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Industry InsightsJanuary 31, 20266 min read

One Washington: What the State's Tech Modernization Means for Home Care Providers

Ibrahim E.

CareCade Foundation

One Washington: What the State's Tech Modernization Means for Home Care Providers

The Biggest State Tech Project You Haven't Heard Of

Simplify Your Home Care Operations

CareCade helps DDA and HCBS providers manage scheduling, EVV, and billing in one platform.

Right now, Washington State is undertaking one of its largest technology modernization projects in decades. It's called One Washington, and it's moving 36+ state agencies—including DSHS—onto a unified cloud platform powered by Workday.

The go-live window? October 2027 to October 2028, according to the latest announcement from January 2026.

If you're a home care provider in Washington, you might be wondering: does this affect me? The short answer is: not immediately, but it signals where everything is heading.

What Is One Washington?

One Washington is a multi-year initiative led by the Office of Financial Management to modernize how state agencies handle:

  • Financial management and reporting
  • Human resources and payroll
  • Procurement and contracts
  • Budget planning

The project replaces systems that are genuinely ancient:

SystemWhat It DoesHow Old
AFRSFinancial accounting1960s COBOL technology
TRAINSFinancial transactionsLegacy system
HRMSHR and payrollNearly 20 years old

These aren't just "old" systems—AFRS runs on 1960s-era programming. The state has been planning this modernization since 2013, with implementation kicking off in January 2021. Deloitte is the system integrator, and Gartner provides independent quality assurance.

The scale is significant: these systems currently process $4.3 billion in monthly payments and affect 60,000+ state employees and 35,000+ vendors.

That last number matters: home care providers are state vendors. You contract with DSHS. You're part of that 35,000.

Agencies Included in Phase 1A

According to the One Washington deployment approach, Phase 1A includes agencies that use the Cost Allocation System (CAS):

Yes, DSHS—the agency that oversees DDA services, HCBS waivers, and DDCS contracts—is part of this modernization.

A Coordinated, Enterprise-Wide Launch

Unlike some government IT projects that roll out agency-by-agency, One Washington is taking a single, coordinated enterprise go-live approach. All agencies go live together—not on their own schedules. This ensures system stability but also means when it happens, it happens for everyone at once.

The program limits go-live windows to October, April, or July only—deliberately excluding January to avoid year-end processing risks. The current target is October 2027, with flexibility through October 2028.

What This Means for Home Care Providers

What's NOT Changing (Yet)

Let's be clear about what One Washington doesn't immediately affect:

SystemStatus
ProviderOne (Medicaid billing)No announced changes
DAT file format for claimsStill the same process
EVV requirementsUnchanged
DSHS reporting requirementsSame compliance rules

One Washington is primarily about DSHS's internal financial systems—how the agency manages its own budget, payroll, and procurement. It's not directly changing how providers submit claims or interact with ProviderOne.

What COULD Change Over Time

That said, large-scale modernization projects often have ripple effects:

  1. Future ProviderOne updates - As DSHS modernizes its backend, improvements to provider-facing systems may follow
  2. Reporting formats - State reporting requirements could evolve as systems become more integrated
  3. Contract management - One Washington includes procurement modernization. How DSHS manages provider contracts—renewals, amendments, compliance tracking—may become more digital and streamlined
  4. Data sharing - Better internal systems could eventually mean better data exchange with providers
  5. Vendor payments - With $4.3 billion in monthly payments flowing through modernized systems, how you get paid could eventually change

The Bigger Picture

One Washington represents a broader trend: government is going digital. Paper-based processes, manual data entry, and legacy systems are being replaced by cloud platforms, automated workflows, and integrated data.

For home care agencies still running on spreadsheets, paper timesheets, or outdated software, this is a signal. The state is modernizing. Are you?

Why Agency Modernization Matters Now

The timing is notable. Consider what's happening in 2026:

DateEvent
January 31, 2026Medicare telehealth flexibilities expire
July 2026HCBS compliance deadlines (payment transparency, incident reporting)
October 2027 - October 2028One Washington Phase 1A go-live window
OngoingEVV enforcement era, claims validation tightening

Home care providers face a convergence of compliance requirements, policy changes, and industry shifts—all while the state itself is upgrading its technology.

Agencies that are still:

  • Tracking time on paper
  • Managing schedules in spreadsheets
  • Manually creating billing files
  • Storing documents in filing cabinets

...will find it increasingly difficult to keep up.

How CareCade Helps You Stay Ready

At CareCade, we built our platform specifically for Washington home care providers navigating this complex environment. While you can't control when or how state systems change, you can control how prepared your agency is.

Modern Infrastructure for Modern Requirements

ChallengeHow CareCade Helps
DAT file exportsOne-click ProviderOne-ready billing files with EVV data
DSHS complianceBuilt-in reporting for Community Engagement, Specialized Hab, and Staff/Family Consultation
EVV requirementsGPS-verified clock-in/out with location tracking
DocumentationAI-powered session notes that capture what matters
Audit readinessComplete digital trail of services, locations, and times

Adapting to Change

When state systems do evolve—whether from One Washington or other initiatives—agencies on modern platforms adapt faster. Updates to file formats, new reporting requirements, or changed workflows can be implemented in software, not rebuilt from paper processes.

Peace of Mind

Your job is providing excellent care to clients. Our job is making sure your operations, compliance, and billing run smoothly—no matter what changes come from Olympia.

What to Do Now

  1. Stay informed - Follow One Washington updates for announcements
  2. Don't panic - Your current ProviderOne billing process isn't changing tomorrow
  3. Assess your systems - Are you running on paper, spreadsheets, or modern software?
  4. Plan for July 2026 - HCBS compliance deadlines are real and approaching
  5. Consider modernization - If not now, when?

The Bottom Line

One Washington is a reminder that the world is moving forward. State agencies are modernizing. Compliance requirements are tightening. The home care industry is evolving.

The providers who thrive will be those who invest in modern tools, streamlined processes, and systems that adapt to change.

Washington State is upgrading. Maybe it's time your agency did too.


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