Requirements for Obtaining and Maintaining Approval for a CQIP The new rule becomes effective May 21, 2021, and requires health care entities to: Apply for renewed approval of their current CQIPs by December 31, 2021, and pay a $75 renewal fee; Request renewed DOH approval for their CQIPs every five years thereafter; Notify DOH within 30 days if there is a change in the entity’s “authorized representative” who submitted the application for new or renewed approval; and Modify their CQIPs within six months to comply with any future changes to CQIP requirements adopted by DOH or the Washington legislature and to seek DOH approval for the modifications.