The Legislature website will be offline intermittently between 7 AM - 7 PM on Saturday, September 26 for scheduled maintenance. We apologize for the inconvenience. 

Chapter 48.200 RCW

HEALTH CARE BENEFIT MANAGERS

Complete chapter HTMLPDF

Sections

HTMLPDF 48.200.010Findings—Intent.
HTMLPDF 48.200.020Definitions.
HTMLPDF 48.200.030Registration requirements—Application—Fees—Retention of transaction records.
HTMLPDF 48.200.040Contract requirements—Written agreement describing rights and responsibilities—Filing of contracts—Confidentiality.
HTMLPDF 48.200.050Inquiries or complaints—Violations of chapter—Enforcement actions—Responsibility of carriers and programs for compliance.
PHARMACY BENEFIT MANAGERS
HTMLPDF 48.200.210Definitions applicable to RCW 48.200.220 through 48.200.290.
HTMLPDF 48.200.220Auditing of claims—Requirements—Prohibited practices.
HTMLPDF 48.200.230Basis of finding of claim.
HTMLPDF 48.200.240Contract with third party—Prohibited practices.
HTMLPDF 48.200.250Evidence of validation of claim.
HTMLPDF 48.200.260Preliminary audit report—Dispute or denial of claim—Final audit report—Recoupment of disputed funds.
HTMLPDF 48.200.270Application.
HTMLPDF 48.200.280Predetermination of reimbursement costs—Appeals—Review by commissioner.
HTMLPDF 48.200.290Enforcement—Disputes—Civil penalties.
HTMLPDF 48.200.300Service of process.
HTMLPDF 48.200.310Prohibitions and duties.
HTMLPDF 48.200.320Prohibitions on retaliation.
HTMLPDF 48.200.330Application—Plans governed by the federal employee retirement income security act.
HTMLPDF 48.200.900Rule making—2020 c 240.
HTMLPDF 48.200.901Effective date—2020 c 240.