Washington Administrative Code
2022 Archive

Chapter 284-180 WAC
Last Update: 11/10/22

HEALTH CARE BENEFIT MANAGERS
PDF of Chapter Digest
WAC Sections
SUBCHAPTER A
GENERAL PROVISIONS
284-180-110Purpose.
284-180-120Applicability and scope.
284-180-130Definitions.
284-180-150Severability.
SUBCHAPTER B
REGISTRATION AND RENEWAL
284-180-210Registration and renewal fees.
284-180-220Health care benefit manager registration.
284-180-230Health care benefit manager renewal.
284-180-240Providing and updating registration information.
SUBCHAPTER C
RECORDS AND NOTICES
284-180-310Health care benefit manager records.
284-180-320Deadline to provide copies of records.
284-180-325Required notices.
SUBCHAPTER D
CONTRACT FILINGS
284-180-405Definitions in this subchapter.
284-180-411Purpose of this subchapter.
284-180-415Scope of this subchapter.
284-180-421Filing instructions that are incorporated into this subchapter.
284-180-425General health care benefit management form filing rules.
284-180-431The commissioner may reject filings.
284-180-435Filing authorization rules.
284-180-441Rules for responding to an objection letter.
284-180-445Rules for revised or replaced forms.
284-180-450Effective date rules.
284-180-455Carrier filings related to health care benefit managers.
284-180-460Health care benefit manager filings.
SUBCHAPTER E
APPEALS
284-180-500Applicability and scope.
284-180-505Appeals by network pharmacies to health care benefit managers who provide pharmacy benefit management services.
284-180-510Computation of time.
284-180-515Use of brief adjudicative proceedings for appeals by network pharmacies to the commissioner.
284-180-520Appeals by network pharmacies to the commissioner.
284-180-530Review of initial orders from brief adjudicative proceedings.
284-180-540General procedures governing brief adjudicative proceedings before the commissioner.
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE
284-180-140Computation of time. [Statutory Authority: RCW 48.02.060, 19.340.010, 19.340.030, 19.340.100, 19.340.110, and 2016 c 210 §§ 1 and 2 through 7. WSR 17-01-139 (Matter No. R 2016-07), § 284-180-140, filed 12/20/16, effective 1/1/17.] Decodified by WSR 21-02-034, filed 12/29/20, effective 1/1/22. Statutory Authority: RCW 48.02.060 and 48.200.900. Recodified as § 284-180-510.
284-180-330Actions that may result in a fine. [Statutory Authority: RCW 48.02.060, 19.340.010, 19.340.030, 19.340.100, 19.340.110, and 2016 c 210 §§ 1 and 2 through 7. WSR 17-01-139 (Matter No. R 2016-07), § 284-180-330, filed 12/20/16, effective 1/1/17.] Repealed by WSR 21-02-034, filed 12/29/20, effective 1/1/22. Statutory Authority: RCW 48.02.060 and 48.200.900.
284-180-340When a violation is knowing and willful. [Statutory Authority: RCW 48.02.060, 19.340.010, 19.340.030, 19.340.100, 19.340.110, and 2016 c 210 §§ 1 and 2 through 7. WSR 17-01-139 (Matter No. R 2016-07), § 284-180-340, filed 12/20/16, effective 1/1/17.] Repealed by WSR 21-02-034, filed 12/29/20, effective 1/1/22. Statutory Authority: RCW 48.02.060 and 48.200.900.
284-180-400Appeals by network pharmacies to health care benefit managers who provide pharmacy benefit management services. [Statutory Authority: RCW 48.02.060, 48.02.220 and chapter 19.340 RCW. WSR 18-13-023, § 284-180-400, filed 6/8/18, effective 7/9/18. Statutory Authority: RCW 48.02.060, 19.340.010, 19.340.030, 19.340.100, 19.340.110, and 2016 c 210 §§ 1 and 2 through 7. WSR 17-01-139 (Matter No. R 2016-07), § 284-180-400, filed 12/20/16, effective 1/1/17.] Amended and decodified by WSR 21-02-034, filed 12/29/20, effective 1/1/22. Statutory Authority: RCW 48.02.060 and 48.200.900. Recodified as § 284-180-505.
284-180-410Use of brief adjudicative proceedings for appeals by network pharmacies to the commissioner. [Statutory Authority: RCW 48.02.060, 19.340.010, 19.340.030, 19.340.100, 19.340.110, and 2016 c 210 §§ 1 and 2 through 7. WSR 17-01-139 (Matter No. R 2016-07), § 284-180-410, filed 12/20/16, effective 1/1/17.] Amended and decodified by WSR 21-02-034, filed 12/29/20, effective 1/1/22. Statutory Authority: RCW 48.02.060 and 48.200.900. Recodified as § 284-180-515.
284-180-420Appeals by network pharmacies to the commissioner. [Statutory Authority: RCW 48.02.060, 48.02.220 and chapter 19.340 RCW. WSR 18-13-023, § 284-180-420, filed 6/8/18, effective 7/9/18. Statutory Authority: RCW 48.02.060, 19.340.010, 19.340.030, 19.340.100, 19.340.110, and 2016 c 210 §§ 1 and 2 through 7. WSR 17-01-139 (Matter No. R 2016-07), § 284-180-420, filed 12/20/16, effective 1/1/17.] Amended and decodified by WSR 21-02-034, filed 12/29/20, effective 1/1/22. Statutory Authority: RCW 48.02.060 and 48.200.900. Recodified as § 284-180-520.
284-180-430Review of initial orders from brief adjudicative proceedings. [Statutory Authority: RCW 48.02.060, 19.340.010, 19.340.030, 19.340.100, 19.340.110, and 2016 c 210 §§ 1 and 2 through 7. WSR 17-01-139 (Matter No. R 2016-07), § 284-180-430, filed 12/20/16, effective 1/1/17.] Amended and decodified by WSR 21-02-034, filed 12/29/20, effective 1/1/22. Statutory Authority: RCW 48.02.060 and 48.200.900. Recodified as § 284-180-530.
284-180-440General procedures governing brief adjudicative proceedings before the commissioner. [Statutory Authority: RCW 48.02.060, 19.340.010, 19.340.030, 19.340.100, 19.340.110, and 2016 c 210 §§ 1 and 2 through 7. WSR 17-01-139 (Matter No. R 2016-07), § 284-180-440, filed 12/20/16, effective 1/1/17.] Decodified by WSR 21-02-034, filed 12/29/20, effective 1/1/22. Statutory Authority: RCW 48.02.060 and 48.200.900. Recodified as § 284-180-540.