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As of Wednesday, March 18, HCA’s lobby is closed. In-person customer services for Apple Health and the PEBB and SEBB Programs will not be available. Learn more.
Legislative reports
Looking for Medicaid Transformation reports? Find reports on Medicaid Transformation on our Medicaid Transformation resources webpage.
Apple Health/Medicaid
- Proportion of non-participating providers serving Apple Health enrollees (January 1, 2020)
- Apple Health nonpharmacologic pain treatment coverage (January 10, 2020)
Other topics
Apple Health/Medicaid
- Nonparticipating providers serving Apple Health enrollees (January 1, 2019)
- Medicaid financing and home visiting services (January 8, 2019)
- Medicaid managed care dental (January 31, 2019)
- Medicaid managed care preventative services and vaccinations (September 13, 2019)
- Bleeding disorder collaborative for care (October 25, 2019)
- Hepatitis C medications comprehensive purchasing strategies (October 31, 2019)
- Employment status of Apple Care clients (November 15, 2019)
- Home Health services to medical assistance clients (November 30, 2019)
- Service coordination organization and managed care performance measure (December 1, 2019)
- Access to Baby and Child Dentistry program (December 15, 2019)
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Self Sufficiency of Accountable Communities of Health (December 15, 2019)
Behavioral health
- Adding behavioral health services to the state plan - update to November 1, 2018 report (March 5, 2019)
- Behavioral and physical health integration (November 1, 2019)
- Jail transition services (December 1, 2019)
- Access to behavioral health services for children report (December 1, 2019)
- Crisis Stabilization Services (December 1, 2019)
- Rate Methodology for 90 or 180 day civil commitment beds (December 1, 2019)
- Services in institutions of mental diseases (December 1, 2019)
- Treatment for adults on 90 or 180 day civil commitment orders (December 15, 2019)
- Long-term behavioral health inpatient involuntary care access, purchasing, and bidirectional integration (December 15, 2019)
- Behavioral health consultation and referral service (December 30, 2019)
- Increasing Clubhouse Programs (December 31, 2019)
Employee and retiree benefits
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PEBB annual report of customer service complaints and appeals (September 30, 2019)
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PEBB alternative consumer-directed health plan cost and utilization trend, demographics, and impacts (November 30, 2019)
Other topics
- State Health Care Innovation Plan annual report (January 1, 2019)
- State Health Care Innovation Plan final status report (July 31, 2019)
- Distribution of Criminal Justice Treatment Account (CJTA) funds (September 30, 2019)
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Rural Health Clinic Reconciliations report (October 15, 2019)
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Health and Human Services enterprise coalition (October 31, 2019)
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Dr. Robert Bree Collaborative annual report (November 15, 2019)
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University of Washington evidence based practice institute (December 1, 2019)
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Washington Autism Alliance and Advocacy (December 15, 2019)
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Diabetes Epidemic Action Report (DEAR) (December 31, 2019)
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Compacts of Free Association (COFA) Islander Health Care (December 31, 2019)
Apple Health/Medicaid
- Nonparticipating providers serving Apple Health enrollees (January 1, 2018)
- Child health services: Provider performance (September 15, 2018)
- Medicaid managed care preventive services and vaccinations (September 15, 2018)
- Birth centers (October 15, 2018)
- Managed care dental (October 30, 2018)
- Apple Health preferred drug list (November 15, 2018)
- Employment status of Apple Health clients and non-clients with dependents who are Apple Health clients (November 15, 2018)
- Oral Health Connections pilot project (December 1, 2018)
- Access to behavioral health services for children (December 1, 2018)
- Service coordination organizations and managed care performance measures (December 1, 2018)
- Washington rural health access preservation pilot (December 1, 2018)
- Single platform provider credentialing system (December 1, 2018)
- Alternative funding model for Partnership Access Line (December 1, 2018)
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Enhancement of primary care access for medical assistance clients (December 1, 2018)
- Access to Baby and Child Dentistry program (December 15, 2018)
- Provider Access Line (PAL) Plus program (December 31, 2018)
- Impact of telemedicine on Apple Health (December 31, 2018)
Behavioral health
- Distribution of criminal justice treatment account funds (September 30, 2018)
