RCW 48.39.003 Findings. The legislature finds that Washington state is a provider friendly state within which to practice medicine. As part of health care reform, Washington state endeavors to establish and operate a state-based health benefits exchange wherein insurance products will be offered for sale and add potentially three hundred thousand patients to commercial insurance, […]
RCW 48.39.005 Definitions. 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 […]
RCW 48.39.010 Notice of material amendments to contract—Failure to comply. (1) A third-party payor shall provide no less than sixty days’ notice to the health care provider of any proposed material amendments to a health care provider’s contract with the third-party payor. (2) Any material amendment to a contract must be clearly defined in a […]
RCW 48.39.020 Payor may require provider to extend payor’s medicaid rates—Limitations. A payor may require a health care provider to extend the payor’s medicaid rates, or some percentage above the payor’s medicaid rates, that govern a health benefit program administered by a public purchaser to a commercial plan or line of business offered by a […]
RCW 48.39.030 Ambulatory surgical facilities—Payor survey requirements. If a payor that contracts with an ambulatory surgical facility licensed under chapter 70.230 RCW requires successful completion of a survey as part of the contract, the ambulatory surgical facility is deemed to have met survey requirements if it has successfully completed a survey performed pursuant to medicare […]
