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Cost of Assisted Living in Spokane, Washington

Page Reviewed / Updated - May 22, 2019

This guide covers information regarding Spokane senior care costs, financial aid programs to help with expenses, and additional local resources available to seniors in the area. To find out about costs and financial assistance options across the state, check out our Washington guide on paying for senior care.

The Cost of Senior Living and Care in Spokane

According to the Genworth 2018 Cost of Care Survey, the U.S. average for adult day care is higher than Spokane but the cost for home care and nursing home care is lower. When it comes to assisted living, Spokane has the lowest costs in Washington and is comparable with the national average of $4,000. When compared to the state average, the cost of senior care in Spokane is lower for almost every care type.

How much does Assisted Living Cost in Spokane?

The cost of assisted living in Spokane is $4,000 per month which is lower than the state average of $5,135. This is just slightly lower than Wenatchee at $4,125 a month and Olympia and Bellingham, which each average $4,250 monthly.

The savings are most notable when compared to other Washington metropolises that have averages around $5,000 and above. In Seattle, especially, seniors can expect to pay $1,750 more each month.

How much does Home Care Cost in Spokane?

Spokane's home care services are mid-priced, despite being over $200 lower than the state average of $5,339. Several cities, such as Wenatchee and Yakima, boast cheaper prices with Bellingham offering a savings of almost $1,300.

Most of the other areas in Washington land in the $5,000 to $6,000 range with Seattle topping the list at almost $6,100 each month.

How much does Adult Day Care Cost in Spokane?

Adult home care is often one of the least expensive options and Spokane sits at a reasonable average of $1,300, comparable to many other cities. 

Bellingham and Olympia price points are remarkably higher with costs of more than $2,100 each month. Some cities charge less for home care; Yakima, at $867 monthly, is the most budget-friendly option of all cities surveyed.

How much does Nursing Home Costs in Spokane?

Nursing home care in Spokane is somewhat high at a little above the state average of $8,669. Most Washington cities have prices around $8,000 to $9,000 per month for a semi-private room, though the lowest fees can be found in Walla Walla and the highest in Seattle.

Financial Assistance Programs in Spokane

Medicaid Program in Spokane

As a national medical insurance plan for low-income Americans, Medicaid provides Spokane seniors access to a variety of programs developed to help them obtain home and community based services. Although the program includes some federal funding, it is up to each state to administer benefits. In Spokane, Medicaid is called Washington Apple Health or Apple Health and, as an entitlement program, is available to anyone who qualifies.

To be eligible for benefits, seniors should be at least 65 years old and meet strict financial and resource guidelines. Individual applicants should have no more than $750 monthly income with total assets worth under $2,000. If the senior applying is married, it's possible to transfer a maximum of $3,090 to the non-applicant spouse to cover expenses. The asset limit for the spouse is higher as well, at $123,600. Applying for Apple Health can be complicated due to the regular changes and updates surrounding the program. Contacting a Medicaid Planner can help seniors navigate the process. Applications can be filled out online using the Spokane Healthplanfinder, over the phone by calling the customer support center or using a paper copy that can be mailed or delivered to the local office. Remember to have the birth date and social security number of the applicant, household income amounts and immigration information if applicable. 

Medicaid Waivers in Spokane

Washington Medicaid Community Options Program Entry System (COPES) Waiver

Apple Health's COPES waiver is intended for residents who require a nursing home level of care. This waiver is not an entitlement program and approved applicants may be placed on a waiting list before receiving benefits. Seniors who qualify for this Home and Community-Based Services (HCBS) program are eligible for several services intended to help them remain in their home or community, such as:

  • Adult Day Care
  • Assisted Living
  • Case Management
  • Community Choice Guiding
  • Community Support/Goods and Services
  • Home Delivered Meals
  • Home Health Care/Home Care/Skilled Nursing
  • Home or Vehicle Environmental Accessibility Modifications
  • Medical Equipment
  • Non-Medical Transportation Assistance
  • Personal Care
  • Personal Emergency Response System
  • Wellness Education

For more information and application instructions, see our page on the COPES waiver.

New Freedom Medicaid Waiver

The New Freedom Medicaid waiver is also designed for those who require care normally reserved for nursing homes and focuses on providing in-home services. Applicants must meet three eligibility requirements:

  • Residential: Must live at home or in an assisted living facility in Pierce or King County.
  • Functional: Must require a nursing home level of care.
  • Financial: Must meet eligibility criteria for Washington Apple Health.

Those who are approved will receive a budget to apply toward qualified services to help them remain in the home, such as:

  • Educational Supports
  • Goods and Supplies
  • Health Maintenance Support
  • Home and Vehicle Modifications
  • Personal Assistance Services

Application information can be found on our New Freedom Medicaid waiver page.

Other Financial Assistance Programs in Spokane

Medicaid Personal Care (MPC) Program

The Spokane MPC program is a state Medicaid option available to low-income or disabled seniors who do not live in a nursing facility. Approved seniors are able to participate in the Consumer Direction Option (CDO) which allows them to choose their caregivers as personal employees. To qualify, applicants must be at least 65 and need assistance with three or more of the following activities of daily living:

  • Bathing
  • Bed Mobility
  • Dressing
  • Eating
  • Management of Medication
  • Mobility Inside and Outside the Home
  • Personal Hygiene
  • Toileting
  • Transferring from a Chair or Bed

The financial eligibility guidelines are slightly stricter than those for Apple Health. Monthly income limits for this program are $771 for individuals, $1,157 for married couples applying together. Asset limits remain the same, at $2,000 for individuals and $3,000 for couples. Check out our comprehensive page on Spokane's MPC program for further information and application instructions.

