Medicaid Transformation Project (MTP)

The Health Care Authority (HCA) purchases health care for 2 million Washington residents through our Apple Health (Medicaid) program. As the largest health care purchaser in the state, we lead the effort to transform health care, helping ensure people have access to better health and better care at a lower cost.

Through December 2021, Washington State will receive up to $1.5 billion as part of a Section 1115 Medicaid demonstration waiver. The waiver, called the Medicaid Transformation Project (MTP), is a five-year agreement with the Centers for Medicare & Medicaid Services. This waiver allows us to create and continue to develop projects, activities, and services that improve Washington’s health care system.

All work under MTP benefits those enrolled in Apple Health.