Community information exchange (CIE)

In 2024, the Washington State Legislature appropriated funding to the Health Care Authority (HCA) to implement a statewide Community Information Exchange (CIE) program. CIE is an initiative funded by the Medicaid Transformation Project (MTP 2.0).

In partnership with members of the Interim Advisory Committee (IAC) and Interim Data and Technical Advisory (IDATA) Workgroup, HCA recently developed a vision and mission to help guide the work of the CIE program. The mission and vision define the core purpose of CIE and our aspirations for its impact within the state.

  • Vision: Washingtonians experience trustworthy, integrated health and social services that support individual, family, and community well-being.
  • Mission: To build purposeful connections across health and social services through trusted information sharing that enables comprehensive, inclusive care coordination.

Stay up to date on CIE activities and events across Washington.

What’s a CIE?

HCA defines CIE as technology that helps a community-based worker coordinate the services of a network of cross-sector social care partners—social service, community, Tribal, government, physical and behavioral health organizations—who commit to delivering social care so that patients have better access to health-related social needs (HRSN) services and the supports they need to improve their health. This secure technology with role-based access and client privacy controls may include:

  • Resource directories
  • Client management system including shared client information
  • Needs assessments
  • Shared care team information
  • Closed-loop referral
  • Referral history and a community record of social supports provided
  • Event notification
  • Shared care planning

What will the CIE program do?

The vision of the CIE program is to improve the statewide delivery of HRSN services to Apple Health clients, integrating delivery across regions. The CIE program’s key objectives are to:

  • Implement standardization for the exchange of HRSN service delivery data.
  • Ensure interoperability between state, regional, and local technology systems.
  • Enable scalability of the efforts of Community Care Hubs in the regions.

The program will support the delivery of HRSN services such as nutrition, housing, and transportation that are coordinated by the regional Community Care Hubs at Washington’s nine Accountable Communities of Health (ACHs). Community-based ACH staff, contracted case managers, and other service providers enable the centralization of HRSN service delivery. The goals of service delivery centralization are to:

  • Reduce barriers
  • Reduce duplication of services
  • Improve health outcomes and quality of care

This will be achieved by establishing policies and governance for information exchange along with a centralized technology infrastructure. The CIE infrastructure will knit together CIE technologies currently used by the ACHs into a statewide system under the direction of the Health and Human Services Enterprise Coalition (HHS Coalition). These technologies include capabilities such as resource directories, client management systems, and closed-loop referrals, among others.

We want to connect with you!

Let us know if you have questions, comments, or ideas for activities to engage with communities across Washington about the CIE. Please send us an email or send a message through the CIE Public Input Box.

Stay in the know about the CIE—sign up for our newsletter.

Additionally, the CIE team is available to speak to organizations, professional societies, community groups, and others about the CIE. Please send us an email to get started.

What's happening now?

HCA is establishing the statewide CIE in partnership with the Lead Organization (LO), Comagine Health. Rather than approaching the challenge with a specific solution in mind, HCA has opted to focus on engaging community members—people who will use and benefit from the CIE—to collaboratively arrive at a solution.

Read the CIE Community Engagement Plan to learn more about the framework, activities, and measures that will guide inclusive, transparent, and meaningful participation in the CIE.

How can you get involved?

Key informant interviews and focus groups

We’re having in-depth conversations with a wide range of groups and individuals to guide the design, development, and implementation of the CIE. These are just a few of the audiences we’ve heard from:

  • Community Care Hubs
  • Health and social care providers
  • Managed care organizations
  • People with lived experience using HRSN services
  • Justice-involved organizations

Please send us an email if you’d like to take part in a future interview or focus group. Include a brief description of your role to help us understand what perspectives you might bring.

Human-centered design workshops

CIE human-centered design workshops are collaborative, interactive, and creative sessions that bring partners together to brainstorm, problem-solve, and create solutions that benefit the people who will use the system. We have held two workshops and plan to hold more in the future.

Please send us an email if you’d like to be part of a future human-centered design workshop. Include a brief description of your role to help us understand what perspectives you might bring.

Public Input Virtual Walk-Ins

Join a Public Input Virtual Walk-In every other month to connect with CIE team members. Bring your questions and feedback, or just listen in. Drop in any time—no need to register.

  • July 23: noon–1 p.m.
  • August 20: noon–1 p.m.
  • October 15: noon–1 p.m.

Webinars

Join HCA for a presentation about the CIE program. Our next webinar will be August 12, 2026. Sign up for the CIE mailing list to receive reminders and information about future events. You can watch previous presentations or download the slides below.

Past webinars
Date Event Related materials
March 18, 2026 CIE kickoff webinar

CIE newsletter

The CIE newsletter offers regular updates on CIE progress and information on how to get involved and make your voice heard. Subscribe today!

