Washington State Medicaid Transformation Project

Jan 9, 2017: Governor Jay Inslee announced that the state of Washington received a signed agreement from the Centers for Medicare and Medicaid Services (CMS), effective January 1, 2017, providing up to $1.1 billion in incentives to launch a five-year demonstration to achieve better care, better health, and better value; as well as $375 million to support services for Apple Health clients. Read the Press Release here

Following the announcement in October of an agreement in principle, the state and CMS entered into negotiation of the terms and conditions that further describe how Medicaid service delivery will be transformed through three initiatives:

Delivery system transformation strategies led by regional Accountable Communities of Health (ACH).

A broader array of service options to enable older adults and individuals with disabilities to stay at home and delay or avoid need for more intensive care.

Key foundational community support services for Medicaid clients with the most critical housing and employment related supported needs.

Having completed this negotiation, we now look forward to setting in motion the system reforms and innovative services that this groundbreaking agreement represents.

Immediate steps include collecting public comments on our draft transformation project toolkit; continuing our work with the ACHs and our health system partners as they shepherd the development of projects within their communities; refining long-term services and supports, as well as supportive housing and supported employment services; and completing protocols that will further define for CMS how we will meet the goals of the demonstration. For your reference, this demonstration video with our own Nathan Johnson helps explain some key terms and concepts of our work ahead.

We will continue to seek your involvement in this important work, beginning with a series of community forums in February and March. We will be publishing further information about these forums in upcoming weeks.

Achieving this milestone could not have been possible without your partnership and support. Your leadership remains essential to our continued efforts toward health care delivery system transformation. Thank you for working with us toward a healthier Washington.