Rules. — Washington Code § 43.371.070

Washington Code § 43.371.070 — Rules.. Reproduced from the official Revised Code of Washington, with a citation summary, verification link, and related provisions.

§ 43.371.070. Rules.

(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;

(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.

Source: official Washington text · Last verified 2026-08-27

At a glance

Citation: Revised Code of Washington § 43.371.070
Jurisdiction: Washington
Code: Revised Code of Washington
Subject: Rules.
Text: transcribed from the official source (verify below)

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