Plan Certification Workgroup
The Plan Certification Workgroup (previously the Plan Management Workgroup) provides a venue for representatives of Washington state’s health and dental insurers to provide input on how to offer individual and small group health plans through Washington Healthplanfinder. Learn more about offering plans on Washington Healthplanfinder.
Members
The Plan Certification Workgroup is open to all health and dental insurance carriers interested in the Washington Health Benefit Exchange.
2021
- 2021 Carrier Enrollment and Payment Process Guide
- 2021 834 Companion Guide
- 2021 Exchange Cross Mapping Form
- 2021 EDI Trading Partner Agreement
- 2021 QHP HBE Participation Agreement
- 2021 HBE QDP Participation Agreement
- 2021 QHP Guidance for Participation – Amended (June 10)
- 2021 QHP Guidance for Participation – Amended with Track Changes (June 10)
- 2021 QHP Guidance for Participation – Amended (April 29)
- 2021 QHP Guidance for Participation – Amended with Track Changes (April 29)
- 2021 Standard Plans – April
- 2021 QHP Guidance for Participation
- 2021 QDP Guidance for Participation
- 2021 Certification Process Timeline Amended (June 24)
- 2021 QHP & QDP Issuer Submission Form
Quality Materials
- Plan Year 2021 Quality Initiatives
- 2021 Quality Improvement Strategy (QIS) Form
- 2021 Quality Improvement Strategy (QIS) User Guide
2020
- QHP Participation Agreement
- QDP Participation Agreement
- Exchange Cross Mapping Form
- 2020 QHP Guidance for Participation
- 2020 QDP Guidance for Participation
- 2020 Certification Process Timeline
- 2020 QIS Implementation Form
- 2020 QIS User Guide
- 2020 QHP & QDP Issuer Submission Form
- 834 Enrollment Transaction Companion Guide
- Enrollment & Payment Process Guide
2020 QHP & QDP Plan Certification Packet Requests
2019
- 2019 QIS Implementation Plan & Progress Report
- 2019 QHP Guidance for Participation – Final
- 2019 QDP Guidance for Participation – Final
- 2019 Plan Certification Timeline
- 2019 Issuer Submission Form
- 834 Enrollment Transaction Companion Guide
- Enrollment & Payment Process Guide
- 2018 QRS Call Letter
- QHP Participation Agreement
- QDP Participation Agreement
- Exchange Cross-Mapping Form
For past certifications, visit Past Plan Certifications.