In crisis?
If you are displaced or affected by wildfire, all Washington Apple Health and PEBB/SEBB medical plans are allowing prescription refills before the refill date.
Due to COVID-19, HCA’s lobby is closed. Learn more about your customer service options.
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)
Behavioral Health
- Enhancement for community based behavioral health services (June 30, 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)
- Pediatric primary care provider reimbursement (November 1, 2019)
- Funding for services in institutions of mental diseases (November 1, 2019)
- Employment status of Apple Care clients (November 15, 2019)
- Apple Health preferred drug list (November 15, 2019)
- Apple Health dental program (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)
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Diagnosis-Related Group High Outlier Claims (December 31, 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)