Washington Administrative Code
Title 182 - Health Care Authority
ALL PAYER HEALTH CARE CLAIMS DATABASE
Chapter 182-70 - All payer health care claims database
ALL PAYER HEALTH CARE CLAIMS DATABASE
Section 182-70-090 - Penalties for failure to comply with reporting requirements
Current through Register Vol. 24-24, December 15, 2024
(1) The authority may assess fines for failure to comply with the requirements of this chapter including, but not limited to:
The authority will not assess fines when the data supplier is working in good faith with the lead organization to comply with the reporting requirements.
(2) Unless the authority has approved a waiver or extension, the authority may assess a fine for failure to comply with general reporting requirements including, but not limited to, the following occurrences:
(3) Unless the authority has approved a waiver or extension, the authority may assess a fine for failure to comply with health care claim file or data file requirements including, but not limited to, the following occurrences:
(4) Unless the authority has approved a waiver or extension, the authority may assess a fine for failure to comply with health care claim file or data file submission requirements including, but not limited to, the following occurrences:
(5) Upon the failure to comply with a reporting requirement in this chapter, the authority shall first issue a warning notice to a data supplier. The warning notice shall set forth the nature of the failure to comply and offer to provide assistance to the data supplier to correct the failure.
(6) A data supplier that fails to comply with the same reporting requirement in this chapter for which it previously received a warning notice, may be assessed a penalty of two hundred fifty dollars per day, not to exceed a maximum of twenty-five thousand dollars per occurrence. Each failure to comply with a reporting requirement for a reporting period is considered a separate occurrence.
(7) For good cause shown, the authority may suspend in whole or in part any fine assessed in accordance with this section.
Statutory Authority: Chapter 43.371 RCW. WSR 16-04-068, § 82-75-090, filed 1/29/16, effective 2/29/16.