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Hospital reimbursement

This page provides information for hospitals serving Medicaid clients using the Washington State Medicaid Prospective Payment System (PPS fee-for-service).

Rates and program information

Disproportionate Share Hospital (DSH) application

Medicaid cost report

Washington Administrative Code (WAC) information

Interim rates

Additional information



Utilization rates

Application and instructions (non-CPE)

Reporting data file (DRDF)

Washington Administrative Code (WAC) information


Fee-for-service (FFS) payments

Critical Access Hospital (CAH) grant payments

Revised Code of Washington (RCW) information

Inpatient provider rates (includes outpatient ratio of cost to charges (RCC) rates)

Diagnosis-related group (DRG) grouper weights and utilization/length of stay information

Outlier factors

Quality Incentive Payments (QIP) hospital scores

Additional information

Ratio of cost to charges (RCC) rates

Provider conversion factors

Relative weights

Additional information


Additional information