Information for Adult Family Home Providers

Latest News

  • NEW!  ALTSA Specialized Services RFI Webinar | This is a follow-up to the Request for Information (RFI) regarding development of specialized assisted living, nursing facility, or enhanced services facility options for ALTSA clients discharging or diverting from state hospitals. We have provided answers to those who sent questions before December 22, 2017, and we look forward to your potential response to the RFI by January 19, 2018

    In an effort to spread the word about ALTSA’s efforts to develop these resources and to learn from providers what they believe are the challenges and opportunities, we will conduct an information and listening session via Webinar on January 23, 2018 for those who respond to the RFI and any other potentially interested parties. We hope you will be able to join us for that session by registering at this link.
    (Webinar ID: 849-307-803.)

    Please direct any questions or potential interest in these development efforts to Traci Adair, (206) 341-7653 or

  • Request for Information (RFI) regarding new Specialized Services and Supports Program.

  • Community Integration Training is now available.  If you are a care provider and need to learn about changes related to the 2017-2019 Collective Bargaining Agreement (to include Community Integration), this training is for you.

For questions or comments regarding the content on this page, contact the RCS Communications Manager.

What are the laws and regulations for operating an AFH?

How will the department communicate any changes?

Do my caregivers need the Home Care Aide certification?

Yes, they will have to be Home Care Aide certified unless they meet one of the following exemptions:

  • RNs, LPNs, and certified nursing assistants (NA- C/CNA) or persons in an approved CNA training program;
  • Medicare certified home health aides;
  • Person with special education training and an endorsement granted by the Superintendent of Public Instruction; or
  • Employed as a LTC worker sometime between 1/1/2011 and 1/6/2012 AND who completed the training requirements in effect at the time.  Must have proof of that employment meeting the requirements of DOH WAC 246-980-070.  Long-Term Care Employment Verification form (DOH 675-006)

What are the training requirements?

How Do I find Training for my staff?

Where do I find background check information?


Health care and health care decision making

How do I protect vulnerable adults?

How do I contact RCS and what can I expect during/after inspections?