Hospital reimbursement
This page provides reimbursement rates for hospitals serving Medicaid clients using the Washington State Medicaid Prospective Payment System (PPS fee-for-service).
Rates and program information
- Certified Public Expenditures (CPE)
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Disproportionate Share Hospital (DSH) application
Medicaid cost report
Washington Administrative Code (WAC) information
- Critical Access Hospitals (CAH)
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Interim rates
Additional information
- Disproportionate Share Hospital (DSH)
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Payments
Low income DSH
Small rural DSH
Application and instructions (non-CPE)
- Hospital Safety Net Program
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Fee-for-service (FFS) payments
Critical Access Hospital (CAH) grant payments
Hospital Safety Net Grants
Distressed Hospital Grant
Managed Care State Directed Payments
Designated Public Hospital (DPH) Inpatient Directed Payments
Designated Public Hospital (DPH) Outpatient Directed Payments
Revised Code of Washington (RCW) information
- Inpatient Prospective Payment System (IPPS)
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Inpatient provider rates
- August 1, 2025 - present - proposed (published August 15, 2025)
- July 1, 2025 - July 31, 2025 (updated August 5, 2025)
- May 1, 2025 - June 30, 2025 (updated May 1, 2025)
- February 1, 2025 - April 30, 2025 (updated March 4 , 2025)
- November 1, 2024 - January 31, 2025 (updated March 4, 2025)
- See all inpatient provider rates.
Diagnosis-related group (DRG) calculator
Diagnosis-related group (DRG) grouper weights and utilization/length of stay information
Outlier factors
Quality Incentive Payments (QIP) hospital scores
- July 1, 2025 - present (published July 1, 2025)
- July 1, 2024 - June 30, 2025 (updated July 1, 2024)
- July 1, 2023 - June 30, 2024 (updated July 5, 2023)
- July 1, 2022 - June 30, 2023 (published June 9, 2022)
- View all Quality Incentive Payments (QIP) hospital scores
Additional information
- Outpatient Prospective Payment System (OPPS)
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Provider conversion factors
EAPG Calculator
Relative weights
Additional information
- Trauma Program
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Payments
Additional information
