Test Information

Testing options for DSHS credentials vary according to the type of credential (e.g. Medical vs. Social Services) a candidate wishes to pursue. All test or credential candidates must create a profile in the LTC Gateway tracking system. (For information on how to set up a Gateway profile, see the lower section of this page.)

I. Third-Party Tests (Medical Interpreter Tests Only) (Certified and Screened Languages)

DSHS has expanded test options for medical interpreter tests. Starting January 1, 2023, all medical interpreter candidates who wish to pursue a DSHS medical interpreter credential, and medical interpreters with expired credentials can test with one of following third-party testing entities. They can apply for a DSHS Medical Interpreter-Recognized credential if they meet the eligibility criteria.

• Certification Commission for Healthcare Interpreters (CCHI) (All Languages)

If a candidate has a passing score of the CoreCHI exam (a written test), they can apply for a DSHS Medical Interpreter-Recognized credential.

DSHS LTC accepts scores of tests that are taken on or after August 1, 2022. Candidates must submit their score report within two years of their CoreCHI test date.

• The National Board of Certification for Medical Interpreters (NBCMI) (All Languages)

​ If a candidate has a passing score of the Hub-CMI exam (a written test), they can apply for a DSHS Medical Interpreter-Recognized credential.

DSHS LTC accepts scores of tests that are taken on or after August 1, 2022. Candidates must submit their score report within two years of their Hub-CMI test date.

• ALTA Language Services (36 Authorized Languages)

(NOT AVAILABLE for Certified Languages: Chinese, Korean, Spanish, Russian, and Vietnamese)

​If a candidate passes all the following three tests of ALTA Language Services, they can apply for a DSHS Medical Interpreter-Recognized credential:

1. English Reading Comprehension Test (Passing score: ILR 3 / ALTA 9, or above)
2. Medical Interpretation Test (Passing score: ALTA Level 10 – Advanced Plus, or above)
3. English Medical Interpretation Code of Ethics Test (PASS)

DSHS LTC accepts scores of tests that are taken on or after August 1, 2022. Test scores are valid for two years. ALTA tests are available in 36 screening languages listed below:

Process of taking the ALTA tests includes the following:

a) To apply for test registration, send Email to DSHS LTC . Be sure to include the following information: Full Name, Email address, phone number, LTC Gateway Candidate ID No., the type of test and language name, along with a copy of official photo ID.

b) Follow instructions from LTC and ALTA testing portal to schedule and complete tests.

Candidates should submit their score report(s) to DSHS LTC within two years of their test date.

To submit a test result from a third-party entity, please email a copy of a formal score report to DSHS LTC at dshsct@dshs.wa.gov

Disclaimer: DSHS recognizes the tests provided by the above listed entities as alternative tests that meet the DSHS medical interpreter qualification standards. None of the listed entities is affiliated with DSHS, or vice versa. DSHS does not have any financial interest in any of the listed entities.

II. DSHS LTC Tests

For DSHS testing and certification, spoken and written languages are divided into two categories:

• Certified Languages: Spanish, Cantonese Chinese, Mandarin Chinese, Korean, Russian and Vietnamese.
• Screened Languages: All non-certified languages - speakers of these languages receive authorization rather than certification, but credentials are functionally the same.

DSHS LTC offers the following tests:

• Social Services Interpreter Tests (certified and screened languages): Candidates must pass both oral ($45) and written ($30) tests to get certified.

LTC offers Social Services Interpreter tests for all languages.

• Document Translator Tests (certified languages only): Candidates must pass one written test ($50). This is not an interpreter test. It is for the translation of written materials only.

LTC offers document translator tests for certified languages. This test is not available for

• DSHS Bilingual Employee Tests (certified and screened languages): Requirements vary depending on job clusters.

DSHS employees who wish to take a bilingual employee certification test, please follow Bilingual Employee Test Scheduling Guidelines on the LTC SharePoint. They can contact LTC at to schedule a test.

Notes on LTC tests:

• For Cantonese Chinese and Mandarin Chinese interpreter test candidates, only one written test is needed for social service certification, provided that the written is passed within two years of the oral test.
• For multiple screened languages, only one written test is needed for all languages in the social service category provided that the written is passed within two years of the oral test.
• Please read the LTC Examination Manual and Registration Policies prior to scheduling a test.

All test candidates must create a profile in the LTC Gateway tracking system before they schedule a test with LTC or apply for a DSHS credential with a third-party test score:

• Access LTC Gateway
  • LTC Gateway User Manual - Standard Version (Updated 9-15-2021)
  • LTC Gateway User Manual - Accessible Version (Users with screen readers) (Updated 9-15-2021)

  For questions regarding LTC testing, certification, continuing education, and general information, please contact LTC at dshsct@dshs.wa.gov.