
The New 2025-2027 CBA
$300 MILLION Collective Bargaining Agreement was fully funded! The collective bargaining agreement for adult family home providers was fully funded. Below are your new rates! That means meaningful wage increases – dollars in your pockets to help you keep doing this work.


Additional CBA Changes and Increases
The rates below are a flat fee and paid regardless of county or classification.

Community Behavior Health Supports and Intensive Behavioral Supportive Supervision Add on Rate:

Hospice
When a significant change assessment is requested for residents currently on hospice services, case managers are required to complete the assessment within 10 business days.
Medical Escort Fee
A Medical escort fee is now defined as “providing assistance and accompaniment to the resident for the duration of a medical appointment where the resident could not otherwise participate in the medical appointment without assistance, due to physical or cognitive challenges.” AFHs are no longer required to provide a denial of Medicaid transport.
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.