This web page is for Adult Family Home (AFH) providers in Washington state that have a Medicaid contract and work with Home & Community Services (HCS) and/or Developmental Disabilities Community Services (DDCS). This site has resources, tools, and training materials for AFH providers to help serve and support the clients in the residential facilities.
Important Updates
- Residency Agreement Requirements effective January 1 2026
- Dear Provider Letters
- Video: Adult Family Homes for People with Developmental Disabilities
Training Information
- 2026 DDCS HCS Policies and Procedures Training Series
- Policies and Procedures Training Series for AFHs
- Anatomy of a Meltdown
- Behavioral Ecology
- Beyond First Aid in AFHs
- Enhancing the Person-Centered Approach in AFHs
- Residency Agreement Requirements effective January 1, 2026
- Office of Civil and Legal Aid Flyer for clients
- Programs and Eligibility Training Session 1 February 17, 2026
- State Hospital Discharge and Diversion Team and Hospital Transition Support Unit | DSHS
Ideas for future DDCS training opportunities? Please feel free to email Paula Costa: paula.costa@dshs.wa.gov
Ideas for future HCS training opportunities? Please feel free to email us the idea at: HCSAFHTrainings@dshs.wa.gov
Helpful Links
- Long-Term Care Services & Information
- Long-Term Services and Supports Application
- Resident Rights: WAC 388-76-10530
- Home and Community Based Federal Guidelines
- Long-Term Care Resident Rights RCW 70.129
- Adult Family Home Contract Requirements WAC 388-76
- What You Need to Know as a Provider – Home and Community Based Services
Financial
- Non-payment Flyer
- Getting started and billing essentials
- Submitting and adjusting social service claims
- Submitting and adjusting social service medical claims
- Viewing claim status and payments
Commonly Used DSHS Forms
- Adult Residential Care Services Notice of Change
- Adult Family Home (AFH) Resident Significant Change Assessment Request
- Adult Family Home Notice of Transfer or Discharge
- Adult Family Home Negotiated Care Plan Sample Template
Helpful Handouts
- HCLA AFH ETR FAQ Flyer
- HCLA AFH Community Integration FAQ Flyer
- HCLA AFH Helpful Tips Flyer
- HCLA AFH Residential Classification Flyer
Contact Information
DDCS
- DDCS Regional Contact List
- DDCS Regional AFH Referral Contact List per Area
- Questions for AFH providers with a Developmental Disability Community Service contract, please contact Paula Costa: paula.costa@dshs.wa.gov
HCS
- HCS Regional Contact List
- Questions on Home & Community Services Residential Policy? Please feel free to email us at: hcsresidentialpolicy@dshs.wa.gov