Subject: Washington State Medicaid Transformation Project (MTP) waiver—Notice of MTP waiver renewal application and public comment period.

Effective Date: If approved, the MTP waiver renewal will begin January 1, 2023, and end December 31, 2027.

The Washington state health care authority (HCA) will submit a five-year MTP waiver renewal request to the Centers for Medicare and Medicaid Services (CMS). MTP is Washington state's Section 1115 medicaid demonstration waiver from CMS.

The state is in the last year of the current MTP waiver, which ends December 31, 2022. If approved, the waiver renewal will begin January 1, 2023, and end December 31, 2027.

The waiver renewal will provide an additional five years for Washington state to continue to develop projects, activities, and services that improve Washington's health care system. By renewing MTP, the state can continue:


•	Expanding coverage and access to care, ensuring people can get the care they need.
•	Advancing whole-person primary, preventive, and home- and community-based care.
•	Accelerating care delivery and payment innovation focused on health-related social needs.

Public comment period: As part of the waiver renewal request, HCA will hold a public comment period from May 12 to June 13, 2022. During this time, people can share their feedback on the waiver renewal application; the programs that will continue, expand, or begin under the waiver renewal; or share any other comments about the waiver renewal.

Public comment is open to anyone who would like to share feedback. HCA encourages health care and social service providers, accountable communities of health, tribal nations, Indian health care providers, managed care organizations, hospitals and health systems, medical associations, community-based organizations, and the public to provide feedback.

The deadline to provide public comment is Monday, June 13, 2022, at 5:00 p.m. PST. Share comments by completing a survey at https://hca.servicenowservices.com/nav_to.do?uri=%2Fassessment_take2.do%3Fsysparm_assessable_type%3D7abe3e321bf6c95095d6ed3ce54bcb15 or emailing medicaidtransformation@hca.wa.gov. More information, including the draft application, an executive summary, and additional ways to provide public comment, is available at hca.wa.gov/about-hca/medicaid-transformation-project-mtp/mtp-renewal.

For additional information, contact Chase Napier, Medicaid Transformation Manager, Policy Division, MTP, HCA, email medicaidtransformation@hca.wa.gov.