RCW 48.49.070
Hospital, ambulatory surgical facility, or behavioral health emergency services provider—Requirement to provide certain information on website or upon consumer request—Requirement to provide carriers with nonemployed provider lists.
(1)(a) A hospital, ambulatory surgical facility, or behavioral health emergency services provider must post the following information on its website, if one is available:
(i) The listing of the carrier health plan provider networks with which the hospital, ambulatory surgical facility, or behavioral health emergency services provider is an in-network provider, based upon the information provided by the carrier pursuant to RCW 48.43.730(7); and
(ii) The notice of consumer rights developed under RCW 48.49.060.
(b) If the hospital, ambulatory surgical facility, or behavioral health emergency services provider does not maintain a website, this information must be provided to consumers upon an oral or written request.
(2) Posting or otherwise providing the information required in this section does not relieve a hospital, ambulatory surgical facility, or behavioral health emergency services provider of its obligation to comply with the provisions of this chapter.
(3) Not less than thirty days prior to executing a contract with a carrier, a hospital or ambulatory surgical facility must provide the carrier with a list of the nonemployed providers or provider groups contracted to provide emergency medicine, anesthesiology, pathology, radiology, neonatology, surgery, hospitalist, intensivist[,] and diagnostic services, including radiology and laboratory services at the hospital or ambulatory surgical facility. The hospital or ambulatory surgical facility must notify the carrier within thirty days of a removal from or addition to the nonemployed provider list. A hospital or ambulatory surgical facility also must provide an updated list of these providers within fourteen calendar days of a request for an updated list by a carrier.
[ 2022 c 263 § 14; 2019 c 427 § 11.]
NOTES:
Effective date—2022 c 263: See note following RCW 43.371.100.
Structure Revised Code of Washington
Chapter 48.49 - Balance Billing Protection Act.
48.49.003 - Findings—Intent—2019 c 427.
48.49.030 - Enrollee's obligation to pay for services.
48.49.040 - Dispute resolution process—Determination of commercially reasonable payment amount.
48.49.060 - Notice of consumer rights—Development of standard template language by commissioner.
48.49.110 - Rule-making authority.
48.49.120 - No application of chapter to health plans under chapter 74.09 RCW.
48.49.135 - Determining the adequacy of provider networks—Required considerations.
48.49.140 - Liberal construction of chapter to promote public interest.
48.49.160 - Allowed amounts paid to nonparticipating providers.
48.49.180 - Commissioner authority—Enforcement—Penalties.