1. (1) The director shall adopt any rules necessary to implement this chapter, including:

   1. (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;
   2. (b) Deadlines for submission of claim files;
   3. (c) Penalties for failure to submit claim files as required;
   4. (d) Procedures for ensuring that all data received from data suppliers are securely collected and stored in compliance with state and federal law;
   5. (e) Procedures for ensuring compliance with state and federal privacy laws;
   6. (f) Procedures for establishing appropriate fees;
   7. (g) Procedures for data release;
   8. (h) Penalties associated with the inappropriate disclosures or uses of direct patient identifiers and indirect patient identifiers; and
   9. (i) A minimum reporting threshold below which a data supplier is not required to submit data.
2. (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.