№ files_lp_4_process_3_063619
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This is an application form for instructors seeking approval to offer DSHS Adult Education training to long-term care workers in Washington State.
Year:
2023
Region / City:
Washington State
Theme:
Adult Education
Document Type:
Application Form
Organization / Institution:
DSHS (Department of Social and Health Services)
Author:
DSHS
Target Audience:
Adult Education Instructors, Long-Term Care Workers
Effective Period:
Ongoing
Approval Date:
Not specified
Date of Changes:
Not specified
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2025
Region / city:
Washington State
Subject:
Client overpayment procedures, forms, and submission process
Document type:
Policy & Procedure Bulletin
Organization:
Department of Social and Health Services (DSHS), Home and Community Services Division (HCS), Developmental Disabilities Community Services Division (DDCS)
Author:
Catherine Kinnaman, Kris Pederson
Target audience:
Home and Community Services Division Regional Administrators, Developmental Disabilities Community Services Regional Administrators, Area Agency on Aging Directors
Period of validity:
From December 24, 2025
Approval date:
December 24, 2025
Date of changes:
December 2025
Year:
2023
Organization:
Washington State Department of Social and Health Services (DSHS)
Program:
HCS Public Records Program
Document Type:
Policy/Procedural Guidance
Author:
Cynthia Mitchell, HCS Public Records Program Manager
Audience:
DSHS Employees, Records Coordinators, Custodians
Related Laws:
RCW 40.14, Administrative Policies 5.02, 5.04, 5.05, 5.07
Scope:
Record retention, public disclosure, legal holds, and case management procedures
Revision History:
Included in document
Year:
2026
Region / City:
Washington State, USA
Topic:
Interagency Partnerships and Memoranda of Understanding
Document Type:
Meeting Notes
Organization / Agency:
DSHS, ADSA, DD, HCS, PAVEC, AAA, ADRC
Participants:
Janet Adams, Emily Berndt, Pat Buff, Mark Hammond, Heather Hebdon, Cathy Knight, Kara Panek, Linda Porter, Bob Riler
Target Audience:
State and local agency staff involved in ADRC partnerships
Date of Meeting:
2026
Purpose:
Discussion of MOU structure, partnership prioritization, and next steps
Scope:
Statewide and local agency collaboration, information sharing, referral coordination, and partnership development
Topics Covered:
MOUs with DSHS divisions, other state agencies, statewide organizations, local ADRC partnerships, advocacy groups, data sharing, and coordination challenges
Year:
2013
Region / City:
Washington, USA
Subject:
Virtual Workplace, IT Access
Document Type:
User Guide
Agency / Institution:
Department of Social and Health Services (DSHS)
Author:
Department of Social and Health Services
Target Audience:
DSHS staff and contractors
Effective Period:
Ongoing
Approval Date:
N/A
Modification Date:
N/A
Note:
Year
Document Type:
Bid Submission Letter
Date:
April 27, 2023
Region / City:
Washington, Olympia
Subject:
DSHS 14-012 Consent Form revision
Type of document:
Information Bulletin
Organization:
Department of Social and Health Services (DSHS), Aging and Long-Term Support Administration
Author:
Catherine Kinnaman, Beth Krehbiel
Target audience:
Area Agency on Aging (AAA) Directors, HCS Division Regional Administrators, DDA Regional Administrators
Effective period:
From April 27, 2023, with updates after June 30, 2023
Approval date:
April 27, 2023
Modification date:
March 2023
Year:
2025
Region / City:
Texas
Topic:
Federal and state funding application
Document Type:
Form
Organization / Institution:
Department of State Health Services (DSHS)
Author:
Unknown
Target Audience:
Entities applying for federal or state funding through DSHS
Period of Action:
4/1/2025 – 03/31/2026
Approval Date:
Unknown
Date of Changes:
Unknown
Year:
2024
Region / City:
Washington
Topic:
Nursing Assistant Training
Document Type:
Bulletin
Organization / Institution:
Department of Social and Health Services, Washington State
Author:
Catherine Kinnaman, Jaime Bond, Amy Abbott
Target Audience:
Contracted Home Care Agencies, Consumer Direct Care Network, Area Agency on Aging Directors, Home and Community Services Regional Administrators, Developmental Disabilities Administration Regional Administrators, Residential Care Services Regional Administrators
Period of Action:
From September 1, 2025
Approval Date:
November 25, 2024
Date of Changes:
November 25, 2024
Context:
Document providing updates on new eligibility for Nursing Assistant training programs to issue Department of Health and Washington State Board of Nursing certificates for specialty training in developmental disabilities, dementia, and mental health for long-term care workers.
