Washington RHTP Compliance Prerequisites

Washington has not yet opened sub-grantee applications. No solicitation timeline has been announced. Use this window to build compliance infrastructure — organizations that arrive at the application window ready to apply move faster than those that treat compliance as a post-award problem.

SAM.gov registration is the first step for any federal sub-grant applicant. Check your registration status and renewal date at sam.gov. If your registration has lapsed or was never established, begin renewal now — it takes 7–10 business days, and you cannot receive federal funds without it.

Cost allocation documentation: HCA administers Medicaid and multiple multi-funding-stream programs, and the RHTP solicitation is likely to require a written 2 CFR 200 cost allocation methodology. If your organization manages multiple revenue sources — Medicaid billing, state grants, Section 330, private insurance — your methodology for separating costs among funding streams must be documented in writing and consistently applied. An informal practice that has never been reduced to a board-approved document will not satisfy this requirement.

For tribal health programs: Washington's $20M annual tribal set-aside flows through a separate GIHAC-directed process using Sovereign Nation Agreements, not through competitive WEBS procurement. If your organization is a tribal health program operating under a 638 contract or compact arrangement, engage with GIHAC and your tribe's government-to-government relationship with HCA. The SNA process has its own timeline and documentation requirements that differ from the general competitive solicitation.

For organizations already receiving HCA-administered grants: your existing compliance infrastructure — indirect cost rate agreements, financial management systems, reporting processes — likely transfers well to RHTP requirements. Confirm that your SAM.gov registration is current and that your cost allocation methodology explicitly references 2 CFR 200 (some older agreements reference predecessor OMB circulars).

For the 14 at-risk hospitals: RHTP funds cannot replace lost Medicaid revenue. They fund transformation activities — service line analysis, technology investment, workforce recruitment. The financial modeling for RHTP applications must be clear about what RHTP covers and what it does not, including why the funded activities are not already covered by existing sources (the anti-supplanting demonstration).