Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Washington State Department of Social and Health Services (DSHS) – Home & Community Services (HCS) Imaging Hub / ALTSA HIU Imaging Hub. Before sending anything sensitive, confirm the number and receiving department directly with Washington State Department of Social and Health Services (DSHS) – Home & Community Services (HCS) Imaging Hub / ALTSA HIU Imaging Hub, and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.

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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

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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

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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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