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Community information exchange (CIE)

In 2022, the Washington State Legislature appropriated funding to the Health Care Authority (HCA) to determine the cost and impacts of implementing a statewide community information exchange (CIE).

What’s a CIE?

It’s an electronic tool that health care providers can use to:

  • Help aid the coordination of and connection to necessary community resources.
  • Identify and screen for health-related social needs, share data, and close referrals.
  • Assist with data analytics of health-related services.

What’s required for this work?

Section 211 (113) of the 2022 supplemental budget (Senate Bill 5693) outlines the work that HCA must complete before issuing a request for proposals (RFP) or beginning the CIE project. This includes consulting with partners, which include the Health and Human Services Enterprise Coalition, Accountable Communities of Health (ACHs), health care plans and providers, community-based organizations, medical associations, and others.

What’s happening now?

We are at the beginning stages of this work, which includes working with Tribes, other partners, and stakeholders. Together, we’re determining the state’s capability of having a statewide CIE by looking at:

  • What CIE platforms already exist within Washington’s public and private health care systems.
  • The ability to link CIE systems throughout the state, and financial impacts to the state, health care providers, and organizations that are using the statewide CIE.

What’s next?

After gathering feedback, HCA will identify impacts, priorities, and risks of having a statewide CIE and develop options and recommendations for next steps. Deliverables include:

  • Landscape review
  • Options and recommendations on a statewide CIE strategy
  • Draft RFP development support

We plan to develop these deliverables by mid-September.

CIE within the Medicaid Transformation Project (MTP)

HCA recently submitted Washington’s MTP waiver renewal application to Centers for Medicare & Medicaid Services (CMS). MTP allows our state to create and continue to develop projects, activities, and services that improve Washington’s health care system.

As part of the MTP waiver renewal package, HCA and partners are proposing to implement a Community Hubs program. Community Hubs are electronic “centers” that connect Apple Health (Medicaid) enrollees to health-related social needs. Some examples of these needs include housing, employment, food, and transportation.

Community Hubs will use CIE technology and resource and referral processes to support the coordination of and connection to community resources and organizations.