WSR 18-09-029

PREPROPOSAL STATEMENT OF INQUIRY

[Filed April 11, 2018, 11:45 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 the submission of claims data relating to chemical dependence/substance abuse claims. (This replaces the CR-101 filed April 18, 2017 as WSR 17-09-063.)

Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 43.371.010(3), 43.371.030(1), and 43.371.070 (1)(a).

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. To accomplish this requirement, OFM is directed to establish rules defining claim and data files that suppliers must submit. There are federal rules regarding the submission and use of data related to certain chemical dependency/substance use disorder treatment claims. This rule making is to establish the definition and requirements related to the data that must be submitted to APCD, and maintain compliance with federal law.

Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: The Substance Abuse and Mental Health Services Administration regulates the protections for certain chemical dependency/substance use disorder treatment claims information.

Process for Developing New Rule: A collaborative approach will be used. The APCD web site and associated listserv will be used to provide information and seek comments before a draft is filed for hearing. Stakeholder meetings to review and discuss draft rules will also be scheduled as appropriate.

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