In 2016, Washington was the first state approved to provide supportive housing and supported employment benefits via a Medicaid 1115 demonstration.  The program, known as Foundational Community Supports, launched in January 2018 and has served more than 40,000 individuals by over 200 statewide contracted providers. Washington has administered 1115 waiver-funded housing-related services for over six years, a state-funded Transition Assistance Program (TAP) for nearly two years, and has taken steps to fold in CMS-funded short-term rental assistance through Money Follows the Person (MFP) within the state’s Aging and Long-Term Support Administration (ALTSA) subsidy and the newly approved Health Related Social Needs (HRSN) services framework under its renewed 1115 waiver.  With a commitment to Housing First, Washington seeks to design a continuum of housing options to support the needs of people where they are, to facilitate movement within the housing continuum to effectively serve more people, and to increase funding to develop or expand all types of housing and services. As a part of the Accelerator and other initiatives, Washington seeks to expand partnerships with public housing agencies to develop programs that create pathways to community housing options and promote social inclusion, community integration, and housing choice. Through the 12-month Accelerator, Washington hopes to develop a pilot that can be scaled over the two-year period. The team is led by the state's Medicaid agency and includes partners from ALTSA's office of housing and employment and the state Department of Commerce's Office of Apple Health & Homes, with support from key stakeholders in the aging and disability networks and housing and homelessness services providers.