Nutrition and the Home Bound Elderly “Currently, in Washington State, under the COPES Medicaid Waiver, for every home delivered meal that someone receives, they “lose” ½ hour of caregiver time. This is not the case in all states. The Washington Association of Senior Nutrition Programs would like to make the case to the Aging and Long Term Support Administration that providing nutritious food can actually improve client outcomes and reduce healthcare costs. In order to do this, we need data to support our case.”