In crisis?
Due to COVID-19, HCA’s lobby is closed. Learn more about HCA's customer service options during the pandemic.
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
- Application and instructions (updated July 1, 2021)
Medicaid cost report
- Cost report form (updated July 8, 2015)
- Cost report instructions (updated June 27, 2014)
Washington Administrative Code (WAC) information
Interim rates
- January 1, 2021 - present (updated January 26, 2021)
- January 1, 2020 - December 31, 2020 (updated February 21, 2020)
- January 1, 2019 - December 31, 2019 (updated February 4, 2019)
- January 1, 2018 - December 31, 2018 (updated March 5, 2018)
- January 1, 2017 - December 31, 2017 (published December 28, 2016)
- January 1, 2016 - December 31, 2016 (updated June 10, 2016)
- January 1, 2015 - December 31, 2015 (updated March 5, 2015)
Additional information
- HCA standard revenue code to cost center crosswalk (updated August 28, 2014)
- Department of Health - Critical Access Hospitals
Payments
- Low income DSH SFY2021 (updated June 30, 2021)
- Low income DSH SFY2020 (updated May 11, 2020)
- Low income DSH SFY2014 (updated March 17, 2015)
- Low income DSH SFY2013 (updated April 9, 2013)
- Small rural DSH SFY2021 (updated June 30, 2021)
- Small rural DSH SFY2020 (updated May 11, 2020
- Small rural DSH SFY2014 (updated May 22, 2014)
- Small rural DSH SFY2013 (updated July 14, 2012)
- Small rural DSH SFY2012 (updated July 1, 2012)
Application and instructions (non-CPE)
- DSH application (updated June 30, 2021)
- DSH application troubleshooting (published July 1, 2012)
Reporting data file (DRDF)
- DRDF filing schedule (published July 10, 2014)
- DRDF preparation instructions (published July 1, 2012)
- DRDF certification review process (updated June 11, 2015)
Fee-for-service (FFS) payments
- SFY 2022 1st quarter (published September 27, 2021)
- SFY2021 4th quarter (published June 8, 2021)
- SFY2021 3rd quarter (published March 18, 2021)
- SFY2021 2nd quarter (published December 14, 2020)
- SFY2021 1st quarter (published September 23, 2020)
- SFY2020 4th quarter (published June 12, 2020)
- SFY2020 3rd quarter (updated June 12, 2020)
- SFY2020 2nd quarter (published January 3, 2020)
- SFY2020 1st quarter (published September 23, 2019)
- View all Hospital Safety Net Assessment payments
Critical Access Hospital (CAH) grant payments
- SFY2021 (published April 19, 2021)
- SFY2020 (published March 26, 2020)
- SFY2019 (published February 26, 2019)
- SFY2018 (published March 26, 2018)
- SFY2017 (updated June 14, 2017)
- SFY2016 (published June 21, 2016)
Revised Code of Washington (RCW) information
Inpatient provider rates (includes outpatient ratio of cost to charges (RCC) rates)
- November 1, 2021 - present (proposed) (posted October 15, 2021)
- August 1, 2021 - October 31, 2021 (updated July 28, 2021)
- July 1, 2021 - July 31, 2021 (updated August 6, 2021)
- May 1, 2021 - June 30, 2021 (updated April 29, 2021)
- February 1, 2021 - April 30, 2021 (published January 28, 2021)
- December 1, 2020 - January 31, 2021 (updated January 25, 2021)
- November 1, 2020 - November 30, 2020 (published June 9, 2021)
- October 1, 2020 -October 31, 2020 (updated June 9, 2021)
- September 1, 2020 - September 30, 2020 (updated November 5, 2020)
- August 1, 2020 - August 31, 2020 (updated June 9, 2021)
- July 1, 2020 - July 31, 2020 (updated June 9, 2021)
- May 1, 2020 - June 30, 2020 (updated November 5, 2020)
- View all Inpatient Prospective Payment System (IPPS) rates
Diagnosis-related group (DRG) grouper weights and utilization/length of stay information
- April 1, 2018 - current (updated May 15, 2018)
- July 1, 2014 - March 31, 2018 (updated July 16, 2014)
Outlier factors
- July 1, 2014 - current (published July 2, 2014)
Quality Incentive Payments (QIP) hospital scores
- July 1, 2021 - current (published June 14, 2021)
- July 1, 2020 - June 30, 2021 (published June 29, 2020)
- July 1, 2019 - June 30, 2020 (published June 26, 2019)
- July 1, 2018 - June 30, 2019 (published June 19, 2018)
- July 1, 2017 - June 30, 2018 (published June 12, 2017)
- July 1, 2016 - June 30, 2017 (published July 26, 2016)
- August 1, 2015 - June 30, 2016 (published July 20, 2015)
Additional information
Ratio of cost to charges (RCC) rates
Provider conversion factors
- October 1, 2021 - present (updated October 13, 2021)
- July 1, 2021 - September 30, 2021 (updated October 13, 2021)
- April 1, 2021 - June 30, 2021 (updated April 15, 2021)
- January 1, 2021 - March 31, 2021 (published February 18, 2021)
- October 1, 2020 — December 31, 2020 (updated October 16, 2020)
- July 1, 2020 — September 30, 2020 (updated September 28, 2020)
- April 1, 2020 — June 30, 2020 (updated April 3, 2020)
- View all OPPS provider conversion factors
Relative weights
- April 1, 2017 - current (updated March 17, 2017)
- July 1, 2014 - March 31, 2017 (updated June 26, 2014)
Additional information
Payments
- SFY2021 3rd distribution (published September 30, 2021)
- SFY2021 2nd distribution (published May 4, 2021)
- SFY2021 1st distribution (published February 2, 2021)
- SFY2020 5th distribution (published June 7, 2021)
- SFY2020 4th distribution (published November 4, 2020)
- SFY2020 3rd distribution (published August 5, 2020)
- SFY2020 2nd distribution (published May 7, 2020)
- SFY2020 1st distribution (published February 5, 2020)
- View all Trauma payments