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

Certified Public Expenditures (CPE)

Disproportionate Share Hospital (DSH) application

Medicaid cost report

Washington Administrative Code (WAC) information

Critical Access Hospitals (CAH)

Interim rates

Additional information

Disproportionate Share Hospital (DSH)

Payments

Application and instructions (non-CPE)

Reporting data file (DRDF)

Hospital Safety Net Program

Fee-for-service (FFS) payments

Critical Access Hospital (CAH) grant payments

  • SFY2024 (published March 7, 2024)
  • SFY2023 (published April 10, 2023)
  • SFY2022 (published March 22, 2022)
  • 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)

Distressed Hospital Grant

Revised Code of Washington (RCW) information

Inpatient Prospective Payment System (IPPS)

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

Additional information

Outpatient Prospective Payment System (OPPS)

Provider conversion factors

EAPG Calculator

Relative weights

Additional information

Trauma Program

Payments

Additional information

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