# Washington Medicaid Enrollment: Off Cycle Revalidation

> Washington Medicaid: HCA and DSHS finish off cycle revalidation of certain providers by June 5, 2028. HCA enrolled providers get 30 days from the notice.

Source: https://webillhealth.com/washington-medicaid-provider-enrollment/  
Publisher: WeBill Health  
Last updated: November 11, 2026

Washington Apple Health

## Washington Medicaid, revalidated and paid

An active Apple Health enrollment, an off cycle revalidation finished inside its deadline, and claims that keep paying.

[Request a Revenue Defense Audit](https://webillhealth.com/revenue-defense-audit/request/)

At the direction of the Centers for Medicare and Medicaid Services, the Washington State Health Care Authority (HCA) and the Department of Social and Health Services will finish off cycle revalidations for certain providers by June 5, 2028, with notices by email or mail to those selected. HCA announced the plan on August 26, 2026 in its [off cycle revalidation announcement](https://www.hca.wa.gov/about-hca/news/announcements/hca-and-dshs-complete-cycle-provider-revalidations).

* Off cycle deadline
HCA and the Department of Social and Health Services complete off cycle revalidations for certain providers by June 5, 2028; selected providers get notices by email or mail. [Washington Health Care Authority off cycle revalidation announcement, August 26, 2026](https://www.hca.wa.gov/about-hca/news/announcements/hca-and-dshs-complete-cycle-provider-revalidations)
* Who is exempt
HCA enrolled providers who revalidated between June 2025 and June 2026, or are scheduled to revalidate between June 2026 and June 2028, do not need the off cycle step; all other HCA enrolled providers do, including out of state providers. [Off cycle provider revalidation FAQ, September 2026](https://www.hca.wa.gov/assets/billers-and-providers/off-cycle-provider-revalidation-faq.pdf)
* Response window
For HCA enrolled providers, 30 days from the date on the notice; a provider who has not finished then gets a deactivation notice with an additional 90 days. [Off cycle provider revalidation FAQ, September 2026](https://www.hca.wa.gov/assets/billers-and-providers/off-cycle-provider-revalidation-faq.pdf)
* Payment and termination
Payment continues as normal during off cycle revalidation, and HCA terminates the enrollment of an HCA enrolled provider who does not complete it by the deadline. [Off cycle provider revalidation FAQ, September 2026](https://www.hca.wa.gov/assets/billers-and-providers/off-cycle-provider-revalidation-faq.pdf)
* Order of work
The 2026 strategy puts high risk providers and providers without a National Provider Identifier first, then moderate risk, then limited risk providers as capacity allows; the strategy says using existing processes may modify that sequence. [Washington Medicaid provider revalidation strategy, 2026](https://www.hca.wa.gov/assets/program/provider-revalidation-strategy-2026.pdf)
* Ordering and referring
Referring, ordering and prescribing providers must be enrolled as fee for service providers, and every provider on an institutional claim must be enrolled. [ProviderOne billing and resource guide, September 2025](https://www.hca.wa.gov/assets/billers-and-providers/providerone-billing-and-resource-guide.pdf)
* What we see in practice
45 to 90 days from submission to an active Medicaid ID.

## In the official words

> You have 30 days from the date on the notice to complete revalidation.

[Washington State Health Care Authority](https://www.hca.wa.gov/assets/billers-and-providers/off-cycle-provider-revalidation-faq.pdf)

> …revalidation may require unannounced site visits and background checks.

[Washington State Health Care Authority](https://www.hca.wa.gov/about-hca/news/announcements/hca-and-dshs-complete-cycle-provider-revalidations)

## Washington is revalidating selected providers ahead of schedule

The Health Care Authority and the Department of Social and Health Services will complete revalidations for certain providers by June 5, 2028, at the direction of the Centers for Medicare and Medicaid Services. [Washington Health Care Authority off cycle revalidation announcement, August 26, 2026](https://www.hca.wa.gov/about-hca/news/announcements/hca-and-dshs-complete-cycle-provider-revalidations) Selected providers receive notices by email or mail with instructions. [Washington Health Care Authority off cycle revalidation announcement, August 26, 2026](https://www.hca.wa.gov/about-hca/news/announcements/hca-and-dshs-complete-cycle-provider-revalidations)

Revalidation is normally a five year process, and depending on the provider’s risk level it may require unannounced site visits and background checks. [Washington Health Care Authority off cycle revalidation announcement, August 26, 2026](https://www.hca.wa.gov/about-hca/news/announcements/hca-and-dshs-complete-cycle-provider-revalidations) These off cycle revalidations come earlier than the normal five year timeline. [Washington Health Care Authority off cycle revalidation announcement, August 26, 2026](https://www.hca.wa.gov/about-hca/news/announcements/hca-and-dshs-complete-cycle-provider-revalidations)

