The Office of Rates Management includes: Aging and Long-Term Support Reimbursement and Analysis; Nursing Facility Rates; and Developmental Disabilities Rates. If you would like to request information or data, the Public Disclosure Request form will help us get you what you need. To receive our email notices, subscribe at our GovDelivery page. If you have any questions, please do not hesitate to Contact Us.
Washington Administrative Code (WAC) changes in progress
- 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.
HCBS Access Rules: Payment Adequacy and Reporting
The Payment Adequacy and Reporting rules ensure caregivers and service providers are paid fairly, helps people how Medicaid funds are spent, and supports a stable workforce to help Medicaid clients connect with care when and where they need it.
- Documentation of Access to Care and Service Payment Rates | CFR
- Payment Rate Disclosure Report – 2025
Developmental Disabilities
- Developmental Disabilities Rates Excel
- Developmental Disabilities Rates and Reimbursement Website
Home and Community
- Home and Community Based Services Reports and Analysis
- 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, 2026
- County Rates Tool - effective January 1, 2026
- Capital Add-On Information Sheet
- Bridge Rate Information Sheet
- Capital Add-On Providers - July 1, 2025 - June 30, 2026
- Capital Add-On Providers - July 1, 2026 - June 30, 2027
- Historical Covid-19 Related Temporary Rates - March 1, 2020 - June 30, 2024
Nursing Facilities
- 3.4 HPRD Direct Care Reporting Requirements
- 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
- Trust Audit and Information
- Patient-Driven Payment Model (PDPM)
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.