Section 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;(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 § 7; 2015 c 246 § 7; 2014 c 223 § 15.Effective date- 2019 c 319: See note following RCW 43.371.020.
Finding- 2014 c 223: See note following RCW 41.05.690.