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Washington Recovery Houses & Sober Living: Resources & Directory

Find recovery residence and sober living resources for Washington: the Health Care Authority's registry of recovery homes, WAQRR certification, the state referral rule, and organizations that serve Washington residents. Browse the guide below or choose your county.

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Washington recovery house rules at a glance

State registry
Washington State Health Care Authority (HCA) registry of recovery homes
State license
None. Registry listing is needed only to receive referrals from licensed or certified substance use disorder providers (since January 1, 2023)
Certification
Washington Alliance for Quality Recovery Residences (WAQRR), the state affiliate of the National Alliance for Recovery Residences (NARR); chartered Oxford Houses also qualify for the registry
Medication
Registry homes allow residents to take prescribed medication, including medications for opioid use disorder (MOUD)

Step by step

How to open a recovery house or sober living home in Washington

Washington does not license recovery residences, but since January 1, 2023, licensed or certified substance use disorder providers may refer people only to homes on the Health Care Authority (HCA) registry. To get on the registry, a home is certified by the Washington Alliance for Quality Recovery Residences (WAQRR) or operates as a chartered Oxford House, and it must allow residents to take prescribed medication.

The steps most new operators follow to open a recovery house in Washington, in order. Each one links to the official form or rule behind it.

  1. 1

    Decide whether you'll take provider referrals

    State requirement

    Washington has no state license for recovery residences. Since January 1, 2023, licensed or certified substance use disorder providers may refer people only to homes on the Health Care Authority (HCA) registry, so most homes that want referrals from treatment providers join it.

  2. 2

    Check zoning with your city or county

    Local requirement

    Local governments set their own zoning and occupancy rules for group living. Call the planning office before you sign a lease. The federal Fair Housing Act and the Washington Law Against Discrimination protect people in recovery from housing discrimination.

  3. 3

    Choose your model: WAQRR certification or an Oxford House charter

    Voluntary certification

    Under RCW 41.05.760, a home gets on the HCA registry through Washington Alliance for Quality Recovery Residences (WAQRR) certification, or as a chartered Oxford House that meets peer-governance standards.

  4. 4

    Write policies to the WAQRR Quality Standards

    Voluntary certification

    WAQRR reviews each required document against its Quality Standards and Code of Ethics. Document review is usually the most time-consuming part of the application, so prepare your house rules and policies first.

  5. 5

    Allow prescribed medication

    State requirement

    HCA says homes on its registry allow residents to use prescribed medication for physical health, mental health, and substance use disorders, including medications for opioid use disorder (MOUD). Put that in your house policies.

  6. 6

    Apply to WAQRR online

    Voluntary certification

    Create a login on WAQRR's application site, estimate the level of care in each home, and upload your documents. After document review, WAQRR holds a phone interview and a site visit, and accreditation fees are paid at the site visit.

  7. 7

    Get on the HCA registry

    State requirement

    WAQRR-accredited homes are placed on the registry. If you have questions about inclusion, email the HCA recovery residence team.

  8. 8

    Stay accredited

    Voluntary certification

    WAQRR accredited residences go through annual reviews, including program and document reviews, site visits, and resident and staff interviews.

Startup checklist

  • Decide whether you'll take referrals from treatment providers
  • Call your city or county planning office about group living rules
  • Choose WAQRR certification or an Oxford House charter
  • Write house policies to the WAQRR Quality Standards
  • Allow prescribed medication, including MOUD, in your policies
  • Start the WAQRR application and upload your documents
  • Prepare for the phone interview and site visit
  • Confirm your home appears on the HCA registry
  • Plan for annual WAQRR reviews

Free launch consult

Opening your first house?

Talk it through with an operator for 30 minutes. We’ll go over your model, zoning, policies, and the license or certification you need, and you’ll leave with a clear next-step checklist.

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Nearby state guides

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