Sosena Nursing Solutions

Negotiated Care Plan Signature Requirements for Washington AFHs

A negotiated care plan is not complete simply because its clinical content has been drafted. Washington also identifies who must agree to, sign, and date the plan.

What the rule requires

The completed negotiated care plan must be agreed to, signed, and dated by the resident and the Adult Family Home.

What this means for an AFH

The home should include resident participation and the signature process in its completion workflow. A clinically prepared plan still needs the agreement, signatures, and dates required by the rule.

How SNS can help

SNS can prepare the care-plan content and organize assessed needs into clear daily-care guidance. The AFH coordinates final review and obtains the required agreement, signatures, and dates.

This resource is provided for general informational purposes. Washington requirements may change. Providers should review the current WAC and DSHS guidance applicable to their circumstances.

Related SNS Service

An individualized care plan that turns assessed needs into clear, practical direction for daily care.

View Negotiated Care Plan

SNS Guide

What Is a Negotiated Care Plan?

Learn how an individualized negotiated care plan connects assessed needs with practical daily-care guidance.

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WAC 388-76-10360

Washington AFH Negotiated Care Plan: 30-Day Requirement

Understand when a negotiated care plan must be developed and completed after admission to a Washington Adult Family Home.

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WAC 388-76-10385

Sending a Negotiated Care Plan to the DSHS Case Manager

Understand when a Washington Adult Family Home must provide a completed negotiated care plan to a department case manager.

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SNS provides professional RN assessments and individualized or negotiated care plans for Adult Family Homes, care teams, referral professionals, assisted living communities, and families.

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