
MCO SBS/CBHS Update and
Call to Action
Throughout June, AFHC participated in three settlement bargaining sessions with DSHS, OFM, and the Health Care Authority (HCA) regarding ongoing payment issues tied to Managed Care Organizations (MCOs), SBS, and CBHS residents.
At each session, we presented detailed proposals outlining what providers need. While the state provided a rebuttal, they maintain that the payment issues are resolved and don’t have money in the budget to make necessary changes.
Although we made some minor progress, the state has not moved on key funding concerns. Because we strongly disagree with their position, AFHC will continue to demand formal bargaining and is actively pursuing an Unfair Labor Practice (ULP). A formal hearing is scheduled for mid-November if no agreement or settlement is reached before then.
We Need to Hear from You
If you are a provider caring for residents funded through MCOs, SBS, or CBHS, we need to hear from you right away.
Many providers have reported:
Delayed payments of 5 to 8 months or more
Denied claims and unresolved billing errors
Tens of thousands in unpaid reimbursements
Taking out personal loans just to pay staff
This is unacceptable. No provider should be expected to operate without timely payment for services already rendered. We are committed to holding the state and MCOs accountable—but we need your help.
How You Can Help
We have a dedicated staff member at AFHC whose sole focus is gathering data from impacted homes. This information will strengthen our case and allow us to advocate more effectively on your behalf. You will be contacted soon to participate in our MCO Impact Survey. In the meantime, please reach out directly to Suaad Laari by calling or emailing:
360-706-2602
suaad@adultfamilyhomecouncil.org
We know these are challenging times, but we are here for you. We’re working hard to ensure your voices are heard, your rights are protected, and your homes remain financially stable.
Thank you for all that you do.
Not a Member Yet?
Membership fees enable the Council to cover legal expenses and fund staff to advocate with the state and regulatory agencies. The participation of every adult family home is vital to ensuring fair regulations and rates that accurately reflect the costs of caring for our vulnerable adults. Consider becoming a member of the Council to help us continue improving conditions for all adult family homes in Washington State.