1. Washington Health Benefit Exchange Audio: 1-866-244-8528; passcode 474987 Plan Management Meeting November 19, 2013

2. Agenda TopicFacilitatorDuration Welcome  Introductions  Agenda Review/Meeting Purpose Susanne Towill 5 Min Policy/Legislative Update  Updates  Question & Answer Michael Arnis 15 Min Provider Directory  Updates  Question & Answer Dustin Arnette10 Min Monitoring and Compliance  Updates  Question & Answer Dustin Arnette15 Min 2015 Plan Management Preparation  Highlights from 2014  Request for Feedback for 2015 Susanne Towill 30 Min 2015 Guidance for Participation QHP & QDP  Overview  Request for Feedback Zach Snyder 30 Min Next Steps / Close  Next Workgroup Meeting: January 14 th, 2014 Susanne Towill5 Min

3. Policy/Legislative Update Michael Arnis Associate Policy Director

4. Provider Directory Dustin Arnette Plan Manager

5. Provider Directory ▪ Post “go-live” feedback ▪ National Provider Identifier (NPI) ▪ Making this a required data field ▪ Future Enhancements: ▪ Static “inbound” folder ▪ Expanded search radius ▪ Adding clinic name to search and results ▪ Search by issuer ▪ Specialty search ▪ New entrants and transition for 2015 5

6. Monitoring and Compliance Dustin Arnette Plan Manager

7. Monitoring and Compliance ▪ Ensure ongoing compliance with certification criteria after initial certification ▪ Federal regulations applicable to operation of a State-based Marketplace (“SBM”) ▪ Additional details in the Guidance for Participation documents: ▪ Section 2.4 – Monitoring and Compliance of Qualified Health Plans (p. 17) ▪ Section 2.3 – Monitoring and Compliance of Qualified Dental Plans (p. 13) 7

8. QHP & QDP Compliance and Monitoring Dashboard May 2014 Fictitious data for discussion purposes only

9. QHP & QDP Compliance and Monitoring Dashboard May 2014 Full Carrier Report (excerpt) Fictitious data for discussion purposes only

10. QHP & QDP Compliance and Monitoring Dashboard May 2014 Summary of Noncompliance Fictitious data for discussion purposes only

11. QHP & QDP Compliance and Monitoring Dashboard May 2014 Complaint and Enrollment Metrics Fictitious data for discussion purposes only

12. 2015 Plan Management Preparation Susanne Towill Senior Plan Manager

14. Reflection on 2014 ▪ Lessons Learned ▪ Communication methods ▪ Benefit data translation ▪ Timeline and flow ▪ Third party QA ▪ Feedback Requested ▪ What worked well for you? ▪ What can be improved for this year? ▪ Other thoughts? ▪ Further feedback can be sent to: QHP@wahbexchange.org QHP@wahbexchange.org

15. Preparing for 2015 ▪ Communications: ▪ Bi-Monthly Meetings ▪ Alternating Bi-Monthly Newsletter ▪ Plan Management Webpage refreshed ▪ Timeline & Flow ▪ Coordinating drafting with federal and state requirements ▪ Guidance for Participation ▪ Goal to publish drafts in December and final February 1 st. ▪ CMS Data Templates ▪ Providing feedback to CMS

16. Guidance For Participation Zach Snyder Plan Manager

17. 2013 QHP/QDP Guidance For Participation 17

18. Needed Revisions ▪ Update Regulations ▪ Plan Management Timeline ▪ Checklist ▪ Suggestions? 18