Legislative reports
Find reports submitted by the Health Care Authority (HCA) to the Washington State Legislature. Reports are dated by their original due date to the Legislature.
Looking for Medicaid Transformation reports?
Find them on our Medicaid Transformation Project reports webpage.
2025
Apple Health
- 2024
-
Apple Health/Medicaid
- Apple Health (Medicaid) performance measures analysis: Service coordination organization performance measures & Apple Health managed care preventive services and vaccinations (September)
- Connecting Apple Health clients to dental services with the DentistLink tool (June)
- Employment status of Apple Health clients and non-client individuals with dependents who are Apple Health clients (November)
- HIV antiviral drugs (December 1)
- Prior authorization modernization: managed care implementation update (December)
Behavioral health
- Addressing crisis services funding gaps (December)
- Behavioral health access and network adequacy for Apple Health children and youth (prenatal – age 25) (December 1)
- Behavioral Health Administrative Service Organization (BH-ASO) reserve levels (December)
- Behavioral health comparison rate development: phase three (December 31)
- Behavioral health consultation, referral, and provider training programs, prenatal through age 18 (December 31)
- Behavioral health outcomes: 2023 Integrated Managed Care data (December 29)
- Crisis Workforce and Resilience Training Collaborative recommendations (December 31)
- Evaluation of young adults’ access to Program of Assertive Community Treatment (PACT) services (December)
- Evidence-Based Practice Institute annual report (December 1)
- Family Initiative Treatment (FIT): Increasing access to behavioral health services for minors (November 1)
- Foundational Community Supports (FCS) program: streamlining eligibility and provider payments (December 1)
- Implementation plan to continue the expansion of civil long-term inpatient capacity (December 1)
- Island County pilot program (December 1)
- Mobile medication unit rate development interim report (December 1)
- North Sound Behavioral Health – Administrative Service Organization Proviso 13(b) pilot (December 1)
- Olympic Heritage Behavioral Health - summary of provider interest survey (June)
- Operation of community behavioral health service delivery system (December 1)
- Outpatient Competency Restoration Program annual report (November 1)
- Prenatal substance exposure (November 13)
- Pursuing a statewide certified community behavioral health clinic initiative in Washington (December 31)
- Rapid Methadone Induction Pilot Program (December 9)
- Recommendations on alternative models for long-acting injectable buprenorphine (October 15)
- Recommendations on bulk purchasing and distribution of prescription drugs (naloxone) (December 9)
- Recovery Navigator Program and Law Enforcement Assisted Diversion Program report and status assessment (June)
- Research and analysis of Neonatal Abstinence Syndrome (December 1)
- Rural Access Study (November)
- Safe supply work group recommendations (December 1)
- Statewide substance use disorder (SUD) prevalence and cross-sector interactions: inventory of data and reporting capabilities (December 1)
- Substance use disorder (SUD) recovery programs implementation (July)
- Substance Use Recovery Services (SURS) plan progress report (December 1)
- Summary of streamlining substance use disorder (SUD) authorization and reauthorization processes across all payors (December 1)
- Targeted behavioral health provider rate increase (November 1)
Employee and retiree benefits
- Anti-obesity medications in Uniform Medical Plan (UMP) (December 1)
- PEBB and SEBB customer service complaints and appeals (September 30)
- Study on consolidating the PEBB and SEBB programs (December 1)
Housing
- Apple Health and Homes: Update on program implementation and preparedness (December 1)
- Foundational Community Supports (FCS) short-term housing subsidies (December 1)
- Recommendations for Increasing Stable Housing in the Community Performance Measure Utilization (July)
Work groups, coalitions, and boards
- Children and Youth Behavioral Health Work Group Annual Report, Part 1 (November 1)
- Children and Youth Behavioral Health Work Group Annual Report, Part 1, updated with statements of support (December 9)
- Children and Youth Behavioral Health Work Group Annual Report, Part 2 (November 5)
- Dr. Robert Bree Collaborative annual report (November 15)
- Health Care Cost Transparency Board annual report (December 1)
- Health and Human Services Enterprise Coalition (November 1)
- Prescription Drug Affordability Board (PDAB) annual report (December 15)
- SUDISA work group recommendations (December 1)
- Universal Health Care Commission Washington Health Trust (SB 5335) analysis report (June)
Other topics
- 340B Drug Pricing Program (December 1)
- Community Health Worker Grant Program Update (January)
- HCA workforce staffing analysis: 2024 internal assessment of indirect costs and staff attrition trends (December 29)
- Home Care Safety Net Assessment (December 1)
