Private Pay & Medicaid


Care that doesn't end when savings do.

We accept both private pay and Washington State Medicaid — at move-in and over time. One of the hardest worries for a family is what happens when the money runs low. Here, the answer is: you stay.

Both welcome, from day one

Radiant Living is licensed by Washington DSHS and holds a current Medicaid contract. We accept private-pay and Medicaid residents at admission, and we support private-pay residents who later need to move to Medicaid funding during their stay.

Converting to Medicaid is not a reason to leave

If a private-pay resident spends down and qualifies for Medicaid, they continue to live here. Converting to Medicaid funding is never, by itself, a basis for discharge.

We plan the transition together

Before admission we have an honest conversation about how long private pay can realistically be sustained — a good-faith estimate, not account balances. When a move to Medicaid is coming, about four months' (120 days') notice lets us complete the Medicaid application and DSHS CARE assessment without a gap in coverage.

Clear monthly statements

On Medicaid, the DSHS-set daily rate is paid partly by the resident's participation portion (most of their monthly income, minus a personal-needs allowance) and partly by DSHS. We provide an itemized statement each month, and charge nothing beyond the participation portion for Medicaid-covered services.

Staying in your room

Wherever possible, a resident who converts to Medicaid stays in the same room. A private room can't be guaranteed on Medicaid, and a shared arrangement may become necessary — but any change comes with reasonable written notice and full attention to the resident's preferences and continuity.

This is a plain-language summary of our Medicaid Conversion Policy (WAC 388-76-10522), which is provided in full to every private-pay resident at admission. We are not able to give legal or financial advice; families with complex situations may wish to consult an elder-law attorney.

See Rates   Open the Private Pay Packet

Equal Opportunity


Everyone is welcome here.

Radiant Living Family Care, LLC is an equal-opportunity provider and employer. We do not discriminate against any resident, applicant, employee, or visitor on the basis of race, color, national origin, ancestry, religion, creed, age, sex, gender identity or expression, sexual orientation, marital or familial status, pregnancy, disability, sensory or physical limitation, use of a service animal or assistive device, veteran or military status, source of income (including Medicaid), or any other status protected by federal, state, or local law.

Reasonable accommodations are provided for residents and applicants with disabilities. Service animals and assistive devices are welcomed in all areas of the home, in accordance with the Americans with Disabilities Act and the Washington Law Against Discrimination (RCW 49.60).

Every resident also has the right to be free from discrimination, coercion, and retaliation in exercising their rights or raising a concern, consistent with Washington's adult family home rules (WAC 388-76).

Questions About Cost or Fit?

Let's talk it through, honestly.

Tell us about your family's situation and we'll walk you through what care would cost and how payment would work — clearly, and without pressure.

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