WSR 18-09-028

PREPROPOSAL STATEMENT OF INQUIRY

[Filed April 11, 2018, 11:42 a.m.]

Subject of Possible Rule Making: The subject of this rule making relates to the statewide all-payer health care claims database (APCD). Specifically, the rules will address audit activities related to ensuring that there is compliance with the following requirements: Submission, release of data, use of data and destruction of data. (This replaces the CR-101 filed July 11, 2017, as WSR 17-15-040.)

Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 43.371.070.

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: Chapter 43.371 RCW directs the office of financial management (OFM) to establish a statewide APCD to support transparent public reporting of health care information. The chapter requires specified providers to submit claims data pursuant to the schedule developed by OFM and the data submission guide. There are also strict requirements regarding the release, use and destruction of the data from APCD. In order to ensure that the statutory and regulatory provisions are being followed, it is imperative that OFM develop an audit program.

Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: United States Department of Health and Human Services.

Process for Developing New Rule: Other [no further information supplied by agency].

Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication by contacting Thea Mounts, P.O. Box 43124, Olympia, WA 98504, email apcd@ofm.wa.gov, web site https://www.ofm.wa.gov/washington-data-research/health-care/all-payer-health-care-claims, sign up on the APCD listserv at https://public.govdelivery.com/accounts/WAGOV/subscriber/new?qsp=WAGOV_39.

Additional comments: Those who sign up will receive information on the rules, hearing dates and the latest drafts of the rules for your comments.

April 11, 2018

Roselyn Marcus

Assistant Director

Legal and Legislative Affairs