- Inpatient Hospital Certified Public Expenditure (CPE) program (November 1)
- Non-emergency medical transportation (NEMT) overview and gap analysis (December 1)
- Preliminary report on addressing crisis services funding gaps (January)
- Washington State All-Payer Claims Database and Lead Organization - biennial report (March)
- Washington State All-Payer Claims Database (APCD) grant activity report (October 1)
- 2023
-
Apple Health/Medicaid
- Apple Health and Homes program launch plan (December 1, 2023)
- Apple Health (Medicaid) managed care preventive services and vaccinations (September 15, 2023)
- Employment Status of Apple Health Clients and Individuals with Dependents Who are Apple Health Clients (November 2023)
- HIV antivirals (December 1, 2023)
- Medicaid Funding Options for Clinical Training Programs (December 1, 2023)
- Opioid overdose reversal medication bulk purchasing and distribution program (January 1, 2023)
- Proportion of Non-Participating Providers Serving Apple Health Enrollees (January 1, 2023)
- Service Coordination Organization Performance Measures (December 1, 2023)
Behavioral health
- 988 usage report (November 2023)
- Access to behavioral health services for children, youth, and young adults (December 1, 2023)
- Alternative Response Team Grant Program (December 1, 2023)
- Analysis of workforce retention and recruitment related to one-time assistance payments (December 1, 2023)
- Behavioral Health Comparison Rate Development - Phase Two (June 30, 2023)
- Behavioral health consultation and referral services (December 30, 2023)
- Behavioral Health Emergency Response and Coordination Services pilot (December 31, 2023)
- Behavioral Health Outcomes (June 30, 2023)
- Behavioral Health Outcomes: 2021-22 Integrated Managed Care Data (December 2023)
- Behavioral health outcomes - integrated managed care data (December 30, 2023)
- Behavioral Health Workforce Pilot Program and Training Grants Program (September 30, 2023)
- Best Telehealth Practices for Pediatric Behavioral Health - Final Report (February 1, 2023)
- Create and expand housing supports for adults with behavioral health conditions (December 31, 2023)
- Criminal Justice Treatment Account (CJTA) administration (September 30, 2023)
- Evidence-Based Practice Institute (December 1, 2023)
- Foundational Community Supports (FCS) Housing subsidies (December 1, 2023)
- Habilitative Mental Health CLIP facility standup (June 30, 2023)
- Increasing access to Behavioral Health services for minors (November 1, 2023)
- Intensive Outpatient and Partial Hospitalization Services (December 30, 2023)
- Island county pilot program (December 1, 2023)
- Law Enforcement Assisted Diversion pilot program (December 1, 2023)
- Outpatient Competency Restoration Program annual report (November 1, 2023)
- Re-Entry Community Services Workgroup (December 1, 2023)
- Reimbursements for FY 2022 Involuntary Treatment Act Judicial Services (December 1, 2023)
- Safe supply work group (December 1, 2023)
- Substance use and recovery services plan (December 1, 2023)
- Substance Use and Recovery Services Plan (December 2023)
- Targeted behavioral health provider rate increases (November 1, 2023)
- Teaching Clinic Enhancement Rate for Behavioral Health Agencies (February 1, 2023)
- Updated implementation plan to continue the expansion of civil long-term inpatient capacity (December 1, 2023)
- UW behavioral health teaching facility long-term inpatient care beds (December 1, 2023)
Employee and retiree benefits
- PEBB Cost and Utilization Trends (November 11, 2023)
- PEBB Customer service complaints and appeals (September 30, 2023)
- PEBB Retiree Medicare Benefits (December 1, 2023)
- Study on Contracting for Administration of UMP (December 31, 2023)
Work groups, coalitions, and boards
- Children and Youth Behavioral Health Work Group Annual Report, Part 1 (November 6, 2023)
- Children and Youth Behavioral Health Work Group Annual Report, Part 1 - UPDATED (December 12, 2023)
- Children and Youth Behavioral Health Work Group Annual Report, Part 2 (December 20, 2023)
- Dr. Robert Bree Collaborative annual report (November 15, 2023)
- Health Care Cost Transparency Board annual report (August 1, 2023)
- Health and Human Services Enterprise Coalition (November 1, 2023)
- Prescription Drug Affordability Board Annual Report 2023 (December 15, 2023)
- Total Cost of Insulin Work Group - final report (July 1, 2023)
- Washington Psilocybin Task Force (December 1, 2023)
Other topics
- Accountable Communities of Health Alignment with Community Identified Health Needs (December 1, 2023)
- Fertility Treatment Benefit (June 30, 2023)
- Inpatient Hospital Certified Public Expenditure (CPE) program (November 1, 2023)
- Mobile Crisis Response Payment Options (December 1, 2023)
- Predicting Referrals for Competency Evaluation (December 1, 2023)
- Rates established for ancillary charges during hospital administrative days (December 1, 2023)
- Review of Program Integrity Managed Care Oversight, Accountability, and Savings (October 1, 2023)
- Statewide SUD prevalence and cross-sector interactions (December 1, 2023)
- Trueblood Diversion Grant Programs (June 30, 2023)