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.

The Medicaid Transformation Project (MTP) is Washington’s Section 1115 Medicaid demonstration waiver between HCA and the Centers for Medicare & Medicaid Services (CMS). MTP 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.

MTP was initially a five-year period, from 2017 to 2021. In 2021, CMS approved a one-year extension. MTP will now end December 31, 2022, unless CMS authorizes additional renewals/extensions.