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Medicaid Planning · Washington

Washington Medicaid look-back rules

Medicaid look-back rules rules for Washington.

Published: September 5, 2026. Last checked: September 5, 2026.

Look-back period

60 months

Source: Washington Administrative Code 182-513-1363 [state-medicaid-agency] — Effective August 1, 2020

Transfer-penalty divisor

$462 per day and $14,059 per month

Source: Washington HCA Apple Health income and resource standards [state-medicaid-agency] — Figures marked effective January 1, 2026 unless separately noted

How the state administers the rule

Washington totals uncompensated transfers made during the look-back period, divides that value by the current statewide daily private-pay nursing-facility cost, and applies the penalty under WAC 182-513-1363's start, duration, and returned-asset rules.

Source: Washington Administrative Code 182-513-1363 [state-medicaid-agency] — Effective August 1, 2020

Sources

Methodology & sources

Checked at least annually and whenever the state publishes a new transfer-penalty divisor or administration rule.

General information, not legal advice.