Historical data submission.
(1) The purpose of collecting historical data into the WA-APCD is to permit the systematic analysis of the health care delivery system including evaluation of the effectiveness of the Patient Protection and Affordable Care Act signed into law on March 23, 2010.
(2) The lead organization will provide written notification to the data suppliers when the WA-APCD is ready to accept the submission of historical data. Data suppliers shall submit the historical data within sixty days of notification. Requests for an extension of time to submit historical data shall be made in accordance with WAC
182-70-080(3).
(3) "Historical data" means covered medical services claim files, pharmacy claim files, dental claim files, member eligibility and enrollment data files, and provider data files with necessary identifiers for the period January 1, 2013, through December 31, 2016, or through the end of the quarter immediately prior to the first regular quarterly submission due in accordance with the data submission schedule.
(4) The authority may grant an exception to this section and approve the filing of historical data for a period less than the period specified in subsection (3) of this section. Requests for an exception under this subsection shall be made to the lead organization within fifteen calendar days of being notified in accordance with subsection (2) of this section. The lead organization shall make a recommendation to the authority as to whether to approve or deny the request. The authority may approve the request for good cause.
[Statutory Authority: RCW
41.05.021,
41.05.160 and
43.371.020. WSR 20-08-059, § 182-70-060, filed 3/25/20, effective 4/25/20. WSR 19-24-090, recodified as § 182-70-060, filed 12/3/19, effective 1/1/20. Statutory Authority: Chapter
43.371 RCW. WSR 17-05-024, § 82-75-060, filed 2/7/17, effective 3/10/17; WSR 16-04-068, § 82-75-060, filed 1/29/16, effective 2/29/16.]