501-2233.
Washington’s DSHS website offers additional information about the MAC program, and a downloadable brochure is available here. To apply for MAC, contact your local county Community Living Connections office. Click here to find contact information by county or call 855-567-0252.