Chapter 284-180 WAC:

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Chapter 284-180 WAC

|Hide DispositionsLast Update: 11/30/23

HEALTH CARE BENEFIT MANAGERS

WAC Sections

SUBCHAPTER A GENERAL PROVISIONS
HTML PDF	284-180-110	Purpose.
HTML PDF	284-180-120	Applicability and scope.
HTML PDF	284-180-130	Definitions.
HTML PDF	284-180-150	Severability.
SUBCHAPTER B REGISTRATION AND RENEWAL
HTML PDF	284-180-210	Registration and renewal fees.
HTML PDF	284-180-220	Health care benefit manager registration.
HTML PDF	284-180-230	Health care benefit manager renewal.
HTML PDF	284-180-240	Providing and updating registration information.
SUBCHAPTER C RECORDS AND NOTICES
HTML PDF	284-180-310	Health care benefit manager records.
HTML PDF	284-180-320	Deadline to provide copies of records.
HTML PDF	284-180-325	Required notices.
SUBCHAPTER D CONTRACT FILINGS
HTML PDF	284-180-405	Definitions in this subchapter.
HTML PDF	284-180-411	Purpose of this subchapter.
HTML PDF	284-180-415	Scope of this subchapter.
HTML PDF	284-180-421	Filing instructions that are incorporated into this subchapter.
HTML PDF	284-180-425	General health care benefit management form filing rules.
HTML PDF	284-180-431	The commissioner may reject filings.
HTML PDF	284-180-435	Filing authorization rules.
HTML PDF	284-180-441	Rules for responding to an objection letter.
HTML PDF	284-180-445	Rules for revised or replaced forms.
HTML PDF	284-180-450	Effective date rules.
HTML PDF	284-180-455	Carrier filings related to health care benefit managers.
HTML PDF	284-180-460	Health care benefit manager filings.
SUBCHAPTER E APPEALS
HTML PDF	284-180-500	Applicability and scope.
HTML PDF	284-180-505	Appeals by network pharmacies to health care benefit managers who provide pharmacy benefit management services.
HTML PDF	284-180-510	Computation of time.
HTML PDF	284-180-515	Use of brief adjudicative proceedings for appeals by network pharmacies to the commissioner.
HTML PDF	284-180-520	Appeals by network pharmacies to the commissioner.
HTML PDF	284-180-530	Review of initial orders from brief adjudicative proceedings.
HTML PDF	284-180-540	General procedures governing brief adjudicative proceedings before the commissioner.

DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE


284-180-140	Computation of time. [Statutory Authority: RCW 48.02.060, 19.340.010, 19.340.030, 19.340.100, 19.340.110, and 2016 c 210 §§ 1 and 2 through 7. WSR 17-01-139 (Matter No. R 2016-07), § 284-180-140, filed 12/20/16, effective 1/1/17.] Decodified by WSR 21-02-034, filed 12/29/20, effective 1/1/22. Statutory Authority: RCW 48.02.060 and 48.200.900. Recodified as § 284-180-510.
284-180-330	Actions that may result in a fine. [Statutory Authority: RCW 48.02.060, 19.340.010, 19.340.030, 19.340.100, 19.340.110, and 2016 c 210 §§ 1 and 2 through 7. WSR 17-01-139 (Matter No. R 2016-07), § 284-180-330, filed 12/20/16, effective 1/1/17.] Repealed by WSR 21-02-034, filed 12/29/20, effective 1/1/22. Statutory Authority: RCW 48.02.060 and 48.200.900.
284-180-340	When a violation is knowing and willful. [Statutory Authority: RCW 48.02.060, 19.340.010, 19.340.030, 19.340.100, 19.340.110, and 2016 c 210 §§ 1 and 2 through 7. WSR 17-01-139 (Matter No. R 2016-07), § 284-180-340, filed 12/20/16, effective 1/1/17.] Repealed by WSR 21-02-034, filed 12/29/20, effective 1/1/22. Statutory Authority: RCW 48.02.060 and 48.200.900.
284-180-400	Appeals by network pharmacies to health care benefit managers who provide pharmacy benefit management services. [Statutory Authority: RCW 48.02.060, 48.02.220 and chapter 19.340 RCW. WSR 18-13-023, § 284-180-400, filed 6/8/18, effective 7/9/18. Statutory Authority: RCW 48.02.060, 19.340.010, 19.340.030, 19.340.100, 19.340.110, and 2016 c 210 §§ 1 and 2 through 7. WSR 17-01-139 (Matter No. R 2016-07), § 284-180-400, filed 12/20/16, effective 1/1/17.] Amended and decodified by WSR 21-02-034, filed 12/29/20, effective 1/1/22. Statutory Authority: RCW 48.02.060 and 48.200.900. Recodified as § 284-180-505.
284-180-410	Use of brief adjudicative proceedings for appeals by network pharmacies to the commissioner. [Statutory Authority: RCW 48.02.060, 19.340.010, 19.340.030, 19.340.100, 19.340.110, and 2016 c 210 §§ 1 and 2 through 7. WSR 17-01-139 (Matter No. R 2016-07), § 284-180-410, filed 12/20/16, effective 1/1/17.] Amended and decodified by WSR 21-02-034, filed 12/29/20, effective 1/1/22. Statutory Authority: RCW 48.02.060 and 48.200.900. Recodified as § 284-180-515.
284-180-420	Appeals by network pharmacies to the commissioner. [Statutory Authority: RCW 48.02.060, 48.02.220 and chapter 19.340 RCW. WSR 18-13-023, § 284-180-420, filed 6/8/18, effective 7/9/18. Statutory Authority: RCW 48.02.060, 19.340.010, 19.340.030, 19.340.100, 19.340.110, and 2016 c 210 §§ 1 and 2 through 7. WSR 17-01-139 (Matter No. R 2016-07), § 284-180-420, filed 12/20/16, effective 1/1/17.] Amended and decodified by WSR 21-02-034, filed 12/29/20, effective 1/1/22. Statutory Authority: RCW 48.02.060 and 48.200.900. Recodified as § 284-180-520.
284-180-430	Review of initial orders from brief adjudicative proceedings. [Statutory Authority: RCW 48.02.060, 19.340.010, 19.340.030, 19.340.100, 19.340.110, and 2016 c 210 §§ 1 and 2 through 7. WSR 17-01-139 (Matter No. R 2016-07), § 284-180-430, filed 12/20/16, effective 1/1/17.] Amended and decodified by WSR 21-02-034, filed 12/29/20, effective 1/1/22. Statutory Authority: RCW 48.02.060 and 48.200.900. Recodified as § 284-180-530.
284-180-440	General procedures governing brief adjudicative proceedings before the commissioner. [Statutory Authority: RCW 48.02.060, 19.340.010, 19.340.030, 19.340.100, 19.340.110, and 2016 c 210 §§ 1 and 2 through 7. WSR 17-01-139 (Matter No. R 2016-07), § 284-180-440, filed 12/20/16, effective 1/1/17.] Decodified by WSR 21-02-034, filed 12/29/20, effective 1/1/22. Statutory Authority: RCW 48.02.060 and 48.200.900. Recodified as § 284-180-540.