For those affected by flooding in Washington
If you or someone you know has been displaced, needs medical or behavioral health support, or is navigating interruptions to health coverage or services, resources are available to help.
Reports
View the below reports about our Medicaid Transformation Project (MTP)-related work. These reports are produced by or for the Health Care Authority (HCA).
If looking for a report from an earlier year, please email our MTP team.
- General
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Rapid-cycle monitoring reports
- CMS documents
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Summative Evaluation Report
- Medicaid Transformation Project Summative Evaluation Final Report (June 2024): This report evaluates the state’s progress from January 2017 through December 2022, spanning MTP 1.0 demonstration years one through six. It was prepared for HCA by The Center for Health Systems Effectiveness at Oregon Health & Science University (OHSU). In this report, OHSU outlines the goals of Washington’s 1115 Medicaid wavier and describes evaluation activities, including evaluation hypotheses, data, and methods. This report was submitted to CMS as a final deliverable.
- Medicaid Transformation Project Summative Evaluation Report approval letter (November 3, 2025): CMS approved Washington state’s MTP Summative Evaluation Final Report. CMS's review found through the application of a rigorous evaluation methodology, MTP demonstrated measurable progress in advancing integrated care, expanding access to housing and employment supports, and strengthening the state’s capacity for substance use disorder and behavioral health treatment.
Quarterly progress reports
Demonstration year 9
- First reporting period (July–September 2024)
- Second reporting period (October–December 2024)
- Third reporting period (January–March 2025)
Demonstration year 8
MTP 2.0 began July 1, 2023, which started demonstration year (DY) 8. Note: the below reports will not align with regular calendar quarters.
- First reporting period (July–September 2023)
- Second reporting period (October–December 2023)
- Third reporting period (January–March 2024)
- Fourth reporting period (April–June 2024)
Demonstration year 7
- First quarter (January–March 2023)
- Second quarter (April–June 2023)
Demonstration year 6
- First quarter (January–March 2022)
- Second quarter (April–June 2022)
- Third quarter (July–September 2022)
- Fourth quarter (October–December 2022)
- Initiative 1: transformation through ACHs and IHCPs
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Legislative reports
- ACH report to the Legislature (December 2022)
- ACH report to the Legislature (December 2023)
ACH transformation progress
- Pay-for-reporting findings report (October 2022)
- Pay-for-reporting findings report (May 2022)
- Semi-annual findings report (July 1 to December 31, 2021)
- Semi-annual findings report (January 1 to June 30, 2021)
Quarterly incentive reports
2024
2023
2022
- Initiative 2: long-term services and supports (LTSS)
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Read our quarterly progress reports (see CMS documents) to learn about what's going on with LTSS.
- Initiative 3: Foundational Community Supports (FCS)
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Preliminary evaluation report findings
Supported employment and supportive housing reports
- Supportive housing (October 2025)
- Supportive employment (October 2025)
- Supportive housing (April 2025)
- Supportive employment (April 2025)
- Supportive housing (March 2025)
- Supported employment (March 2025)
- Supported employment (January 2025)
- Supportive housing (January 2025)
- Supported employment (December 2024)
- Supportive housing (December 2024)
- Supported employment (November 2024)
- Supportive housing (November 2024)
- Supported employment (June 2024)
- Supportive housing (June 2024)
- Supported employment (May 2024)
- Supportive housing (May 2024)
- Supported employment (April 2024)
- Supportive housing (April 2024)
- Supported employment (March 2024)
- Supportive housing (March 2024)
- Supported employment (December 2023)
- Supportive housing (December 2023)
- Supported employment (November 2023)
- Supportive housing (November 2023)
- Supported employment (September 2023)
- Supportive housing (September 2023)
- Supported employment (July 2023)
- Supportive housing (July 2023)
- Supported employment (June 2023)
- Supportive housing (June 2023)
- Supported employment (May 2023)
- Supportive housing (May 2023)
- Supported employment (April 2023)
- Supportive housing (April 2023)
- Supported employment (March 2023)
- Supportive housing (March 2023)
- Supported employment (February 2023)
- Supportive housing (February 2023)
- Supported employment (January 2023)
- Supportive housing (January 2023)
- Supported employment (December 2022)
- Supportive housing (December 2022)
- Supported employment (October 2022)
- Supportive housing (October 2022)
- Supported employment (September 2022)
- Supportive housing (September 2022)
- Supported employment (August 2022)
- Supportive housing (August 2022)
- Supported employment (July 2022)
- Supportive housing (July 2022)
- Supported employment (June 2022)
- Supportive housing (June 2022)
- Supported employment (April 2022)
- Supportive housing (April 2022)
- Supported employment (March 2022)
- Supportive housing (March 2022)
- Supported employment (February 2022)
- Supportive housing (February 2022)
- Supported employment (January 2022)
- Supportive housing (January 2022)
- Initiative 4: substance use disorder (SUD) IMD
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Institutions for mental diseases (IMDs) are hospitals, nursing facilities, or other institutions of more than 16 beds that are primarily engaged in providing diagnosis, treatment, or care of persons with mental diseases, which includes SUD.
- Read our quarterly progress reports (see CMS documents) to learn about what's going on with SUD IMD.
- Initiative 5: mental health IMD
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Institutions for mental diseases (IMDs) are hospitals, nursing facilities, or other institutions of more than 16 beds that are primarily engaged in providing diagnosis, treatment, or care of persons with mental diseases, which includes SUD.
- Read our quarterly progress reports (see CMS documents) to learn about what's going on with mental health IMD.