An HCA enrolled provider that completed its regular revalidation between June 2025 and June 2026, or is scheduled for one between June 2026 and June 2028, does not need to complete the off cycle step. [Off cycle provider revalidation FAQ, September 2026](https://www.hca.wa.gov/assets/billers-and-providers/off-cycle-provider-revalidation-faq.pdf) All other HCA enrolled providers do, which includes out of state providers. [Off cycle provider revalidation FAQ, September 2026](https://www.hca.wa.gov/assets/billers-and-providers/off-cycle-provider-revalidation-faq.pdf)

HCA sends the standard revalidation notice to the email address on file, and mails letters when no email address is available. [Off cycle provider revalidation FAQ, September 2026](https://www.hca.wa.gov/assets/billers-and-providers/off-cycle-provider-revalidation-faq.pdf) Billing providers also receive one notice to confirm their service provider activity. [Off cycle provider revalidation FAQ, September 2026](https://www.hca.wa.gov/assets/billers-and-providers/off-cycle-provider-revalidation-faq.pdf)

DSHS contracted providers must complete the off cycle step if they did not recontract between June 2025 and June 2026 and are not due to renew a contract between June 2026 and June 2028. [Off cycle provider revalidation FAQ, September 2026](https://www.hca.wa.gov/assets/billers-and-providers/off-cycle-provider-revalidation-faq.pdf) DSHS sends its own revalidation notice by email. [Off cycle provider revalidation FAQ, September 2026](https://www.hca.wa.gov/assets/billers-and-providers/off-cycle-provider-revalidation-faq.pdf)

## How Washington enrollment and revalidation work, step by step

1. Wait for the notice, and confirm the mailing and email addresses on file. For a standard revalidation, no action is required until the revalidation letter arrives, and it goes to the mailing address on file. [Washington Health Care Authority revalidation page](https://www.hca.wa.gov/billers-providers-partners/become-apple-health-provider/revalidation) A single letter goes to the group or facility, and letters are not sent to individual providers working in a clinic. [Washington Health Care Authority revalidation page](https://www.hca.wa.gov/billers-providers-partners/become-apple-health-provider/revalidation)
2. Count 30 days. A provider has 30 days from the date on the notice before a deactivation notice is sent, then an additional 90 days. [Washington Health Care Authority revalidation page](https://www.hca.wa.gov/billers-providers-partners/become-apple-health-provider/revalidation)
3. Billing providers send the signed forms. That means a signed Core Provider Agreement and Debarment Statement, plus the Internal Revenue Service tax form for the provider. [Washington Health Care Authority revalidation page](https://www.hca.wa.gov/billers-providers-partners/become-apple-health-provider/revalidation)
4. Update ownership disclosures. Updated disclosures of ownership, managing employees and other controlling interests must be submitted when the information on file is reviewed and updated. [Washington Health Care Authority revalidation page](https://www.hca.wa.gov/billers-providers-partners/become-apple-health-provider/revalidation)
5. Nonbilling providers use the support portal or fax. Nonbilling providers submit required documents through the HCA support portal or by fax. [Washington Health Care Authority revalidation page](https://www.hca.wa.gov/billers-providers-partners/become-apple-health-provider/revalidation)

A provider that serves clients under both managed care and fee for service is a billing provider and follows the billing provider steps. [Washington Health Care Authority revalidation page](https://www.hca.wa.gov/billers-providers-partners/become-apple-health-provider/revalidation) New enrollment is a separate track from these notices. All billing providers must complete and sign a Core Provider Agreement and other required documents, and a health care professional practicing under a group or facility needs that group or facility enrolled with HCA first. [Washington Health Care Authority enrollment page](https://www.hca.wa.gov/billers-providers-partners/become-apple-health-provider/enroll-provider) We plan a new Washington file at 45 to 90 days from submission to an active Medicaid ID.

## Who Washington revalidates first, and what is still a plan

The strategy says the work goes first to high risk providers and providers without a National Provider Identifier, then to moderate risk providers, then to limited risk providers as capacity allows. [Washington Medicaid provider revalidation strategy, 2026](https://www.hca.wa.gov/assets/program/provider-revalidation-strategy-2026.pdf) It sets the goal as completing every revalidation within the months available before June 5, 2028. [Washington Medicaid provider revalidation strategy, 2026](https://www.hca.wa.gov/assets/program/provider-revalidation-strategy-2026.pdf)

The strategy responds to an April 23, 2026 request from the Centers for Medicare and Medicaid Services that every state submit a two year revalidation strategy. [Washington Medicaid provider revalidation strategy, 2026](https://www.hca.wa.gov/assets/program/provider-revalidation-strategy-2026.pdf) It planned for off cycle revalidations to start on or about August 1, 2026, so confirm the current status with HCA. [Washington Medicaid provider revalidation strategy, 2026](https://www.hca.wa.gov/assets/program/provider-revalidation-strategy-2026.pdf)

