How can I transfer my husband who is in a hospital out of town back to home?

How long ago did this occur?
Has there been stablization? Do you know where you are with deficits that may be permanent?
Has there been rehab?
I doubt very much that airlifting is going to be affordable. I would wait until you can arrange a car trip with family to get him moved if he is able to be well and stable enough for such a trip.

Don't have many details here to go on; wishing you good luck.

Have you spoken with the hospital social worker? They should be able to help you with information and available resources.

I don't think Medicare pays to transport. It has to be considered an emergency. This is over 1000 miles. That would be 16 hrs of driving, at least. You could rent an RV, a transport is going to be costly.

Moving him will effect you health insurance. Medicare goes any wherevin the US but supplimentals and Medicare Advantages don't. All depends on what the State allows to be written in their state.

All you can do is call your insurances and find out what they cover and if you can continue them in Washington state.

I read this but it doesn't specifically say whether Medicare would cover a multi-state transport or not, if it is deemed "medically necessary" by the attending physician or your husband's primary care physician from his home state: https://www.medicare.gov/coverage/ambulance-services I would call Medicare to find out (assuming your husband is old enough to have Medicare and any Advantage or supplemental plans). Is NV his home state? If so and he would be travelling out of state then I doubt it would be covered.

Medical Transport Company is the best way.