- Assisted outpatient treatment pilot program (October 15, 2018)
- Adding behavioral health services to the state plan (November 1, 2018)
- Behavioral and physical health integration (November 1, 2018)
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Improve Access to Prevention and Treatment of Opioid Use Disorders (November 30, 2018)
- Funding for Institutions of Mental Disease (December 1, 2018)
- University of Washington Evidence-Based Practice Institute (December 1, 2018)
- Statewide implementation of Clubhouse programs (December 1, 2018)
- Jail transition services (December 1, 2018)
- Integrated managed care update (December 1, 2018)
Employee and retiree benefits
- PEBB annual report of customer service complaints and appeals (September 30, 2018)
- Pay1 system replacement (September 30, 2018)
- SmartHealth wellness program effectiveness (October 15, 2018)
- PEBB alternative consumer-directed health plan cost and utilization trend, demographics, and impacts (December 1, 2018)
- Retired and disabled school employees risk pool analysis (December 15, 2018)
Other topics
- State Health Care Innovation Plan annual report (January 1, 2018)
- Inpatient hospital certified expenditure program (November 1, 2018)
- Dr. Robert Bree Collaborative annual report (November 15, 2018)
- Washington Autism Alliance and Advocacy (December 15, 2018)
- Governor's Indian Health Council (December 21, 2018)
Apple Health/Medicaid
- Proportion of nonparticipating providers serving Apple Health enrollees (January 1, 2017)
- Medicaid managed care services and vaccinations (September 15, 2017)
- Rural health clinic managed care payments (September 29, 2017)
- Medicaid: Employment status of Apple Health clients and non-clients with dependents who are Apple Health clients
Abridged version (with detail for top 10 firms) (November 15, 2017)
Complete report (November 15, 2017) - Access to behavioral health services for children (December 1, 2017)
- Oral health connections pilot project (December 1, 2017)
- Service coordination organizations and managed care performance measures (December 1, 2017)
- Rural health clinic payment reconciliations (December 1, 2017)
- Skilled nursing facility/acute care hospital work group (December 1, 2017)
- Provider Access Line (PAL) Plus program (December 31, 2017)
Public Employees Benefits Board (PEBB)
- SmartHealth effectiveness
4th quarterly report (March 31, 2017)
Final (5th quarterly) report (June 30, 2017) - PEBB annual report of customer service complaints and appeals (September 30, 2017)
- PEBB alternative consumer-directed health plan cost and utilization trend, demographics, and impacts (December 1, 2017)
Other topics
- State Health Care Innovation Plan annual report (January 1, 2017)
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Market assessment (health system costs and trends; state public purchasing health care strategies) (August 11, 2017)
- Tele-psychiatry consultation benefit (October 1, 2017)
- Inpatient psychiatric services per diem rate increase (October 1, 2017)
- Diabetes epidemic and action report (2017) (link to Washington State Department of Health website)
- Inpatient hospital certified public expenditure program (November 1, 2017)
- Dr. Robert Bree Collaborative annual report (November 15, 2017)
- Home health nursing (December 31, 2017)
Medicaid/Apple Health
- Child health services: Provider performance
- Consultation with CMS: Comparison of Federally Qualified Health Centers and Rural Health Clinics encounter rates to Uniform Medicaid Plan rates
- Contracting out dental services administration
- Home health nursing
- Medicaid coverage suspension for incarcerated persons
- Medicaid dental prior authorization
- Medicaid: Employment status of Apple Health clients and non-clients with dependents who are Apple Health clients
Abridged version (with detail for top 10 firms)
Complete report - Medicaid fraud, waste, and abuse program
- Medicaid managed care capitation rates
- Medicaid managed care preventive services and vaccinations
- Reimbursement for births performed at birth centers
- Service coordination organizations: Accountability measures implementation status
Joint report with the Department of Social and Health Services
Public Employees Benefits Board (PEBB)
- PEBB annual report of customer service complaints and appeals
- PEBB health benefit plan: Cost and utilization trends, demographics, and impacts of alternative CDHP
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SmartHealth effectiveness
1st quarterly report (June 28, 2016)
2nd quarterly report (September 30, 2016)
3rd quarterly report (December 30, 2016)
Other topics
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Market assessment (health system costs and trends; state public purchasing health care strategies)
(December 2, 2016)
(July 14, 2016) - Bleeding Disorder Collaborative for Care: Fiscal year 2016 progress report
- Dr. Robert Bree Collaborative annual report
- Inpatient hospital certified public expenditure program
- State health care innovation plan annual report