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DSHS Reorganization: What It Means For Adult Family Homes

The State is once again reorganizing developmental disabilities services under the Developmental Disabilities Administration (DDA). According to DSHS, the purpose of this change is to help preserve federal funding and strengthen the state’s ability to deliver services to people with intellectual and developmental disabilities.

For Adult Family Homes, the most important thing to know is that this is being presented as an administrative reorganization, not a disruption in resident services. DSHS has said that services, providers, and case managers will remain the same, and that existing points of contact should continue during the transition.

Over the past year, providers and families have seen several changes in structure and terminology as developmental disabilities services were moved and renamed within DSHS. The latest update signals that the state is now bringing those services back together under DDA, with leadership emphasizing continuity, community participation, choice in living arrangements, and the development of a provider system that can better meet people’s needs.

For AFH providers serving residents who receive DDA services, this means daily operations should remain stable unless and until DSHS issues more specific guidance. Providers should continue working with the same case managers, following existing service plans, and maintaining current communication practices while monitoring future announcements for any updates that affect referrals, authorization processes, or agency contacts.

This is also a good reminder for AFHs to keep staff informed when agency names or internal divisions change. Even when resident services do not change, shifts in agency structure can create confusion for providers, families, and frontline staff if terminology changes faster than practice.

At this point, the takeaway for Adult Family Homes is straightforward: continue business as usual, stay attentive to DSHS communications, and expect additional clarification as the reorganization moves forward.

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