The mission of the Office of Rates Management is to design and administer payment systems that support the provision of cost-effective long-term care. The Office of Rates Management includes: Aging and Long-Term Support Reimbursement and Analysis; Nursing Facility Rates; and Developmental Disabilities Rates. On occasion, the Office of Rates Management works with third-party contractors to provide various reports regarding Medicaid rates. Those reports can be found on the Reports page. If you would like to request information or data, the Public Disclosure Request form will help us get you what you need. If you have any questions, please do not hesitate to Contact Us.
Washington Administrative Code (WAC) changes in progress
Currently there is an emergency rule in place to allow requests for 2019 Nursing Facility cost reports extensions to be filed through 5PM on March 31, 2020. Rule text | WSR
To see past rulemaking, visit the rule making page.
Developmental Disabilities
Home and Community
- COVID-19 Temporary Rate Increases
- Home & Community Services Rates Excel | PDF
- Home & Community Services Rates History
- Assisted Living Methodology Redesign old service areas | new service areas
- County Rates Tool
- Capital Add-On Providers - July 1, 2019-June 30, 2020
- Capital Add-On Providers - July 1, 2020 - June 30, 2021
Nursing Facilities
- 3.4 HPRD Direct Care Reporting Requirements
- Audit and Credit Balance Report Information
- Case Mix
- Cost Reports
- Dear Administrator Letters
- Minimum Data Set
- Nursing Assistant Certified Reimbursement
- Rates and Reports
- Independent Rate Reports
- Safety Net Assessment
Please note our mailing address is different from our physical address. The mailing address is to be used for all correspondence sent through the U. S. Postal Service. The physical address is only to be used for carrier services (Federal Express, UPS, etc.). DO NOT use the physical address for U.S. mail; your mail will be returned to you.