Community First Choice Option (CFCO)

The CFCO program is a nursing home diversion opportunity, designed to help seniors remain in their communities or homes. As an entitlement program, the CFCO does not require placement on a waiting list but covers many of the same services as the COPES waiver and MPC program.

To be eligible, seniors must be at least 65, demonstrate a need for a nursing home level of care, have a total asset value of less than $2,000 and have a gross monthly income below $2,313. Those with a monthly income of $771 or less do not have to meet asset guidelines.

Approved seniors can choose providers for any of the following services:

  • Community transition services (up to $850)
  • Housework
  • In-home respite care
  • Medication assistance
  • Nursing assistance
  • Personal Emergency Response Systems
  • Skills acquisition training or assistive technology (Up to $550/year)
  • Training for CDO
  • Transportation assistance

A more comprehensive overview, including application information, can be found on our CFCO program page.

Nurse Delegation Program

Another Spokane program established to prevent nursing home placement is the Nurse Delegation Program. Seniors who require daily assistance from a registered nurse (RN) can use the program to hire an RN to teach a licensed nursing assistant to perform these services. This program is open exclusively to those receiving Apple Health benefits. Click here to find out more about enrollment options.

Medicaid Alternative Care (MAC)

The MAC program is used to help delay nursing home placement and prevent caregiver burnout. Eligible seniors who live at home or with a relative, can take advantage of benefits like:

  • Adult day care
  • Assistive technology
  • Caregiver training and education
  • Educational assistance
  • Home-delivered meals
  • Home modifications and safety repairs
  • Housecleaning, yard work, grocery shopping, etc.
  • Medical equipment and supplies
  • Personal Emergency Response Systems
  • Respite care (in or out of the home)
  • Supportive services
  • Transportation to and from services

To qualify, seniors must be enrolled in, or eligible for Apple Health, be at least 55 years old, live in a home setting (not including assisted living) and require a nursing home level of care. Caregivers must be at least 18 and providing services as the primary caregiver without compensation. To learn more about the MAC program, including application information, click here.

Volunteer Service (VS) Program

The VS program is available for seniors who cannot afford assistance or may not qualify for state programs. It is designed to provide assistive services through volunteers with the Catholic Community Services non-profit. To qualify, Spokane seniors must be Washington residents who live at home and are at least 60 years old. They must also demonstrate limitations in function due to health or in mobility. There are no set financial criteria but income is still considered. Possible services for approved individuals include:

  • Companionship
  • Errands
  • House or Yard Work
  • Laundry
  • Meal Preparation
  • Minor Home Repair
  • Moving Assistance
  • Personal Care
  • Protective Supervision
  • Respite Care
  • Transportation
  • Wood Chopping and Transportation in Winter

Click here to learn more about the VS program and find out how to apply.

Tailored Support for Older Adults (TSOA)

Seniors who may need to rely on Medicaid for long-term care can look into the TSOA program for assistance. Those who are eligible can receive services that support independent living and any primary caregivers. To qualify seniors must be at least 55 and their primary caregiver must be at least 18 years old. Applicants must live in a home setting and require assistance with activities of daily living. As a program for those ineligible for Medicaid, seniors must have a monthly income below $2,250 and assets valued below $53,100. For married couples, the asset limit is raised to $108,647.

Approved applicants can receive up to $550 each month to put toward services such as:

  • Adult Day Care
  • Caregiver Training and Information
  • Counseling
  • Errands
  • Home Modifications
  • Housekeeping
  • Meal Delivery
  • Medical Equipment and Supplies
  • Personal Emergency Response Systems
  • Respite Care
  • Transportation for Services

To find out more about the TSOA program, visit our page with comprehensive details and application instructions.

More Senior Living Resources in Spokane

Resource Phone Number Description
Coeur D'alene Plaza (509) 549-6102 The Coeur D'alene Plaza provides low-income housing to senior residents who are at least 62 years or have a disability. Located in the heart of downtown Spokane, the building provides limited access entry for security.
Park Tower (509) 747-0709 Park Tower is a 20-story subsidized, low-income apartment complex for seniors over the age of 62. Apartments are one-bedroom and pet-friendly.
Fahy West Garden Apartments (505) 624-5133 The Fahy West Garden Apartments are managed by the Catholic Housing Communities and offer 32 studio or one-bedroom apartments. Each tenant has their own private entrance and rent is subsidized for low-income seniors.
Aging & Long Term Care of Eastern Washington (509) 458-2509 A volunteer-based service that provides seniors, who are at least 60, with a variety of free services so they can age in place. 
Volunteers of America (509) 455-2886 Volunteers of America offers respite care to vulnerable Spokane seniors, including veterans and the homeless.
Spokane Neighborhood Action Program

(509) 456-7111 This program provides utility bill assistance, weatherization, and minor home repairs to qualified seniors.
Spokane Housing Authority (509) 328-2953

The Spokane Housing Authority is responsible for the Section 8 Housing Choice Voucher program to help low-income seniors find affordable housing.