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Medicaid Reimbursement

Medicaid Reimbursement

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Washington state’s Medicaid reimbursement rates are some of the worst in the nation, falling far short of the cost of providing care. For patients, the result is difficulty getting appointments, delays in care, and worsening health conditions. For doctors, the result is frustration and burnout, as most practices simply cannot afford to see the number of Medicaid patients in their communities who need care.

Building off of WSMA’s success in recent legislative sessions in increasing Medicaid reimbursement for some primary care, pediatric, and behavioral health services, during the 2025 legislative session the WSMA is asking the Washington Legislature to pass House Bill 1392 and Senate Bill 5372, the WSMA-supported Medicaid Access Program, which will increase Medicaid rates across the board for all physicians in all settings to at least the equivalents paid by Medicare.

We know that to be successful we’ll need the full support of the physician and practice community. Use resources on this page to help support the Medicaid Access Program and HB 1392 and SB 5372 in your community.

Pediatrician Beth Ebel, MD, on the Medicaid Access Program

Dr. Beth Ebel, president of the Washington Chapter of the American Academy of Pediatrics, was interviewed by KOMO-TV’s Preston Phillips for ARC Seattle’s evening program, airing on Feb. 18, 2025. Dr. Ebel discusses why the physician community has united to urge the Legislature to pass the Medicaid Access Program in House Bill 1392 and Senate Bill 5372, a funding plan that will bring approximately $400 million per year in federal funding to Washington state and help increase access to primary and specialty services for our state’s children and adults.


Resources to help amplify our advocacy for the Medicaid Access Program, below.

Medicaid Advocacy Campaign Website

Visit the WSMA's dedicated Medicaid campaign website at takeaction.wsma.org for information on how you and your organization can help support the Medicaid Access Program by:

  • Sending a message to legislators.
  • Submitting an op-ed or letter to the editor to your local media outlet.
  • Sharing your support with your staff, your colleagues, and your patients.
  • Joining our grassroots advocacy list for more direct advocacy opportunities.

Fact Sheets and One-pagers

Social Media Toolkit

Letters to Washington Lawmakers

Media Coverage

Supporting Data

 

Medicaid Access Program Campaign Website
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