Housing help and care homes

Typical costs in Washington

These are typical statewide ranges, not prices for any one home or agency. What you pay depends on the level of care and where you live. Use them to plan, then ask each place for its own rate.

• Adult family homes

  $4,500 to $9,000 a month

  What Medicaid covers: Medicaid pays for care in a contracted adult family home through the COPES waiver if you qualify. You still pay room and board from your income.

  Source: Senior-care cost directories (Caring.com, A Place for Mom), 2025. Check the source

• Assisted living

  $6,000 to $8,500 a month

  What Medicaid covers: Medicaid can cover the care and services in a contracted assisted living community. You still pay for room and board.

  Source: Genworth / CareScout Cost of Care Survey, 2024. Check the source

• Memory care

  $7,500 to $9,500 a month

  What Medicaid covers: Medicaid covers the care portion in a contracted assisted living or adult family home. Room and board is billed separately.

  Source: Senior-care cost directories (Caring.com, A Place for Mom), 2025. Check the source

• Nursing homes

  $12,700 to $13,800 a month

  What Medicaid covers: Medicaid covers nursing home care once you meet the income and asset limits. Most long-stay residents end up on Medicaid.

  Source: Genworth / CareScout Cost of Care Survey, 2024. Check the source

• In-home care (hourly)

  $38 to $48 an hour

  What Medicaid covers: Medicaid pays for in-home caregivers through COPES and Community First Choice if you qualify.

  Source: Genworth / CareScout Cost of Care Survey, 2024. Check the source

• Adult day

  $110 to $160 a day

  What Medicaid covers: Medicaid can cover adult day health through COPES for people who qualify.

  Source: Genworth / CareScout Cost of Care Survey, 2024. Check the source

Seattle and the Puget Sound metro run higher than rural counties. Some figures come from senior-care directories rather than a government survey, so treat them as rough.