Medicaid Transformation resources
- Washington Medicaid Transformation partner and stakeholder interview report
- Map of tribes and tribal health clinics
Stakeholder educational materials
Independent External Evaluator
- Independent external evaluator fact sheet
- How the Independent External Evaluator and Independent Assessor are different
Quarterly rapid-cycle reports
- Special terms and conditions (STCs)
- Medicaid Transformation evaluation design
- VBP Roadmap - Apple Health appendix
Quarterly progress reports
- First quarter
- Second quarter
- Third quarter
- Fourth quarter (report also includes Annual Report for Demonstration Year 2)
- First quarter
- Second quarter
- Third quarter (report also includes Annual Report for Demonstration Year 1)
- Fourth quarter
- DSRIP planning protocol (attachment C)
- DSRIP funding and mechanics protocol (attachment D)
- Intergovernmental transfer protocol (attachment E)
- Financial executor (attachment G)
- Indian health care provider (IHCP) protocol (attachment H)
- Foundational community supports (attachment I)
Applications and amendment requests
- Medicaid Transformation metrics (October 2018)
- Initiative 1 fact sheet (May 2018)
- ACH submitted documents (May 2018)
- Project toolkit and metrics appendix (July 2018)
- Model ACH tribal collaboration and communications policy (November 2016)
ACH transformation progress
- Implementation plans executive summary (December 2018)
- Semi-annual report executive summary, July 1 to December 31, 2018
- Semi-annual report executive summary, January 1 to June 30, 2018
- Independent assessment of ACH project plans - findings report (January 2018)
Quarterly incentive reports
- First quarter (January to March 2018)
- Second quarter (January to June 2018)
- Third quarter (January to September 2018)
- Fourth quarter (January to December 2018)
Funds flow and Financial Executor Portal
- FAQ: Understanding the Financial Executor and Financial Executor Portal (June 2018)
- Financial Executor Portal user guides: ACH registration | creating an account and changing a password | adding and approving Partnering Providers | Partnering Provider payments (May 2018)
- ACH DSRIP use categories fact sheet (April 2018)
DSRIP accountability and performance measurement
- Measurement of dual eligible beneficiaries (September 2018)
- DSRIP measurement guide (September 2018)
- Summary of public comments (August 2018)
- Statewide accountability approach (August 2018)
Frequently asked questions (FAQs)
- FAQ: Project planning and implementation (April 2018)
Foundational Community Supports (FCS) is also referred to as Initiative 3. FCS helps our most vulnerable beneficiaries get and keep stable housing and employment, in support of their broader health needs. Learn more about FCS.
- Supported employment (May 2019)
- Supportive housing (May 2019)
- Supported employment (April 2019)
- Supportive housing (April 2019)
- Supported employment (March 2019)
- Supportive housing (March 2019)
- Supported employment (February 2019)
- Supportive housing (February 2019)
- Supported employment (January 2019)
- Supportive housing (January 2019)
- Supported employment (November 2018)
- Supportive housing (November 2018)
Foundations: the newsletter for Foundational Community Supports
- Look up presentations and webinars related to Initiative 3 on our Meetings and materials page
- FCS guide for housing finance professionals
- FCS and vocational rehabilitation fact sheet
- FCS reimbursement rate information
- FCS resource supplanting guidance
- Fact sheet
- Provider resource guide
- Referral quick reference guide
HCA’s HIT division manages the Clinical Data Repository (CDR) and Promoting Interoperability Program (PI), formerly the Electronic Health Records (EHR) Incentive Payment Program. HIT is one of many programs under Healthier Washington.
About the HIT Operational Plan
As part of our Medicaid Transformation work, CMS requires we have a strategy that supports service delivery and payment transformation. In response to this, we developed a Strategic Roadmap identifying activities that will advance health information exchange.
The Roadmap calls out specific tasks, which the annual Health IT Operational Plan outlines. We share progress on these tasks with stakeholders during monthly meetings and in quarterly reports to CMS.
About the CDR
The CDR is HCA’s secure, cloud-based database. It allows providers to share Apple Health enrollee health and claims information, regardless of the EHR platform. Providers are required to transmit health information to the CDR if they:
- Received PI payments.
- Have a certified EHR.
- Support Apple Health enrollees.
For more information about the CDR program or CDR access, please contact HIT.
Visit the HIT webpages to learn more about the CDR.
About the EHR Payment Program (PI Program)
Until 2021, hospitals and eligible health care providers serving Apple Health clients can get federal funding to set up and use a certified EHR system. The PI Program helps hospitals and providers switch from unsecured paper records to secure electronic systems. Since 2011, this program has made thousands of payments, totaling more than $360 million.
To learn more about the PI Program, including incentive funds, visit the HIT webpages.
In April 2017, HCA formed the Medicaid Value-based Payment (MVP) Action Team to support the Demonstration. The group serves as a learning collaborative to support MCOs, providers, and Accountable Communities of Health as they implement value-based strategies.
MVP Action Team meetings are open to the public. Due to space constraints, it is recommended that attendees join via webinar. Meeting materials will be available on our website shortly after the meetings.