Medicaid Transformation Project (MTP)

Introduction

MTP is Washington State's Section 1115 Medicaid demonstration waiver between the Health Care Authority (HCA) and Centers for Medicare & Medicaid Services (CMS). MTP allows our state to create and continue to develop projects, activities, and services that improve Washington’s health care system. 

About us

On June 30, 2023, CMS approved MTP to continue for five more years. Our state's MTP renewal, called MTP 2.0, will help widen our reach to provide more programs, services, and supports to our most vulnerable populations.

An overview of MTP 2.0

To read complete details about the following graphic, read the long description.

See long description below the infographic for details

MTP 2.0 infographic: long description

The graphic above illustrates the various programs under the Medicaid Transformation Project (MTP) renewal, called MTP 2.0.

On the left side of the graphic

We provide this language about MTP 2.0:

“The Medicaid Transformation Project (MTP) is Washington State’s Section 1115 Medicaid demonstration waiver. MTP allows our state to create and continue to develop projects, activities, and services that improve Washington’s health care system. All MTP programs support Apple Health (Medicaid) enrollees. In June 2023, the federal government approved MTP to continue for an additional five years. We call the MTP renewal ‘MTP 2.0,’ which will help widen our reach to provide more programs, services, and supports to our most vulnerable populations.”

On the bottom left corner

A legend describes how to view the illustration part of the graphic. Each MTP program is designed as a hexagon-shaped tile (with six sides), which connects to a topic (also designed as a hexagon-shaped tile). The topic and program(s) create an individual cluster, and all clusters connect together. Each cluster has a specific color—and depending on if a program is new or continuing—the shade of the cluster will vary. New programs are a darker shade; programs continuing from the initial MTP waiver period have a lighter shade.

The clusters are as follows:

Behavioral health—colored purple—has three programs:

  • Both the mental health IMD and substance use disorder (SUD) IMD programs are continuing from the initial MTP waiver period
  • Contingency management for SUD treatment is a new MTP 2.0 program

Older and aging adults and family caregivers—colored blue—has two programs:

  • Medicaid Alternative Care (MAC) and Tailored Supports for Older Adults (TSOA) are continuing
  • Presumptive Eligibility is new

Housing and employment—colored green—has one program:

  • Foundational Community Supports is continuing

Health-related social needs (HRSN)—colored gold—has three programs:

  • Native Hub, other HRSN services, and Community Hubs are new

HRSN system—colored orange—has one program:

  • HRSN infrastructure is new

Reentry from a carceral setting—colored grey blue—has one program:

  • Reentry services for individuals leaving a prison, jail, or youth correctional facility is new

Continuous enrollment—colored red—has two programs:

  • Continuous Apple Health enrollment for children, ages 0–5 and Apple Health postpartum coverage expansion are new

On the bottom of the graphic

We provide this definition:

“IMD stands for ‘institution for mental diseases.’ IMDs are hospitals, nursing facilities, or other institutions of more than 16 beds that are primarily engaged in providing diagnosis, treatment, or care of persons with mental diseases, which includes SUD. We acknowledge the term ‘mental disease’ may be harmful or stigmatizing. We use it in this context only to reflect the legal terminology used in statute."