Streamlining Access to Home and Community-Based Services: Lessons from Washington

States seek to streamline access to HCBS in order to expedite and simplify the experience of consumers seeking services so that they receive the services they need in community settings, preventing or delaying the need for institutional care. The design of the Washington long-term support system for older adults and people with physical disabilities provides examples for other states interested in simplifying or expediting access to long-term supports.