WSR 20-22-073
[Filed November 2, 2020, 1:52 p.m.]
Subject: Washington state medicaid transformation project (MTP) waiverNotice of 1-year extension application.
Effective Date: The current MTP waiver went into effect in January 2017.
The Washington state health care authority (HCA) will submit a one-year extension and amendment request to the Centers for Medicare and Medicaid Services (CMS) for the MTP.
MTP is a five-year Section 1115 waiver from CMS. This extension, if approved, would create a sixth year.
An extension would allow Washington state to continue its COVID-19 relief efforts through each of the MTP initiatives. It would also serve to further the continued implementation of MTP's transformational goals and progress toward value-based care. This extension, if approved, would create a sixth year for MTP.
In addition to the extension, HCA is seeking CMS approval to amend the existing waiver to: (1) Provide flexibility related to long-term services and supports; and (2) align the value-based payment target for year five of MTP because of state adjustments due to COVID-19.
Public comment is open to anyone who would like to share feedback. We encourage health care and social service providers, managed care organizations, hospitals and health systems, medical associations, tribes, accountable communities of health, and the public to provide input.
HCA will accept public comment through December 2, 2020, at 5 p.m. (Pacific). Submit public comment at, or email comments to More information is available at
For additional information, contact Bonnie Wennerstrom, policy connector, policy division, HCA, email