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
- CR-101 - WAC 388-96-738 What default case mix group and weight must the department use for case mix grouping when there is no minimum data set resident assessment for a nursing facility resident? WSR 24-14-072
- CR-101 - WAC 388-96-809 Change of ownership-Final reports-Settlement securities. WSR 24-20-126
For more information see the rule making page.
Developmental Disabilities
- Developmental Disabilities Rates Excel
- Developmental Disabilities Rates and Reimbursement Website
Home and Community
- Home and Community Based Services Reports and Analysis
- COVID-19 Temporary Rate Increases - Updated 12/29/23
- Home & Community Services Rates Excel | PDF
- Home & Community Services Rates History
- Service Area Map - as of July 1, 2023 MSA designation for AFH | Cost designation for AL/ARC/EARC/SDC
- County Rates Tool - effective July 1, 2023
- County Rates Tool - effective July 1, 2024
- Capital Add-On Information Sheet
- Capital Add-On Providers - July 1, 2023 - June 30, 2024
- Capital Add-On Providers - July 1, 2024 - June 30, 2025
Nursing Facilities
- 3.4 HPRD Direct Care Reporting Requirements
- Audit and Credit Balance Report Information
- Case Mix
- Nursing Facility Cost Reports
- Dear Administrator Letters
- Minimum Data Set
- Nursing Assistant Certified Reimbursement
- Rates and Reports
- Independent Rate Reports
- Safety Net Assessment
- Wage Equity Add-On
- Patient-Driven Payment Model (PDPM)
Fact Sheets
Access Maps
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.