The strategy also describes a deactivation plan that is still under development, not a rule: it looks at providers who have not billed or rendered services for 24 months or longer, including providers who have never billed Medicaid. [Washington Medicaid provider revalidation strategy, 2026](https://www.hca.wa.gov/assets/program/provider-revalidation-strategy-2026.pdf) It says HCA would give providers notice and an opportunity to respond before any deactivation. [Washington Medicaid provider revalidation strategy, 2026](https://www.hca.wa.gov/assets/program/provider-revalidation-strategy-2026.pdf)

## Where Washington enrollments lose money

A billing provider whose revalidation information is not in by the deactivation deadline has its Medicaid billing privileges affected. [Washington Health Care Authority revalidation page](https://www.hca.wa.gov/billers-providers-partners/become-apple-health-provider/revalidation) HCA terminates the enrollment of an HCA enrolled provider who does not complete off cycle revalidation by the deadline. [Off cycle provider revalidation FAQ, September 2026](https://www.hca.wa.gov/assets/billers-and-providers/off-cycle-provider-revalidation-faq.pdf)

Any referring, ordering or prescribing provider must be enrolled as a fee for service provider, and its National Provider Identifier must be on the claims for what it ordered, referred or prescribed. [ProviderOne billing and resource guide, September 2025](https://www.hca.wa.gov/assets/billers-and-providers/providerone-billing-and-resource-guide.pdf) Every provider reported on an institutional claim must be enrolled as a Washington Medicaid provider. [ProviderOne billing and resource guide, September 2025](https://www.hca.wa.gov/assets/billers-and-providers/providerone-billing-and-resource-guide.pdf)

The initial timely filing deadline is 365 days from the date of service. [ProviderOne billing and resource guide, September 2025](https://www.hca.wa.gov/assets/billers-and-providers/providerone-billing-and-resource-guide.pdf) The guide is dated September 2025, so confirm that a newer edition has not replaced it.

## Check where you stand before you submit

WeBill Health runs Revenue Velocity Credentialing with 24/7 CAQH and PECOS lifecycle monitoring, so revalidation dates and affiliation gaps are caught before they become suspended claims. Every file gets Human Expert Review from a credentialing specialist before it goes to the Washington State Health Care Authority.

## Sources

* [Washington Health Care Authority off cycle revalidation announcement, August 26, 2026](https://www.hca.wa.gov/about-hca/news/announcements/hca-and-dshs-complete-cycle-provider-revalidations)
* [Off cycle provider revalidation FAQ, September 2026](https://www.hca.wa.gov/assets/billers-and-providers/off-cycle-provider-revalidation-faq.pdf)
* [Washington Medicaid provider revalidation strategy, 2026](https://www.hca.wa.gov/assets/program/provider-revalidation-strategy-2026.pdf)
* [ProviderOne billing and resource guide, September 2025](https://www.hca.wa.gov/assets/billers-and-providers/providerone-billing-and-resource-guide.pdf)
* [hca.wa.gov, revalidation](https://www.hca.wa.gov/billers-providers-partners/become-apple-health-provider/revalidation)
* [hca.wa.gov, 09 0018 revalidation faq](https://www.hca.wa.gov/assets/billers-and-providers/09-0018-revalidation-faq.pdf)
* [hca.wa.gov, enroll provider](https://www.hca.wa.gov/billers-providers-partners/become-apple-health-provider/enroll-provider)
* [hca.wa.gov, update my provider information](https://www.hca.wa.gov/billers-providers-partners/become-apple-health-provider/update-my-provider-information)

## Revenue Velocity Credentialing

WeBill Health manages the full payer enrollment lifecycle, so your revenue cycle starts the moment your practice does.

**Up to 40%**

less payer enrollment lag against the industry baseline

**24/7**

CAQH and PECOS lifecycle monitoring

[See Revenue Velocity Credentialing](https://webillhealth.com/revenue-velocity-credentialing/)

## More state enrollment guides

Each neighboring state issues its own Medicaid ID under its own rules and timelines.

* [Oregon](https://webillhealth.com/oregon-medicaid-provider-enrollment/)
* [California](https://webillhealth.com/california-medicaid-provider-enrollment/)
* [Montana](https://webillhealth.com/montana-medicaid-provider-enrollment/)

See every state on [Medicaid provider enrollment by state](https://webillhealth.com/medicaid-provider-enrollment/). If Washington providers are seeing Medicaid patients before an ID is active, read [The Credentialing Gap](https://webillhealth.com/credentialing-gap/).

Reviewed by [James Whitaker](https://webillhealth.com/james-whitaker/), Credentialing Lead, on November 4, 2026. Facts verified November 3, 2026.

## Review your enrollment status with us

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Want a quick read first? [Check my Revenue Defense Score](https://webillhealth.com/revenue-defense-score/) for the credentialing and denial exposure in your specialty.

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