Washington bets on AI companionship: Medicaid now covers an eldercare robot
Washington just made history: the state will now pay for an AI robot companion under Medicaid — the first such statewide coverage in the country, according to Intuition Robotics.
The state Department of Social and Health Services announced Tuesday that ElliQ, an AI-powered social robot developed by Intuition Robotics, will be available as a Smart Care Device through Medicaid Community First Choice and Roads to Community Living programs. The programs serve low-income adults with disabilities or long-term care needs who are trying to stay in their homes rather than move to nursing facilities.
The announcement marks a significant milestone in the convergence of AI and eldercare — and a test case for whether a robot can meaningfully address the loneliness epidemic among seniors.
"Our mission is to empower older adults with technology that fosters well-being and connection. Washington leadership in making ElliQ available through Medicaid sets a national precedent," said Intuition Robotics CEO Dor Skuler.
The numbers behind the pilot
Washington has been testing ElliQ through a pilot program run by the Olympic Area Agency on Aging, covering parts of Grays Harbor and Pacific counties. The results:
The 2023 advisory from the U.S. Surgeon General flagged social isolation as a serious public health risk, linked to cognitive decline, heart disease, and higher healthcare costs. ElliQ is designed to address exactly that — proactively engaging seniors, offering medication reminders, facilitating family check-ins, and nudging them toward wellness activities.
The human story
The New York Times profiled Jan Worrell, 85, who lives alone on the Washington coast near the Pacific border. After her husband died, she sometimes went days without seeing another person. Firefighters delivered an ElliQ to her home as part of the pilot. Her first reaction, according to the Times: "It," she said. Not her. "This thing is a robot, right?"
Within weeks, the robot had become part of her daily life.
The annual cost per user in the pilot was roughly $700 — a fraction of the $50,000-plus per year for nursing home care. Washington Medicaid is betting that keeping seniors engaged and healthy at home is both better for patients and cheaper for the system.
The company
Intuition Robotics was founded in 2016 by Dor Skuler, Itai Mendelsohn, and Roy Amir. The company has raised $83 million in funding, including a $25 million round announced last year, with investors including OurCrowd, Bloomberg Beta, and iRobot. Skuler has estimated the total addressable market at $128 billion, according to company estimates.
ElliQ is a tabletop device with a camera, microphone, and screen. Unlike a smart speaker, it proactively initiates conversation. It remembers preferences, tracks wellness activities, and can connect users with family members or services. It does not work for people with advanced dementia or Alzheimer.
The bigger question
Washington's move raises the stakes for AI in eldercare. If a robot companion can demonstrably reduce loneliness and Medicaid is now paying for it, does that open the door for other AI health tools? Does it solve the caregiver shortage, or does it just paper over it? And what happens to the human connection that eldercare has always depended on?
For now, the state is betting yes. Eligible Medicaid recipients in Washington can learn more at eliq.com/dshs.
Sources: PR Newswire (March 18, 2026), New York Times (February 12, 2026), U.S. Surgeon General Advisory (2023), Olympic Area Agency on Aging pilot data