RCW 48.200.270
Application.
RCW 48.200.210 through 48.200.270 do not:
(1) Preclude an entity from instituting an action for fraud against a pharmacy;
(2) Apply to an audit of pharmacy records when fraud or other intentional and willful misrepresentation is indicated by physical review, review of claims data or statements, or other investigative methods; or
(3) Apply to a state agency that is conducting audits or a person that has contracted with a state agency to conduct audits of pharmacy records for prescription drugs paid for by the state medical assistance program.
[ 2020 c 240 § 14; 2014 c 213 § 9. Formerly RCW 19.340.090.]
Structure Revised Code of Washington
Chapter 48.200 - Health Care Benefit Managers.
48.200.030 - Registration requirements—Application—Fees—Retention of transaction records.
48.200.210 - Definitions applicable to RCW 48.200.220 through 48.200.290.
48.200.220 - Auditing of claims—Requirements—Prohibited practices.
48.200.230 - Basis of finding of claim.
48.200.240 - Contract with third party—Prohibited practices.
48.200.250 - Evidence of validation of claim.
48.200.280 - Predetermination of reimbursement costs—Appeals—Review by commissioner.
48.200.290 - Enforcement—Disputes—Civil penalties.