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Medicaid transformation

The state is leading strategic changes within Medicaid, allowing us to move toward a healthier Washington. The Healthier Washington Medicaid Transformation is an agreement with the federal government which allows us to test new and innovative approaches to providing health coverage and care.


  • February 21: State approves ACH Medicaid transformation project plans. Read announcement.
  • February 8: New transformation Measurement Guide up for public review. Read announcement.
  • January 10: New educational documents provide overview of Medicaid transformation. Read announcement.
  • January 9: Supportive housing and supported employment benefits are now available. Learn more.

New resources

What is Medicaid Transformation?

The Medicaid Transformation is a five-year agreement between the state and the Centers for Medicare and Medicaid Services (CMS) that provides up to $1.5 billion federal investment for regional health system transformation projects that benefit Apple Health (Medicaid) clients. Read 10 things you need to know about Medicaid Transformation.

This timeline shows the implementation activities for the Transformation. View timeline.

What are the three initiatives under the Transformation?

Transforming the Medicaid delivery system within each region to care for the whole person and use resources more wisely through Accountable Communities of Health. Learn more about transformation projects.

Expanding options for people receiving long-term services and supports so they can stay at home and delay or avoid the need for more intensive services, and supporting families in caring for loved ones while increasing the well-being of caregivers. Learn more about Long-term Services and Supports.

Providing our most vulnerable populations with the targeted supports to get and stay healthy. Learn more about Foundational Community Supports and Services.