Washington Revised Code Title 43. State Government--Executive § 43.71.065. Qualified health plans--Certification--Criteria stand-alone dental plans--Direct primary care medical home plans--Appeals

(1) The board shall certify a plan as a qualified health plan to be offered through the exchange if the plan is determined by the:

(2) Consistent with applicable federal law, the board shall allow stand-alone dental plans to offer coverage in the exchange beginning January 1, 2014. Dental benefits offered in the exchange must be offered and priced separately to assure transparency for consumers.

(3) The board may permit direct primary care medical home plans, consistent with applicable federal law, to be offered in the exchange.

(4) Upon request by the board, a state agency shall provide information to the board for its use in determining if the requirements under subsection (1)(b) or (c) of this section have been met. Unless the agency and the board agree to a later date, the agency shall provide the information within sixty days of the request. The exchange shall reimburse the agency for the cost of compiling and providing the requested information within one hundred eighty days of its receipt.

(5) A decision by the board denying a request to certify or recertify a plan as a qualified health plan may be appealed according to procedures adopted by the board.