Rising demand for a full array of service options and consumer preferences for home-like non-institutional settings is increasing the interest among state policy makers in adult foster care as a service for older adults. Although adult foster care may also serve individuals with developmental disabilities and other populations, the primary focus of this report is adults age 65 and older. State leaders are interested in the experience of states that developed adult foster care as part of their service array, trends in provider supply, regulations governing providers, and quality oversight practices.
This report is based on the policies and practices in five states – Arizona, Maine, Oregon, Washington, and Wisconsin. The states were selected based on their approach to licensing and Medicaid coverage for this residential option.