WA State ARPA FMAP Spending Plan

Developmental Disabilities Administration Update

June 17, 2021

Dear Interested Stakeholder,

On May 13, 2021, the Centers for Medicare and Medicaid Services  provided guidance to Washington state on implementation of section 9817 of the American Rescue Plan Act of 2021. Specifically, CMS outlined the eligible services and program requirements with which state Medicaid programs must comply in order to receive the enhanced Federal Medical Assistance Percentage provided in section 9817. CMS also directed the state to submit a spending plan that outlines how it will invest in home and community-based services.

Washington state’s initial spending plan outlines targeted investments our Legislature has already appropriated that will enhance and expand its HCBS services and programs for our most vulnerable residents while also ensuring compliance with federal regulations.

As the state's Medicaid authority, the Health Care Authority submitted the attached spending plan to meet the CMS deadline of June 11.  CMS will determine whether a state’s activities meet requirements of 9817 of ARPA and they have committed to review and approve the spending plan reports within 30 days of submission. HCA is required to submit quarterly updates to this spending plan beginning Oct. 1, 2021.  As those are submitted, we will send them out to stakeholders and tribal governments to keep you apprised of these investments.

Washington state is deeply committed to stakeholder participation at all stages of program and policy development. We appreciate all of the feedback you have provided to us and to the Governor’s Office and the Office of Financial Management regarding the use of these enhanced funds. 

Thank you for your continued work and advocacy on behalf of our state’s most vulnerable residents.


Debbie Roberts

Assistant Secretary

DSHS: Transforming Lives

Contact us for questions or feedback.