Wash. Admin. Code ch. 182-70 – All Payer Health Care Claims Database | Midpage

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Washington Administrative Code (WAC)

Chapter 70

Wash. Admin. Code ch. 182-70

All Payer Health Care Claims Database

HEALTH CARE AUTHORITY

182-70-010Purpose 182-70-020Definitions required by chapter 43.371 RCW 182-70-030Additional definitions authorized by chapter 43.371 RCW 182-70-040Registration requirements 182-70-050Data submission schedule 182-70-060Historical data submission 182-70-070Data submission guide 182-70-080Waivers and extensions 182-70-090Penalties for failure to comply with reporting requirements 182-70-100Administrative review 182-70-110Appeals 182-70-200General data request and release procedures 182-70-210Procedures for data requests 182-70-220Data management plan 182-70-230Review of data requests 182-70-240Data release 182-70-250Data use agreement 182-70-260Confidentiality agreement 182-70-270Data procedures at the end of the project 182-70-280Reasons to decline a request for data 182-70-290Process to review a declined data request 182-70-300Process to appeal of final denial of data request 182-70-400Privacy and security 182-70-410Requirements for data vendor 182-70-420Data submission 182-70-430WA-APCD infrastructure 182-70-440Accountability 182-70-450Data vendor and lead organization compliance with privacy and security requirements 182-70-460Additional requirements 182-70-470State oversight of compliance with privacy and security requirements 182-70-500Additional definitions related to the format for the calculation and display of data 182-70-510Data formatting rules apply to proprietary financial information 182-70-520Elements to safeguard the use of data 182-70-550Requirement for fee schedules and processes 182-70-560Process to establish fee schedules 182-70-570Process to modify fee schedules 182-70-600Causes for penalties 182-70-605Alleging a violation 182-70-610Complaints 182-70-615Investigation 182-70-620Notice of violation and recommended penalty 182-70-625Monetary penalties that may be imposed upon finding a violation of inappropriate disclosures or uses 182-70-630Nonmonetary penalties that may be imposed upon finding a violation of inappropriate disclosures or uses 182-70-635Penalty ranges based on culpability 182-70-640Other factors that may be considered in determining the penalty for a violation of this chapter 182-70-645Process to appeal determination of a violation and assessed penalties 182-70-650Informal dispute resolution prior to a hearing 182-70-655Hearing and final order 182-70-665Posting of information related to inappropriate disclosure or use of protected information 182-70-700Purpose of audits 182-70-705When an audit may be commenced 182-70-710Audit process 182-70-715Audit guide 182-70-720Audit findings of a violation