Office of Rates Management

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 Home 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

  • WAC 388-96 - Amending rules and creating new rules to comply with SHB 1274 and SHB 2678.
    • CR-103E and rule text. This emergency rule is in effect through November 23, 2017.
    • CR-103P and rule text. This is the permanent language that will take effect November 24, 2017.
  • WAC 388-105-0005 - Amending rules to accurately reflect current AFH, AL, ARC, and EARC rates.

To see past rulemaking, visit the rule making page.

Developmental Disabilities

Home and Community

Nursing Facilities