Option—Flexibility—Title XIX of the federal social security act.
A valuable option available to Washington state to achieve the goals of RCW
74.39.001 and
74.39.005 is the flexibility in personal care and other long-term care services encouraged by the federal government under Title XIX of the federal social security act. These services include options to expand community-based long-term care services, such as adult family homes, congregate care facilities, respite, chore services, hospice, and case management.