Grants & Federal Guidance

 Initial Federal Guidance on State-Based Exchanges

Blueprint for Approval of Exchanges

States must complete and submit an Exchange Blueprint that documents how its exchange meets, or will meet, all legal and operational requirements associated with the model it chooses to pursue. The Washington Health Benefit Exchange was conditionally approved to operate a state-based exchange on Dec. 10, 2012.

Comments to CMS on Proposed Rules

Comments to HHS on Proposed Rules

Comments to Office of Personnel Management (OPM) on Proposed Rules

Comments to OIC Proposed Rules

Establishment Grants

Federal grant funding for the establishment of the Exchange comes from the Department of Health and Human Services Office of Consumer Information & Oversight. View the funding opportunity announcement at Cooperative Agreement to Support Establishment of State-Operated Health Insurance Exchanges.

The Exchange applied for an additional Level One Establishment Grant in Nov. 2013. The grant funds were awarded in Jan. 2014 in the amount of $84.6 million. Additionally, in Mar. 2012, the Exchange applied for Level Two Establishment Grant funds. The grant funds were awarded in May 2012 in the amount of $127.8 million. In Mar. 2011, the Washington State Health Care Authority applied for Level One Exchange Establishment Grant funds. The grant funds were awarded in May 2011 in the amount of $22.9 million.

Planning Grant

In Aug. 2010, the Exchange applied for Exchange Planning grant funds. The grant funds were awarded in Sep. 2010 in the amount of $996,295.

Planning Grant Issue Briefs

The Washington Health Benefit Exchange developed issue briefs to address several key policies Washington state must consider when planning and designing a state-based exchange. These issue briefs were submitted to the Department of Health & Human Services on Jan. 1, 2011, to demonstrate Washington state’s progress under the federal Exchange Planning grant.