Welcome to the Pierce County ACH Pay for Reporting (P4R) site. As part of the Medicaid Transformation project each participating clinical setting will need to provide P4R data to receive incentive funds. This page is provided to you within the WA Portal to facilitate your clinical transformation team efforts. Currently the specific metrics to be used for P4R are in development. This site will be available to you and your team at the time that these specific metrics are defined and you are required to submit these metrics.