Year:
2024–2027
Region:
Washington State, USA
Document Type:
Application Guidelines
Issuing Agency:
Department of Social and Health Services (DSHS)
Target Audience:
Organizations applying for prevention project funding
Initial Contract Period:
January 1, 2024 – June 30, 2025
Full Project Period:
January 1, 2024 – June 30, 2027
Scoring Total:
102 points
Eligibility Criteria:
Washington Small Business or Certified Veteran-Owned Business
Submission Requirements:
Proposed Project Worksheet, Proposed Project Summary, Agency Capacity and Expertise, Budget
Application Components:
Applicant Certifications, Project Worksheets, Project Summary
Guidance Reference:
Notice of Funding Opportunity
Program:
Specialized Dementia Care Program (SDCP)
Agency:
Washington State Department of Social and Health Services (DSHS)
Division:
Home and Community Services (HCS)
Form Number:
DSHS 14-534
Revision Date:
10/2019
Related Regulation:
WAC 388-106-0033
Service Setting:
Assisted Living Facilities with EARC-SDC contract
Subject:
Eligibility determination for specialized dementia care services
Required Diagnosis:
Irreversible dementia confirmed by health care practitioner
Eligibility Criteria:
Functional and financial eligibility or Fast Track status
Assessment Tool:
CARE (Comprehensive Assessment Reporting Evaluation)
Submission Method:
Email to [email protected]
Responsible Staff:
Social Worker / Case Manager
Approval Authority:
SDCP Program Manager
Year:
2026
Region / City:
Washington State, USA
Subject:
Home and Community-Based Services, Environmental Modifications
Document Type:
Guidelines / Provider Instructions
Organization:
Department of Social and Health Services (DSHS)
Target Audience:
Prospective DSHS service providers, contractors
Application Requirements:
Completed intake forms, documentation of past performance, current business license, insurance certificate, staff qualifications, background checks
Legal References:
RCW 18.27, RCW 43.43.830–43.43.845, Chapter 74.39A RCW, Chapter 388-106 WAC, Chapter 388-71 WAC
Period of Validity:
Until superseded or updated by DSHS
Submission Details:
Send signed attestation form with required documentation to appropriate Area Agency on Aging (AAA)
Year:
2020
Region / State:
Washington
Type of Document:
Informational notice / Benefit guide
Agency:
Department of Social and Health Services (DSHS)
Programs:
TANF, Refugee Cash, ABD Cash, Diversion, Basic Food, FAP, WASHCAP, Transitional Food Assistance
Intended Audience:
Eligible residents and households receiving public assistance
Usage Restrictions:
Cash grants must be used for household needs; food benefits must be used for eligible household members
Legal References:
RCW 74.04.770, 74.08.580, 74.12.260, 9.46, 67.16, 67.70
Penalty Measures:
Repayment of benefits, disqualification, criminal prosecution, appointment of protective payee
Document Format:
Written notice with signature acknowledgment
Year:
2026
Organization:
Division of Vocational Rehabilitation (DVR), Department of Social and Health Services (DSHS)
Document Type:
Checklist
Purpose:
Subcontractor approval verification
Intended Audience:
Contractors and subcontractors providing services under DSHS contracts
Contract Number:
[to be filled by contractor]
Contracted Services:
[to be filled by contractor]
Required Compliance:
Staff qualifications, liability insurance, confidentiality, data security, background checks
Signatures Required:
Contractor, DVR Approving Manager
Regulatory References:
General Terms and Conditions, Special Terms and Conditions, Data Security Requirements Exhibit
Year:
2021
Region / City:
Not specified
Topic:
Aviation licensing
Document Type:
Application form
Authority / Institution:
CAA-B
Author:
Not specified
Target Audience:
Aviation professionals and applicants for flight instructor or pilot licenses
Effective Period:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2024
Region / City:
United States
Topic:
Teaching effectiveness, self-reflection, course documentation
Document type:
Guide
Institution:
KU Center for Teaching Excellence
Author:
KU Center for Teaching Excellence
Target audience:
Instructors, faculty members
Period of validity:
Ongoing
Approval date:
June 2024
Date of last modification:
June 2024
Year:
2023
Region / City:
Global
Topic:
Networking / Cisco IOS Configuration
Document Type:
Lab Manual
Organization / Institution:
Cisco
Author:
Cisco
Target Audience:
Network Administrators / Networking Professionals
Effective Period:
Ongoing
Approval Date:
N/A
Modification Date:
N/A
Year:
2023
Region / City:
Global
Topic:
Networking, VLAN Configuration, Security
Document Type:
Guide
Author:
Cisco Networking Academy
Target Audience:
Network administrators, students in networking courses
Period of Validity:
Ongoing
Approval Date:
N/A
Modification Date:
N/A
Year:
2026
Region / City:
N/A
Topic:
Network Troubleshooting, IP SLA, Netflow, HSRP
Document Type:
Lab Manual
Organization / Institution:
Cisco
Author:
N/A
Target Audience:
Network administrators, instructors
Period of Action:
N/A
Approval Date:
N/A
Date of Changes:
N/A
Year:
2023
Region / City:
Not specified
Topic:
Network Configuration, BGP
Document Type:
Lab Manual
Organization / Institution:
Cisco
Author:
Not specified
Target Audience:
Network Engineers, Students
Effective Period:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified