Rules. (Effective until July 1, 2026.)
RCW 43.371.070
in effect(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.
(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.
Source: WA Statutes (Official Site)URL: https://app.leg.wa.gov/RCW/default.aspx?cite=43.371&full=trueFetched: 6/29/2026