Back to All Newsletters

*|MC_PREVIEW_TEXT|*

͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌     ͏ ‌    ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­

AFH COUNCIL UPDATES

August 29th, 2025

Message From Executive Director

Happy Friday AFHC Friends!

My phrase of today and for the month of August as we finish

it is – Thank you! It goes out with great heart to:

  • Every single member and non-member who welcomed me and our board and staff team so meaningfully to chapter meetings across our State this past month. We’ve visited every single one, and are restarting our Bellevue chapter and looking at interest in two new chapters!

  • Every staff team member at the AFHC – we are all new to our roles, and your dedication, commitment, and willingness to support our members has shown no bounds !

  • Every dedicated board member who has so meaningfully shared their support of our new team, and

  • All of you reading this – your kindness, excitement, and patience with our new AFHC team has been so inspiring and appreciated.

It is just like the welcome we share with each new potential and actual resident – your welcome inspires our team to do better every day in serving our membership and its needs. Thank you to each and all – and welcome SEPTEMBER and our upcoming Fall Conference! See you there!

-Bob

The Department of Social and Health Services (DSHS) has adopted new permanent rules that strengthen protections for Medicaid residents in Adult Family Homes (AFH), Assisted Living Facilities (ALF), and Enhanced Services Facilities (ESF).

These rules, effective January 1, 2026, align with federal requirements for Home and Community-Based Services (HCBS) and focus on residents’ rights during transfer and discharge.

Key changes include:

  • A signed residency agreement is now required for all Medicaid residents (current and future).

  • Residents must receive written notice before transfer or discharge, which includes information about legal resources and the right to free legal counsel (depending on funding).

  • Facilities must also send copies of transfer/discharge notices to the Long-Term Care Ombudsman Program and the resident’s DSHS case manager within 3 days.

To help providers understand these updates, Residential Care Services will hold three information sessions in September and October.

Tips for Handling State Inspections

We’ve received a lot of calls from providers asking about best practices for state inspections. Inspections can feel stressful and intimidating, but a little preparation can make the process smoother.

Here are some tips to keep in mind:

  • Stay calm. It helps both you and your staff navigate the inspection.

  • Get the inspector’s contact info. They should give you a business card at the door—if not, ask for one and keep it handy.

  • Answer only what’s asked. There’s no need to volunteer extra information.

  • Clarify citations. If told you’re in violation, ask which WAC applies.

  • Request correct forms. If a form or documentation is missing, ask the inspector for the proper form.

  • Ask about timing. Check when you can expect the inspection results.

Remember: Once the inspector leaves, you can review files calmly. You always have the right to ask questions and request clarification on WACs.

HCA Updates: Community Behavioral Health Support (CBHS) for Adult Family Home Providers

The Washington State Health Care Authority (HCA) recently shared important updates for Adult Family Home (AFH) providers following the August 6 Quarterly Meeting. These updates focus on the Community Behavioral Health Support (CBHS) program and offer valuable resources to assist providers.

Highlights include:

  • CBHS Waivers: The program is authorized through a State Plan Amendment, renewed every five years, with the next renewal scheduled for April 2029.

  • Provider Registration & Guidance: Access video instructions and a detailed support guide for registering with ProviderOne.

  • Weekly Provider Support: HCA offers regular opportunities for AFH providers to ask questions and receive guidance:

  • Rapid Response: Mondays, 8:00–8:30 AM

  • Office Hours: Tuesdays, 2:30–3:30 PM

New Rules for Adult Family Homes and Care Facilities Take Effect September 6

Starting September 6, 2025, new rules for Adult Family Homes, Assisted Living Facilities, Enhanced Services Facilities, and Nursing Homes go into effect. These changes implement Substitute House Bill 1218 (2021) and focus on communication within facilities, including interactions with residents, families, ombuds, and emergency assistance entities.

Residential Care Services is hosting drop-in Q&A sessions for each setting type to help providers and administrators understand the new rules. No registration is required, and anyone with questions about the rules is welcome to attend.

These sessions are a great opportunity to get your questions answered directly by Residential Care Services staff and ensure your facility is ready for the changes.

The Adult Family Home session will be held Monday, September 8, 2025, from 12:00 PM to 1:00 PM.

We’re excited to invite all Adult Family Home owners to a special opportunity to connect with Home and Community Services (HCS) leadership. Deputy Director of Field Operations and Regional Administrators will be on hand to share updates, provide education, and discuss topics that matter most to providers.

This event is a chance to strengthen communication, ask questions, and work together toward our shared goal of providing high-quality long-term care for Washington’s most vulnerable residents.

AFHC Trainings and Events

Stay Up-To-Date with Our Upcoming Events and Webinars!

P: 1.360.754.3329   |   F: 1.360.943.6653   |   T: 1.888.439.8999

3309 Capitol Blvd. SW, Tumwater, WA 98501

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.