Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Washington State Department of Social and Health Services (DSHS) – Home & Community Services (HCS) Imaging Hub / ALTSA HIU Imaging Hub before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Washington State Department of Social and Health Services (DSHS) – Home & Community Services (HCS) Imaging Hub / ALTSA HIU Imaging Hub fax number

(855) 635-8305

Home & Community Services (HCS) — Imaging Hub (ALTSA HIU Imaging Hub)

Used for: Submission of Long-Term Services and Supports (LTSS) applications and related documents to the HCS imaging hub for processing and routing (e.g., LTSS/Apple Health applications).

Fax destination details

Department
Home & Community Services (HCS) — Imaging Hub (ALTSA HIU Imaging Hub)
Purpose
Submission of Long-Term Services and Supports (LTSS) applications and related documents to the HCS imaging hub for processing and routing (e.g., LTSS/Apple Health applications).
Form
Long-Term Services and Supports (LTSS) application — Application for Long-Term Services and Supports (LTSS) – WA Form 18-005
Address
DSHS HCS Imaging Hub, PO Box 45826, Olympia, WA 98504-5826
Voice phone
(360) 533-9222

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fill out the LTSS application and fax to the HCS imaging hub at 1-855-635-8305; mail to DSHS-HCS, PO Box 45826, Olympia, WA 98504-5826.

Official form instructions are published as a downloadable file on the organization's website.

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