WSR 18-09-030
PREPROPOSAL STATEMENT OF INQUIRY
OFFICE OF
FINANCIAL MANAGEMENT
[Filed April 11, 2018, 11:47 a.m.]
Subject of Possible Rule Making: The subject of this rule making relates to the statewide all-payer health care claims database (WA-APCD). WAC 82-75-030 provides additional definitions for terms used in the chapter that establishes and regulates WA-APCD. This rule making is to revise definitions that have been enacted and add definitions for other terms that have not previously been defined in statute or rule.
Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 43.371.010(3) and 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 WA-APCD to support transparent public reporting of health care information. To accomplish this requirement, OFM is directed to establish rules necessary to implement this chapter, and to establish rules that specifically define claim and data files that suppliers must submit. OFM enacted additional definitions in WAC 82-75-030 and has added definitions as needed. Based on stakeholder feedback and experience since WA-APCD has been implemented, there are definitions that need to be amended (such as "member," "DUA" and "WA covered persons" and other terms that need to be defined (such as "allowed cost"). Through the rule-making process, other definitions may need to be added or amended.
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