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Tracking success

Health Care Authority (HCA) tracks and measures the progress and impact of our Medicaid Transformation Project (MTP) work in a variety of ways.

Initiative 1 projects and incentive payments

Initiative 1 is about improving the Apple Health (Medicaid) health care delivery system in Washington State. Within this initiative, Accountable Communities of Health (ACHs) and Indian health care providers (IHCPs) earn incentive payments for implementing projects that change how people access and receive health care and social supports.

Incentives are earned through the Delivery System Reform Incentive Payment (DSRIP) program, which is the funding mechanism under Initiative 1.

Learn what IHCPs are working on.

ACH performance and reporting

ACHs are required to submit documents that provide information on the planning, implementation, and progress of their selected projects. To earn the maximum amount available for an incentive payment, ACHs must meet performance expectations and submit reports on their activities. This is called pay-for-reporting (P4R) and pay-for-performance (P4P). These documents are required by the MTP special terms and conditions and reflect ACHs’ milestone achievement.

For more information on performance metrics, visit the data dashboards page.

Visit each ACH page to view their submitted documents. The ACH submitted documents page provides links to the templates ACHs use to submit their documentation. 

MTP evaluation and assessment

Independent assessor (IA)

The IA focuses solely on ACH, IHCP, and value-based purchasing (VBP) Initiative 1 efforts. They determine progress and deliver incentive payments for reporting and performance. The IA produces the semi-annual report executive summaries and findings reports and calculates achievement values and results for MTP performance.

The IA also produced the mid-point assessment, which assessed ACH progress in project implementation halfway through the five-year MTP period.

Independent external evaluator (IEE)

The IEE helps evaluate MTP and understand the impact of MTP initiatives. The IEE:

  • Focuses on all five initiatives and evaluates the entire MTP program.
  • Produces baseline and interim reports as well as quarterly rapid-cycle monitoring reports. These reports are required by Centers for Medicare & Medicaid Services (CMS) and help us understand the overall impact of MTP. Evaluations may also provide feedback on how we can improve in specific areas of our work.
  • Uses both qualitative and quantitative methods to evaluate MTP.

HCA reporting

We also share the progress and impact of our Medicaid Transformation Project (MTP) work through reporting. We provide quarterly and annual reports to CMS and the Washington State Legislature. We also produce non-required reports, such as our ACH quarterly activity report and Initiative 1 quarterly incentive report. These are for anyone interested in our MTP work.

To view all reports produced by and for HCA, visit our Reports page.