Showing all 1050 licensed adult family homes in Pierce County, WA from the official DSHS record — not just those who pay to be listed. Data sourced 2026-06-17.

Cost of Adult Family Home in Pierce County, WA (2026)

Medicaid rate for adult family homes in Pierce County, WA ranges from $130 to $311 per day ($3,958–$9,459/month) as of 2026-06-17. These are Medicaid reimbursement floors; private-pay rates are set by each facility and vary — confirm directly with the facility.

Senior Care Cost Comparison — Pierce County, WA

All figures are Medicaid reimbursement rates (daily and estimated monthly). Private-pay rates vary; confirm directly with each facility.

Care Type Medicaid Daily Rate Est. Monthly Source Date
Adult Family Home this page $130–$311/day ~$3,958–$9,459/mo 2026-06-17
Assisted Living Facility —
Nursing Home —

Medicaid rates are government reimbursement floors set by DSHS. Private-pay rates are higher and vary by facility — always confirm directly.

What's Typically Included

Adult family homes in Washington are licensed private residences serving up to six residents. The cost generally covers room and board, three daily meals, personal care (bathing, dressing, medication management), and 24-hour supervision. Specialty services — such as memory care, behavioral health support, or enhanced nursing — are contracted separately at higher Medicaid rates and may add to private-pay costs.

Because AFHs are smaller and often owner-operated, services tend to be more individualized. However, availability and amenities vary significantly by home — tour and ask specifically about staffing ratios and what the base rate includes.

How Families Pay for Adult Family Home

  • Medicaid (ALTSA/HCS): Washington's Medicaid program covers contracted adult family homes for eligible residents. Eligibility requires both financial and functional assessments through DSHS.
  • Private pay: Most families pay out-of-pocket initially. Private rates are set by each facility and vary — this site does not have private-pay rate data, so confirm directly with the facility.
  • Long-term care insurance: Policies vary; check your policy terms before assuming coverage.
  • Veterans benefits: VA Aid & Attendance and other VA programs may supplement care costs for eligible veterans and spouses.

Paying for senior care in WA → Sell, keep, or leverage the home? → How we make money / no paid placement →

Every Licensed Adult Family Home in Pierce County 1050 facilities

All facilities listed are licensed by WA DSHS. This is a complete list — not a curated or sponsored selection. Browse with ratings, Medicaid filter & map →

Frequently Asked Questions

How much does adult family home cost in Pierce County?

Medicaid reimbursement rates for adult family homes in Pierce County, WA range from $130 to $311 per day (approximately $3,958–$9,459/month) as of 2026-06-17. These are Medicaid floor rates; private-pay rates are set by each facility and vary — contact facilities directly for private rates.

Does Medicaid pay for adult family home in Pierce County?

Yes, Medicaid (through WA DSHS ALTSA HCS) reimburses contracted adult family homes in Washington, including Pierce County. Eligibility requires both a financial means test and a functional assessment. Not all facilities accept Medicaid; confirm current availability directly with each provider.

Is adult family home cheaper than other senior care types in Pierce County?

Adult Family Homes in this area start around $130/day (~$3,958/month) on Medicaid. All figures are Medicaid reimbursement rates — private-pay rates vary and must be confirmed directly with each facility.

Source: Medicaid rates from WA DSHS ALTSA HCS rate workbook (captured 2026-06-17). Facility list from the WA DSHS public locator. Informational only — not affiliated with WA DSHS or CMS. Always verify information directly with facilities and WA DSHS ALTSA before making care decisions. Data reflects the capture dates shown and may not be current.