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Medicaid Transformation Project (TSOA/MAC)

The Tailored Supports for Older Adults (TSOA) and Medicaid Alternative Care (MAC) are two programs under MTPD, and both have the same goal: To provide supports to help keep individuals in their homes and out of a nursing home, assisted living facility, or long-term care facility. The eligible person needing care may live alone or live with an unpaid caregiver/helper. The TSOA and MAC programs can also provide supports to these unpaid caregiver/helpers, providing supports to help them continue to provide care, while also focusing on their own health and well-being. TSOA and MAC are free to participate in without recovery or penalty.

Note: A “caregiver” is a helper. This can be any person who provides supports, even minimally, and does not need to be a spouse or family member. Providing personal care is not required.

Contact Information:

ADR Resource Line



5026 196th St SW
Lynnwood, WA 98036

8:00 a.m. to 4:30 p.m.
Monday through Friday