WA Cares Fund
The Office of the State Actuary (OSA) is responsible for providing recommendations to the Long-Term Services and Supports (LTSS) Trust Commission and the Legislature on actions necessary to achieve and maintain trust solvency.
This webpage provides readers with actuarial work products completed by the Office of the State Actuary (OSA), Milliman, or LTSS Trust Commission in support of the WA Cares Fund. In addition, OSA will perform actuarial valuations of the WA Cares Fund beginning in 2024 (the LTSS trust fund was renamed the WA Cares Fund in April 2021).
OSA Reports & Resources
OSA reports and resources are typically updated annually.
Commentary on Actuarial Analysis
Summary of Key Results and Commentary from OSA on Milliman's 2024 Valuation. 
Commentary on 2024 Actuarial Analysis, December 2024
Frequently Asked Questions
Frequently asked questions regarding the WA Cares Fund actuarial projections. OSA WA Cares Fund FAQ, Coming Soon!
Summary Report
Summary analysis and commentary from the OSA on Milliman’s 2022 Study.
Executive Summary of 2022 Actuarial Analysis, January 2023
Solvency Reports
Recommendations from OSA to the LTSS Trust Commission and the Legislature on actions necessary to achieve and maintain trust solvency. OSA Report on LTSS Trust Solvency, 2024
Recommendations from OSA to the LTSS Trust Commission and the Legislature on actions necessary to achieve and maintain trust solvency. OSA Report on LTSS Trust Solvency, 2023
Recommendations from OSA to the LTSS Trust Commission and the Legislature on actions necessary to achieve and maintain trust solvency. OSA Report on LTSS Trust Solvency, 2022
Recommendations from OSA to the LTSS Trust Commission and the Legislature on actions necessary to achieve and maintain trust solvency. OSA Report on LTSS Trust Solvency, 2021
Milliman Actuarial Studies / Reports
This work is performed at the request of the LTSS Trust Commission and the Legislature to support evaluating policy changes and better understand program solvency. Analysis from Milliman is published as soon as publicly available.
2024
Actuarial Valuation
Milliman’s June 30, 2024, analysis reflecting early premium collection experience, refreshed modeling assumptions, and updated program design. 2024 WA Cares Fund Actuarial Valuation
2023
Milliman’s modeling of alternative program packages to assess feasibility of adjusting the program to feature portability of benefits. Potential Program Changes with Portability of Benefits, October 2023
Milliman’s preliminary analysis comparing probability of benefit utilization under different benefit eligibility definitions. HIPAA Benefit Eligibility Threshold Analysis, May 2023
Milliman’s analysis reflecting a fully voluntary WA Cares Fund. Fully Voluntary Modeling, December 2023
Milliman’s analysis on migration metrics, assumptions and methodology supporting the 2022 Baseline Analysis. Migration Supporting Analysis, May 2023
2022
Milliman’s analysis updated the 2020 study to refresh underlying modeling assumptions and reflect more up-to-date program parameters. 2022 WA Cares Fund Actuarial Study
Milliman’s analysis on four alternative program features. 2022 Additional Modeling Requests, November 2022
Milliman’s feasibility analysis on portable benefits. Portability Workgroup Analysis, November 2022
Millman’s analysis on premium impacts of various scenarios to include current near retirees. Analysis of Near Retirees Modeling Alternatives, January 2022
Milliman’s analysis on preliminary feasibility analysis – private market opt-out recertification. Recertification Analysis, September 2022
Milliman’s analysis updating the 2020 study to incorporate private market exemption data through March 3, 2022. Base Plan Updated to Reflect ESD Opt-Out Data, April 2022
2021
Millman’s analysis on premium impacts of voluntary opt-out for military spouses and certain veterans. Analysis of Voluntary Military Opt-Outs, December 2021
Milliman’s analysis on the financial impact to the Washington Medicaid program due to the WA Cares Fund.WA Cares Fund Savings for the Medicaid Program, November 2021
LTSS Trust Commission Risk Management
The WA Cares Fund Risk Management Framework was approved by the LTSS Trust Commission on November 10, 2021, and includes information on the following:
- Funding goal (desired outcomes for the program)
- Risk management approach (to support the funding goal)
- Risk management reporting and metrics (to support and inform the approach)
- Response strategies (when the funding goal is not met or is threatened)
- Sharing the risk management framework with other entities.
LTSS Trust Commission Risk Management Framework, November 2021