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20 Adult Family Homes in Seattle That Are Private Pay Only

151 homes881 licensed beds131 accept Medicaid

DSHS licensing records as of September 14, 2026.

These homes hold no DSHS contract and cannot accept Medicaid. Residents pay privately. They are a small share of the market and are worth identifying early, because a home that cannot accept Medicaid becomes a problem if a resident later spends down their assets.

Showing 20 homes of 151.

About these homes

Seattle has 151 licensed adult family homes with 881 licensed beds, according to Washington State DSHS records. 131 accept Medicaid, 147 carry the dementia specialty designation, 144 carry the mental health designation, and 71 serve developmental disabilities. 9 are licensed for more than six residents. Capacity, specialty designations, and Medicaid status come directly from those records.

Licensing information is sourced from Washington State DSHS public records. Specialty designations reflect provider training required by the state; they are not quality ratings and are not endorsements. Verify current licensing status directly with DSHS before relying on this information.

Real Property Planning is an independent educational resource and does not operate, own, or manage any adult family home.

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