The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.
(1) "Health care provider" or "provider" has the same meaning as in RCW
48.43.005 and, for the purposes of this chapter, includes facilities licensed under chapter
70.41 RCW.
(2) "Material amendment" means an amendment to a contract between a payor and health care provider that would result in requiring a health care provider to participate in a health plan, product, or line of business with a lower fee schedule in order to continue to participate in a health plan, product, or line of business with a higher fee schedule. A material amendment does not include any of the following:
(a) A decrease in payment or compensation resulting from a change in a fee schedule published by the payor upon which the payment or compensation is based and the date of applicability is clearly identified in the contract, compensation addendum, or fee schedule notice;
(b) A decrease in payment or compensation that was anticipated under the terms of the contract, if the amount and date of applicability of the decrease is clearly identified in the contract; or
(c) Changes unrelated to compensation so long as reasonable notice of not less than sixty days is provided.
(3) "Payor" or "third-party payor" means carriers licensed under chapters
48.20, 48.21, 48.44, and
48.46 RCW, and *managed health care systems as defined in RCW
74.09.522.