AFH Medicaid Eligibility Guide
Answer a few educational questions about state, age, care setting, income, assets, and care needs. This guide does not decide eligibility. Based on the information provided, you may want to explore official Washington resources.
Source: Washington Health Care Authority. Last updated: 2026-09-19. HCA income standards (PDF) · Washington HCA LTSS · WAC 182-513-1105.
These calculators provide estimates for planning purposes only. Actual costs, reimbursement rates, taxes, staffing requirements, licensing requirements, and profitability can vary by location and individual circumstances. This tool is not financial, legal, tax, licensing, or medical advice. Results are based on entered assumptions.
How it works
- Select Washington and the age, setting, income range, asset range, and care-need descriptions that most closely match the situation.
- The guide returns educational next steps, not an eligible / ineligible result.
- Official Washington HCA and DSHS links are provided so you can discuss the situation with the state Medicaid agency.
What a result looks like
After you answer the questions, the page may say this may be worth discussing with your state Medicaid agency and point to Washington HCA long-term services and DSHS ALTSA pages. It will not say you are eligible or you are not eligible.
Important assumptions
- This is not an eligibility engine and does not apply official income or resource tests.
- Washington is the only state with tailored links in this version.
- Program rules change. Confirm with the agency.
Frequently asked questions
Am I eligible for Medicaid?
This site cannot say. Eligibility depends on official program rules. This may be worth discussing with your state Medicaid agency.
Does living in an Adult Family Home automatically mean Medicaid will pay?
No. Payment depends on eligibility, assessment, and program rules.
What if income is above SSI?
Some long-term care programs use different income and resource rules. Ask the state agency rather than relying on this guide.
Can I use this for Oregon or California?
The questions still work as education, but official links are Washington-focused until other state guides are added.
Is this legal advice?
No. It is an educational flow with official resource links.
Will you store my answers?
Calculator and guide inputs are processed in your browser and are not stored in a database.
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