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King County

Adult family homes in Bellevue, Washington

134 DSHS-licensed homes. Every listing is verified against state licensing — costs and availability shown only when the home reports them.

Bellevue has 134 DSHS-licensed adult family homes in King County. Of these, 129 offer memory & dementia care, 104 accept Medicaid / COPES, 130 support mental-health needs. Each home below is licensed by Washington State; cost and current openings are shown only where the operator has reported them, and never estimated.

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134 homes
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About adult family homes in Bellevue

Bellevue is the private-pay Eastside, with the lowest Medicaid-capable share in the region versus the Medicaid-first south-county cities. With a large Asian-American population, matching a parent to staff who share their language and food is a frequent, genuine selection factor here. The Eastside discharge pipeline runs through Overlake, Swedish Issaquah, and EvergreenHealth, often while affluent families are still comparing on quality and specialty fit.

Where placements come from

Bellevue AFH demand is discharge-driven from Overlake, Swedish Issaquah, and EvergreenHealth in Kirkland, often while families are still paying privately as they sort out longer-term funding.

  • Overlake Medical Center (the Eastside's first Level III trauma center)
  • Swedish Issaquah (full 24-hour ER plus inpatient care)
  • EvergreenHealth Medical Center (Kirkland; Level III trauma center)

Paying with Medicaid (COPES)

Bellevue is the most private-pay-heavy market in the region — roughly 78% of homes are Medicaid-capable. Washington's COPES program pays for adult family home care for residents who qualify; the county gateway is Aging & Disability Services (ADS) — Area Agency on Aging for Seattle & King County, reachable at 206-684-0660.

Neighborhoods & areas

Homes in Bellevue are spread across areas like Downtown Bellevue, West Bellevue / Meydenbauer, Crossroads, Lake Hills, Factoria, Eastgate, Newport Hills, Somerset, Lakemont.

Families near Bellevue also search nearby: RedmondKirklandRentonIssaquahNewcastleMercer IslandSammamish

Adult family homes in Bellevue: common questions

Adult family homes in Washington typically run lower than large assisted-living communities, but rates vary widely by care level. Many Bellevue homes don't publish a public rate; use the request form on any listing and we'll get you the current monthly cost, free.
Many do. Bellevue is the most private-pay-heavy market in the region — roughly 78% of homes are Medicaid-capable. Washington's COPES program (Apple Health) pays for adult family home care for residents who qualify — the county gateway is Aging & Disability Services (ADS) — Area Agency on Aging for Seattle & King County (206-684-0660). Filter by "Medicaid / COPES" above to see only contracted homes, or take the quiz and we'll confirm a bed.
An adult family home cares for up to six residents in an actual house, so the caregiver-to-resident ratio is much higher and the setting is quieter and more personal. Assisted-living communities are larger, with dozens to hundreds of apartments. Our guide on AFH vs assisted living breaks it down.
Yes. Every home listed for Bellevue is licensed by the Washington Department of Social and Health Services (DSHS) and subject to state inspection. The DSHS license number is shown on each listing.

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