RCW 43.371.070
444 words·~2 min read·
/wa/title-43/chapter-43-371/43-371-070·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
(1)The director shall adopt any rules necessary to implement this chapter, including:
(a)Definitions of claim and data files that data suppliers must submit to the database, including: Files for covered medical services, pharmacy claims, and dental claims; member eligibility and enrollment data; and provider data with necessary identifiers;
(b)Deadlines for submission of claim files;
(c)Penalties for failure to submit claim files as required;
(d)Procedures for ensuring that all data received from data suppliers are securely collected and stored in compliance with state and federal law;
(e)Procedures for ensuring compliance with state and federal privacy laws;
(f)Procedures for establishing appropriate fees;
(g)Procedures for data release;
(h)Penalties associated with the inappropriate disclosures or uses of direct patient identifiers, indirect patient identifiers, and proprietary financial information; and
(i)A minimum reporting threshold below which a data supplier is not required to submit data.
(2)The director may not adopt rules, policies, or procedures beyond the authority granted in this chapter.
[ 2019 c 319 s 7 ; 2015 c 246 s 7 ; 2014 c 223 s 15 .]
Notes:
Effective date — 2019 c 319: See note following RCW 43.371.020 .
Finding — 2014 c 223: See note following RCW 41.05.690 .
RCW 43.371.070
Rules. (Effective July 1, 2026.)
(1)The director shall adopt any rules necessary to implement this chapter, including:
(a)Definitions of claim and data files that data suppliers must submit to the database, including: Files for covered medical services, pharmacy claims, and dental claims; member eligibility and enrollment data; and provider data with necessary identifiers;
(b)Deadlines for submission of claim files;
(c)Penalties for failure to submit claim files as required;
(d)Procedures for ensuring that all data received from data suppliers are securely collected and stored in compliance with state and federal law;
(e)Procedures for ensuring compliance with state and federal privacy laws;
(f)Procedures for establishing appropriate fees;
(g)Procedures for data release;
(h)Penalties associated with the inappropriate disclosures or uses of direct patient identifiers and indirect patient identifiers; and
(i)A minimum reporting threshold below which a data supplier is not required to submit data.
(2)The director may not adopt rules, policies, or procedures beyond the authority granted in this chapter.
[ 2025 c 305 s 6 ; 2019 c 319 s 7 ; 2015 c 246 s 7 ; 2014 c 223 s 15 .]
Notes:
Effective date — 2025 c 305 ss 1 and 3-7: See note following RCW 43.371.010 .
Effective date — 2019 c 319: See note following RCW 43.371.020 .
Finding — 2014 c 223: See note following RCW 41.05.690 .