ALTSA Tribal Affairs

Consumer Directed Employment Roundtables and Consultation for the August 2018 are now available to review.

November 2018: The Annual Tribal - ALTSA - HCS - AAA Summit will be taking place on November 1st and 2nd at the Great Wolf Lodge in Centralia, WA.  For more information and a link to online registration, please see the Summit Registration Flyer and the Invitation to Tribal Leaders.

Upcoming Events

November 2018: Annual Tribal - ALTSA - HCS - AAA Summit

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ALTSA is a national leader in meeting the needs of older people and people with physical disabilities in their own homes and in community residential settings. The Administration investigates allegations of abuse, abandonment, neglect and exploitation of vulnerable adults. It oversees quality of care in licensed residential facilities and supports clients who are deaf and hard of hearing in Washington State.

By developing working relationships with Tribes and Recognized American Indian Organizations (RAIOs) and existing LTSS partners and providers such as state and local government and private contractors, we believe the goal of comprehensive, culturally relevant service delivery can be achieved. 

Learn more about ALTSA.

Communications, Consultations, and Meetings

Dear Tribal Leader Letters for 2018

Date Subject
August 3, 2018 Consumer Directed Employer Project Roundtables and Consultation
May 29, 2018 Lifespan Respite WA Request for Proposals
May 1, 2018 Washington State Senate Bill (SB) 5736: An ACT concerning the expansion of nutrition programs for older adults
April 3, 2018 Passage of Washington State Senate Bill 6199. Request for Tribal representative on the Consumer Directed Employer Strategic Development Group.
April 2, 2018 Enacted 2018 Supplemental Budget


ALTSA-DDA IPAC Subcommittee Meetings

Meeting Date Agenda Handouts Minutes
December 11, 2018: 9am - 12pm Agenda Handouts Minutes
November 13, 2018: 9am - 12pm Agenda Handouts Minutes
October 9, 2018: 9am - 12pm Agenda Handouts Minutes
September 11, 2018 Agenda Handouts Minutes
August 14, 2018 Agenda Handouts Minutes
July 10, 2018 Agenda Handouts Minutes
June 12, 2018 Agenda   Minutes
May 8, 2018 Agenda   Minutes
April 10, 2018 Agenda   Minutes
March 13, 2018 Agenda   Minutes
February 13, 2018 Agenda   Minutes
January 9, 2018 Agenda   Minutes

Regional Tribal Desk Manuals

Region Tribes and RAIOs Counties
Region 1 Colville, Kalispel, Spokane, Yakama, American Indian Community Center, and NATIVE Project. Adams, Asotin, Benton, Chelan, Columbia, Douglas, Ferry, Franklin, Garfield, Grant, Kittitas, Klickitat, Lincoln, Okanogan, Pend Oreille, Spokane, Stevens, Walla Walla, Whitman, Yakima.
Region 2 Lummi, Nooksack, Samish, Tulalip, Sauk-Suiattle, Stillaguamish, Swinomish, Upper Skagit, Muckleshoot, Snoqualmie, Seattle Indian Health Board, United Indians of All Tribes Foundation and Chief Seattle Club. Island, San Juan, King, Skagit, Snohomish, Whatcom.
Region 3 Hoh, Jamestown S'Klallam, Lower Elwha Klallam, Makah, Quileute, Port Gamble S'Klallam, Suquamish, Chehalis, Cowlitz, Nisqually, Puyallup, Quinault, Skokomish, Shoalwater Bay, Squaxin Island, South Puget Intertribal Planning Agency, Small Tribes of Western Washington. Clallam, Jefferson, Kitsap, Clark, Cowlitz, Grays Harbor, Lewis, Mason, Pacific, Pierce, Skamania, Thurston, Wahkiakum.

ALTSA Long Term Services and Supports

ALTSA offers services that support elders and adults with disabilities to remain independent and supported in their home.  Services are coordinated to respond to health, social and personal care needs of individuals with chronic conditions or disabilities that limit the ability for self-care. Often the eligible person has caregivers that may also be eligible for supports.

Program Information


Centers for Medicare and Medicaid Services, American Indians/Alaska Native

Contact Us

Marietta Bobba, Tribal Affairs Administrator


Phone: 360-725-2618

Ann Dahl, Money Follows the Person Tribal Initiative Project Manager


Phone: 360-725-3489

Money Follows the Person Tribal Initiative

Money Follows the Person Tribal Initiative (MFPTI) is a Centers for Medicare and Medicaid funded initiative through the Money Follows the Person Rebalancing Demonstration. Learn more about the initiative, our goals and upcoming meetings. (link)

Contracting with ALTSA and Area Agencies on Aging

DSHS is committed to working with federally recognized Tribes in Washington to achieve mutual goals between sovereign governments. Through the 1989