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are scheduled through Washington State's coordinating entity CTS LanguageLink. The contract performance measures are posted on HCA’s website



SFY2017                  15,836

SFY2016                  16,782

SFY2015                  15,943

SFY2014                  15,556

Overall Filled Rate SFY 2015

91% Filled


SFY2017                    359,750

SFY2016                     327,737

SFY2015                     282,636

SFY2014                     228,561

SFY2013                     201,576
SFY2012                     196,176

 HCA (Medicaid) BUDGET

Jul 2013/Jun 2015             $25.1M

Jul 2011/Jun 2013             $18.1M

Jul 2009/Jun 2011             $23.0M


July 2017                  $38.50

July 2016                  $38.00

July 2015                  $37.10

July 2014                  $32.50
July 2013                  $32.00
July 2012                  $31.50
July 2011                  $30.00

        2010                  $21.00

A modified procurement model began on July 1, 2011

The coordinating entity procurement model began on September 24, 2012.

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Print Icon Apr 02, 2017

Between 2003 and 2012, DSHS and HCA-Medicaid were paying interpreters through a brokerage system with two layers of intermediaries. The brokerage system was unmanageable, expensive and of low interpreting quality.

The current procurement model for DSHS and HCA-Medicaid was implemented on September 24, 2012. All requests for interpreting services are scheduled, invoiced and paid through a web portal. This scheduling includes both spoken and sign language interpreters delivering their services on-site and remotely by phone or video. This program operates with one statewide coordinating entity, currently CTS LanguageLink headquartered in Vancouver, WA. You can read the contract here.

For HCA-Medicaid, the coordinating entity reviews HCA contracted healthcare providers' requests to ensure that the patient is Medicaid eligible and the interpreting is for a service that HCA will pay. HCA then seeks reimbursement from the federal government. There is no need to verify eligibility for DSHS requests.

The brilliance of the coordinating entity procurement model is that it divorces interpreters’ pay from the intermediary’s pay. The state has negotiated a flat fee not to exceed 15% of the entire program’s budget paid in monthly installments to the language company for the leasing of the web portal regardless of the volume of requests. Payment to interpreters simply passes through the language services company. Interpreters’ rates of pay are now collectively bargained between the Governor and the Washington Federation of State Employees  / AFSCME Council 28 AFL-CIO. Sign language interpreters are not included in the bargaining unit. Accordingly, there is no union contract covering sign language requests. Sign language interpreters' rates, however, are double than those for spoken languages and were established by a contract amendment in December 2012. Despite this, their filled rates hover around 40% because the lack of 100% reimbursement for patient/provider no shows and late cancelations makes the HCA-CTS contract a risky proposition for sole proprietors.

The statewide consolidation and centralization of requests, invoicing, and payment processing has made it easier for the state, the interpreters, and the public at large to constantly audit the contract’s performance. Summary reports are publicly posted  by the state and the data is subject to public disclosure.
ASL rates HCA-CTS K618-Amendment #2 2012-12-17.pdf
SFY 2015 Signed Language Filled Rates & Pay.pdf
Upcoming Events
Interpreter Lobby Day
Jan 26, 2018
WFSE Legislative and Political Action (LPA) office 906 Columbia St SW 5th floor Olympia, WA 98501.
Local 1671 Workshop & Statewide Quarterly Meeting
Jan 27, 2018
WFSE Olympia Field Office 906 Columbia Street SW, 5th floor, Olympia, WA 98501
NOTIS Workshop: Translation Practices
Feb 09, 2018
University of Washington (Seattle), Cascade Rooms, Haggett Hall
Executive Board Meeting
Feb 13, 2018
AFSCME Seattle Field Office 6363 7th Avenue S, Suite 220 Seattle , WA 98108
NOTIS Workshop: Translation for the Opera
Feb 15, 2018
Folio, 314 Marion St. Seattle, WA 98104
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