WSR 14-22-046

PREPROPOSAL STATEMENT OF INQUIRY

[Filed October 30, 2014, 7:10 a.m.]

Subject of Possible Rule Making: WAC 246-808-545 Improper billing practices, the chiropractic quality assurance commission (CQAC) is opening this rule to consider options for time-of-service (TOS) discount when a patient pays for the service at the time of the appointment.

Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 18.25.0171.

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: It has been a standard practice for healthcare professionals, including chiropractors, to offer their patients a TOS discount. There have been questions and confusion about TOS practices and the commission's rule on this subject. The commission will consider clarifying and updating the rule to assure that the TOS meets the needs of uninsured patients or others who wish to pay at TOS.

Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: No other agencies regulate this subject.

Process for Developing New Rule: Collaborative.

Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication. Stakeholders will be notified and invited to participate in an open public workshop(s) and may submit written comments for consideration. Stakeholders will be notified through listserv mailings, commission meetings, and posting to the chiropractic web site. If you have questions regarding this proposal, please contact Leann Yount, Program Manager, CQAC, P.O. Box 47858, Olympia, WA 98504-7858.

October 28, 2014

Leann Yount

Program Manager