Department of Social and Health Services.  The Department of Social and Health Services (DSHS) offers a number of programs including administering a number of public benefit programs including the Aged, Blind, or Disabled Cash Assistance Program (ABD), determining eligibility for a referral to the Housing and Essential Needs Referral Program (HEN), and administering the Pregnant Women Assistance Program (PWA), among other things.
 
Aged, Blind, or Disabled Cash Assistance Program.  ABD is a state-funded program that provides cash assistance and a referral to HEN to eligible low-income individuals who are age 65 or older, blind, or determined likely to meet supplemental security income (SSI) disability criteria based on an impairment or impairments expected to last at least 12 consecutive months. ABD provides maximum monthly cash grants of $417 for a single individual, or $528 for a married couple. ABD recipients are also eligible for assistance applying for SSI benefits.

ABD is available to Washington residents who:

• are age 65 or older, blind, or have a long-term medical condition that is likely to meet federal disability criteria;
• are at least 18 years old, or, if under 18, a member of a married couple;
• meet income and resource requirements; and
• meet citizenship or alien status requirements.

 
Housing and Essential Needs Referral Program. HEN is a state-funded program that provides access to essential needs items, and potential rental assistance for low-income individuals who are unable to work for at least 90 days due to a physical or mental incapacity, or both. While DSHS determines eligibility for referral to HEN, actual eligibility for rental assistance and essential needs items is determined by the Department of Commerce (Commerce) through a network of homeless and homeless prevention service providers. HEN may include limited rent and utility assistance, move-in costs, personal health and hygiene items, cleaning supplies, and transportation assistance.

A HEN referral may be available for Washington residents who:

• are unable to work for at least 90 days due to a physical or mental incapacity;
• are at least 18 years old, or, if under 18, legally emancipated or a member of a married couple;
• meet income and resource requirements; and
• meet citizenship or alien status requirements.    

 
A person may receive both HEN and ABD benefits concurrently while they have an application pending for federal SSI benefits. The monetary value of ABD benefits that is subsequently duplicated by the person's receipt of SSI for the same period, are considered a debt due to the state and must be repaid.

Pregnant Women Assistance Program. PWA provides cash assistance and a referral to HEN to pregnant individuals who are not eligible to receive federal aid assistance other than basic food benefits or medical assistance, and are in need based on current income and resource standards for the Temporary Assistance for Needy Families Program (TANF), but are ineligible for a reason other than a failure to cooperate with TANF rules.

Certain persons are not eligible for ABD, PWA, and HEN benefits, including those who refuse or fail without good cause to participate in substance use disorder (SUD) treatment when assessed as needing treatment by a SUD professional. Good cause includes when a person's physical or mental condition prevents participation in SUD treatment, when needed outpatient treatment is not available in the person's county, or when needed inpatient treatment is not available in a reasonably accessible location. 

Temporary Assistance for Needy Families, State Family Assistance, and Refugee Cash Assistance. TANF is a federally funded program that provides cash assistance to parents or caregivers with children and pregnant individuals to help meet foundational needs.  Persons who are caring for a relative's child, are legal guardians, or who are acting in the place of a parent, are also able to apply for TANF benefits on behalf of these children.  Benefits under TANF are limited to 60 months, with some exceptions, and are available to people who meet certain income and resource limits and meet citizenship criteria.  The State Family Assistance Program (SFA) provides state-funded cash assistance for legal immigrant families, students ages 19 to 20, and pregnant individuals who are ineligible to receive TANF benefits.  The Refugee Cash Assistance Program (RCA) provides up to 12 months of cash assistance for newly arrived single and married adults who are ineligible for TANF.
 
Federal Poverty Level. The United States Department of Health and Human Services establish poverty guidelines that are used to determine financial eligibility for certain programs.  Updated guidelines are available annually in mid-January.  The federal poverty level for a single person is $1,215 monthly, and for a two person household is $1,643 monthly.

Changes and clarifications are made to ABD, HEN, and PWA including:

• income eligibility standards for HEN and ABD are placed in rules, rather than statute and may not exceed 100 percent of the federal poverty level;
• effective October 1, 2023, ABD recipients who subsequently receive SSI benefits for the same period are not required to repay ABD benefits;
• the provisions outlining eligibility for ABD benefits are modified to reflect that a person is eligible for ABD benefits when they are ineligible for SSI, RCA, TANF, or SFA benefits and meet other criteria, rather than when they are ineligible for federal aid assistance other than basic food and medical assistance; and

• the provisions outlining eligibility for PWA are modified to reflect that a person is eligible when they are in need, but ineligible for SFA benefits, in addition to TANF benefits, and meet other criteria, rather than when they are ineligible for most federal assistance programs.

The list of good cause reasons for failing to participate in SUD treatment as a condition of ABD, PWA, or HEN program eligibility is expanded.  Good cause exists when the person is a parent or other relative personally providing care for a minor child or an incapacitated individual living in the same home as the person, and childcare or day care that would be needed for the person to participate in treatment is not available.