What Is an Adult Family Home in Washington State?
An adult family home (AFH) is a Washington-licensed residential care setting in a private home — personal care, meals, and 24-hour supervision for up to six adults.
What is an adult family home?
An adult family home (AFH) is a private home licensed by Washington State DSHS to provide care for up to six adult residents. The provider—who typically lives on-site—offers personal care (bathing, dressing, medication management), meals, and 24-hour supervision in a home-like environment. AFHs are regulated under RCW 70.128.
Who regulates adult family homes in Washington?
Washington's Department of Social and Health Services (DSHS), Aging and Long-Term Support Administration (ALTSA), licenses and inspects adult family homes. The DSHS public locator lists all licensed providers at fortress.wa.gov.
Does Medicaid pay for adult family homes?
Yes. Many AFHs hold a Medicaid contract with DSHS and accept clients through the ALTSA Home and Community Services (HCS) program. Contract rates vary by county, classification level, and specialty (e.g., dementia, behavioral health). Not all AFHs accept Medicaid; confirm directly with the provider.
How many residents can an adult family home have?
Washington State licenses adult family homes for up to six residents. Some providers may operate at lower capacity by choice or license condition.