Washington Medicaid skilled nursing rates
Washington Medicaid pays $373.84 for nursing home stay (daily rate) delivered by a agency provider, effective July 1, 2026, the 2nd highest of 12 states with comparable rates.
- Nursing home stay (daily rate)
- $373.84
- Rank among states
- 2 of 12+29.7% vs median
- Registered nurse median wage
- $59.71BLS May 2025
- Washington minimum wage
- $17.13$17.73 from January 1, 2027
Washington skilled nursing rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Washington's official fee schedule.
| Service | Provider level | Code | WA rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Nursing home stay (daily rate) | Agency provider | $373.84 | — | — | 2 of 12 | $288.22 | $11.34 | $419.22 | 12 | |
| Hospice room and board in a nursing home | All levels | Not published | $290.11/day | $196.85 | $298.91 | 4 | ||||
Nursing home stay (daily rate): where Washington ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | Colorado | $419.22 | — | — | 2025-10-01 |
| 2 | Washington | $373.84 | — | — | 2026-07-01 |
| 3 | Maryland | $351.63 | — | — | 2026-07-01 |
| 4 | North Carolina | $327.09 | — | — | 2026-07-01 |
| 5 | California | $324.03 | — | — | 2026-01-01 |
| 6 | Nebraska | $321.17 | — | — | 2026-07-01 |
| 7 | Pennsylvania | $255.27 | — | — | 2025-04-01 |
| 8 | Illinois | $248.95 | — | — | 2026-10-01 |
| 9 | Missouri | $244.47 | — | — | 2026-07-01 |
| 10 | Wisconsin | $226.35 | — | — | 2016-01-01 |
| 11 | Michigan | $99.90 | — | — | 2026-01-01 |
| 12 | Kentucky | $11.34 | — | — | 2026-01-01 |
What it costs to deliver in Washington
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | WA median | US median | vs US |
|---|---|---|---|
| Registered nurse | $59.71 | $46.90 | +27.3% |
| Licensed practical nurse | $39.98 | $30.96 | +29.1% |
| Nursing assistant (CNA) | $23.65 | $20.32 | +16.4% |
Recent Washington skilled nursing rate changes
The workspace adds every modifier, region and provider variant, full rate history, proposed changes, coverage and prior-authorization rules, managed-care plans and a unit-economics calculator. All of it is available through the API.
Rates are taken from Washington's official Medicaid publications, and each one links to its source. Confirm with the payer before billing. Managed-care plans may pay differently from fee-for-service.