What Is Assisted Living in Washington State?
Assisted living facilities in Washington offer apartment-style housing with personal care and limited health services. Compare to adult family homes and learn about Medicaid coverage and costs.
What is an assisted living facility in Washington?
An assisted living facility (ALF)—also called a boarding home—is a licensed residential care setting that provides housing, meals, personal care, and limited health services to adults who need support but do not require skilled nursing care. They are licensed under RCW 18.20 and regulated by DSHS ALTSA.
What is the difference between an adult family home and assisted living?
Adult family homes serve up to six residents in a private home, while assisted living facilities are typically larger (tens to hundreds of residents) with apartment-style units. Both provide personal care and supervision; ALFs often include more amenities like common dining rooms and activity programs.
Does Medicaid cover assisted living in Washington?
Some assisted living facilities hold DSHS HCS contracts and accept Medicaid clients through the ALTSA program. Medicaid daily rates are set by county and classification. Not every ALF accepts Medicaid; check directly with the facility and confirm eligibility with DSHS.