Emergency Cardiac and Stroke (ECS) System

Recategorization Schedule

Rounds Regions Application Dates
Round 1

North, Northwest, West*

*Counties

Whatcom, Skagit, San Juan Island, Snohomish, Clallam, Jefferson, Kitsap, Mason, Pierce, Thurston, Lewis, Grays Harbor, North Pacific

February 12, 2026 – Apps released

April 16, 2026 – Apps due

June 18, 2026 – Decisions made

Round 2

South Central, East*

*Counties

Yakima, Kittitas, Benton, Franklin, Walla Walla, Columbia, Ferry, Stevens, Pend Oreille, Lincoln, Spokane, Adams, Whitman, Asotin, Garfield

July 20, 2026 – Apps released

September 21, 2026 – Apps due

November 24, 2026 – Decisions made

Round 3

Central, North Central, Southwest*

*Counties

King, Okanogan, Chelan, Douglas, Grant, Wahkiakum, Cowlitz, Clark, Skamania, Klickitat, South Pacific

February 15, 2027 – Apps released

April 15, 2027 – Apps due

June 16, 2027 – Decisions made

Categorization Applications

Cardiac Center

Level I (Word)

Level II (Word)

Stroke Center

Level I (Word)

Level II (Word)

Level III (Word)

Additional Forms

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