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HCA & NA-C Training and Certification Deadlines
(Updated 9/1/2023)

AFH Web-Based License Application

On August 28, 2023, Residential Care Services (RCS) will implement a new web-based Adult Family Home (AFH) license application that includes secure online payment. This modern platform will allow applicants to complete the AFH license application online, upload supporting documents with their application, and edit their application once submitted. The web-based application will be used for all AFH license applications, including Initial, Change of Ownership and Relocation.

As of October 1, 2023, Residential Care Services Business Analysis and Applications Unit (BAAU) will no longer accept paper applications. The BAAU will only accept online applications.

New Form:
As part of the new process, applicants will sign a new attestation form (
DSHS 27-223) confirming the AFH has the required policies and procedures in place. Applicants will continue to provide their Disclosure of Services form (DSHS 10-508) and will upload it with their application.

Click here to read the Dear Provider Letter. 


Medical Test Site Waiver Regulatory Requirements

As of July 1, 2023 RCS Licensors will be looking to see if you have a Medical Test Site Waiver if you are doing any medical testing for your residents.

Certain types of medical testing require a state Medical Test Site Waiver (MTSW) license. One type of activity requiring a MTSW license is testing residents for COVID-19. Other types of medical testing requiring a MTSW license include, but are not limited to, blood glucose tests and urine tests. This letter explains federal and Washington state MTSW licensure requirements and how to decide if the medical tests conducted in your facility require a MTSW license.

This requirement is also covered in our recent November Statewide Chapter Meeting. Watch the recording (26:53) if you want tips on common issues to avoid!


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