Adult Foster Home Providers: Who We Are

SEIU Local 503 represents approximately 3500 commercial and relative adult foster home providers who provide Medicaid services in their homes to low-income seniors and people with physical, mental, and developmental disabilities. Services are provided 24/7 and include activities of daily living, such as bathing, grooming, mobility, toileting, feeding, medication management and cognition. Adult foster home owners provide services that allow their residents to live in a comfortable home setting with a sense of independence and dignity. 

Adult foster home providers formed a union to address low Medicaid reimbursement rates, no benefits, inconsistencies in applying policy, licensure, and investigatory proceedings, and a general lack of rights for providers. We won a first contract in 2008 with a 2.1% + $260 rate increase per month per resident — the largest rate increase in the history of the program. We are currently bargaining our second contract and are proposing language that strengthens provider rights, brings transparency and consistency to the assessment process, and increases a provider’s right to operate as a small business owner.