Past newsletters

Engagement opportunities

We’re happy to give presentations at existing meetings or special events for community groups, professional associations, agencies, and everyone in between. Please send us an email to get started.

Advisory groups

Short-term advisory bodies made up of community partners support the work of the CIE team. We chose to start with an interim governance structure to build a roadmap for generating awareness, interest, trust, and engagement. Subscribe to the CIE newsletter for regular updates on the CIE advisory groups.

Interim Advisory Committee

The Interim Advisory Committee (IAC) is co-designing the CIE as an inclusive, open, and transparent system, primarily through the development and eventual implementation of a more permanent governance structure. We expect the IAC will be replaced by a permanent governing body in late 2026 or early 2027.

IAC members

Name Title Organization
Arlesia Bailey Chief transformation officer North Sound Accountable Community of Health
Susan Buell Association Director of Health Initiatives YMCA of Pierce and Kitsap Counties
Liz Cattin Director of Community Health PeaceHealth
Maria Courogen  Executive Director Washington State Department of Health
Joanna Den Haan CIE Community Governance and Operations Lead Comagine Health
Rhonda Hauff Chief Executive Officer Yakima Neighborhood Health Services
Betsy Jones Chief Strategy Officer Community Health Plan of Washington
Michael McKee CIE Strategic Program Advisor Comagine Health
Joan Miller Chief Executive Officer Washington Council for Behavioral Health
Mike Myint Chief Population Health Officer UW Medicine
Dave Pearson Chief Executive Officer Washington Association for Community Health
Nichole Peppers Executive Director Coalition of Accountable Communities of Health
Dan Renfroe CIE Program Manager Washington State Health Care Authority
Sharon Silver Chief Executive Officer WithinReach
Joshua Wallace President and Chief Executive Officer Peer Washington
Interim Data and Technical Advisory workgroup

The Interim Data and Technical Advisory (IDATA) workgroup is helping define the initial scope for data governance and exchange as well as the technical requirements needed to execute on the vision of the CIE. We expect IDATA will be replaced by a permanent governing body in late 2026 or early 2027.

IDATA members

Name Title Organization
Michelle Ahmed Program Director Southwest Washington Accountable Community of Health
Chris Baumgartner Deputy Chief Informatics Officer Washington State Department of Health
Doug Baxter-Jenkins Division Director of Community Health CommonSpirit Health
Greg Beck Director for Administration Operations Washington State Department of Social and Human Services
Becky Betts Chief Operating Officer Greater Health Now
Raquel Campuzano Community Health Worker and Chair Community Health Worker Leadership Committee
Mo Chatta Program Director AZISWA Connect to Care Community Hub
Josh Christiansen Washington Connection Administrator Washington State Department of Social and Health Services
Rim Cothren CIE Technology Strategy Washington State Health Care Authority
Madelyn Devoe Associate Director of Strategic Initiatives HealthierHere
Lindsey Greene Medicaid Program Manager Coordinated Care
Jesus Hernandez Chief Executive Officer Family Health Centers and Advance Northwest
Rueben Hernandez Data Analyst Elevate Health
Aundrea Jackson Senior Director of Contact Center Operations Crisis Connections
Alana Kalinowski CIE Governance and Interoperability Manager 211 CIE San Diego in partnership with Comagine Health
Bryant Karras Chief Medical Informatics Officer Washington State Department of Health
Maura Little Executive Director Washington Alliance for Health Data Exchange
Danny Lunder Senior Director, Data Analytics Washington State Hospital Association
Mitsuyo Maser Data Governance and Release Manager Washington State Health Care Authority
Alastair Matheson Data Modernization Director Public Health – Seattle & King County
Ryan McLelland CIE Technology Lead UHIN in partnership with Comagine Health
Waldo Mikels-Carrasco, CIE Technology Manager UHIN in partnership with Comagine Health
Dan Nations CIE Data Manager and Architect Washington State Health Care Authority
Nichole Peppers Executive Director Coalition of Accountable Communities of Health
Jeremy Rolfer IT Project Manager Uncommon Solutions
Sarah Salomon Director of Data Systems and Evaluation WithinReach
Russ Shekha Behavioral Health Accountability Special Projects Manager II King County Department of Community and Human Services, Behavioral Health and Recovery Division
Cathy Wasserman Measurement and Data Consultant Uncommon Solutions
Drew Whatley Lead Resource Data Specialist Opportunity Council
Dean Wight Special Project Manager Whatcom County Health Department
Andrea Yip Planning Manager City of Seattle, Aging and Disability Services

CIE resources

Contact

Email: Dan Renfroe
CIE Program Manager

Email: WA CIE
Lead Organization