How Do I Find a Medicaid Adult Family Home in Washington?
Step-by-step guide to finding a Medicaid-contracted adult family home in Washington — DSHS locator resources, ALTSA eligibility steps, rates by county, and key questions to ask providers.
How do I find a Medicaid adult family home in Washington?
Start by contacting your local DSHS HCS office to determine eligibility for the ALTSA program. Once approved, you can search this site by county for AFHs that show 'Medicaid contract: Yes,' or use the DSHS public locator at fortress.wa.gov. Always verify current Medicaid availability directly with each provider, as contract status can change.
What is the Medicaid daily rate for adult family homes in Washington?
DSHS publishes HCS Medicaid rates in its All_HCS_Rates.xlsx workbook (updated each fiscal year). Rates vary by county, classification level, and specialty contract (e.g., dementia, behavioral health). Base rates for King County have historically ranged from approximately $80 to $130 per day. See county pages on this site for the most recently captured rates.
What questions should I ask an adult family home?
Key questions include: Is your Medicaid contract currently active? What is your current resident capacity and vacancy? What care levels and specialties are you licensed for? Are staff certified in dementia care? What is your inspection history? Always request to see the facility's DSHS inspection report and any deficiency notices before placing a family member.