Third round of contingency management (CM) within the Medicaid framework now open

Washington State Health Care Authority sent this bulletin at 03/03/2026 11:37 AM PST

March 3, 2026

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Third round of contingency management (CM) within the Medicaid framework now open

The Health Care Authority has an exciting opportunity to address stimulant use disorder in communities across Washington. The application period is now open for the third cohort of the CM program within Washington’s Section 1115 Medicaid demonstration waiver — Medicaid Transformation Project (MTP 2.0).

CM is an evidence-based behavioral intervention for stimulant use disorder, opioid use disorder, and alcohol use disorder. Efforts are underway at the Health Care Authority to launch CM within the Medicaid framework at behavioral health agencies across Washington State.

Learn more about CM

Participating in the CM program

The Health Care Authority will be selecting 10 sites for the third CM cohort under the MTP 2.0 waiver. Please read the Participant and Program Partnership Guide prior to completing the Readiness Tool.

Application details

The CM Interest and Readiness Tool will assess if sites meet the requirements for implementing CM. This tool is the first step in site selection. Please return your completed CM Interest and Readiness Tool by the end of business on April 21, 2026.

Please direct any questions to HCAsupportedCM.

Fill out the CM Interest and Readiness Tool

About the Health Care Authority (HCA)

Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.

There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.

Please do not reply directly to this message. For more information, visit the HCA website, where you'll also find contact information.

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Nondiscrimination

The Washington State Health Care Authority (HCA) complies with all applicable federal and Washington state civil rights laws and is committed to providing equal access to our services. Visit HCA’s website to view complete nondiscrimination statements.

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