Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift North. • This is a two-year funded State Project, focusing on Medicaid Fee-for-Service, Managed Medicaid, and Dual Medicaid-Medicare eligible adult clients who are medically ready to be transferred outside of an acute care setting but are unable to due to transition complexities and barriers.