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New Increases to Daily Rates!


Daily Rate Increase 2024 logo

New Increases to Base Daily Rates!

Starting July 1, 2024

Medicaid Rates Increase July 1st

Effective July 1st, 2024, Medicaid rates for adult family homes will be increasing. The rate change will vary depending on the classification level, AFH specialty contract, and the county of the home. All rate changes can be found at the link below:


View July 1, 2024 Rate Increases

Rate increases should take place automatically on July 1st, 2024. However, every time we experience a rate change, there are errors that occur. Please review your current rates and monitor the changes to ensure you are getting paid accurately. There are some common causes of these errors that may impact your residents.

Exceptions to the Rule (ETR)

During the rate change process, the ProviderOne system will look for a specific number of current rates and adjust them accordingly. Since ETRs are authorized on the same service line as the base rate, the system will not know to automatically adjust the rate. A manual adjustment by DSHS is required and can sometimes be missed. If you have any residents with an ETR, the amount of the ETR should not be impacted by the rate increase. Sometimes a case manager will reduce the ETR by the same amount the rate increased. That is inappropriate and should not happen.

Community integration (CI)

Community integration payments are also made on the same service line as the base daily rate. As described in the ETR section, this may cause the rate to require a manual adjustment.  

After July 1st, if you have questions about the rate, contact the resident’s case manager or reach out to us at the Council for support and clarification.

Also on July 1st, the COVID-19 rate enhancements will end. 

These rate increases only happen due to the work the AFH Council does to negotiate improved contract terms for your home.  If you are not yet a member of the Council, then you are not participating in the opportunity to invest in advocacy for continued improvements to the rates and working conditions for all adult family home operators. Consider becoming a member to support us as we are currently negotiating rates for our 2025-2027 contract!

Please consider joining us in our efforts to support providers across the state!


Become a Member of the Council

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.