RCW 51.18.065
Direct primary care services—Payment by employer—Rules.
Payment by an employer for direct primary care services as defined in RCW 48.150.010 when used for medical services on an allowed industrial injury or occupational disease claim does not disqualify: (1) The employer from participating in a retrospective rating plan; (2) any related group sponsor from promoting a retrospective rating plan; or (3) any related plan administrator from administering a retrospective rating plan, provided the employer or group sponsor or plan administrator provides any medical cost or payment information that may be required by the department. Prior to the first retrospective rating adjustment for the plan year beginning January 1, 2012, the department shall determine the information needed and any changes to the retrospective rating premium and claim cost calculations to maintain appropriate and equitable retrospective rating refunds when employers pay for direct primary care services. These changes shall apply beginning with the January 1, 2012, plan year.
The department may adopt rules to implement this section.
[ 2011 c 290 § 3.]
Structure Revised Code of Washington
Title 51 - Industrial Insurance
Chapter 51.18 - Retrospective Rating Plan.
51.18.010 - Availability—Rules—Coverage period.
51.18.020 - Entrance criteria.
51.18.030 - Sponsoring entities—New or existing retrospective rating groups.
51.18.040 - Retrospective rating groups—Industry and business categories.
51.18.050 - Retrospective rating groups—Probationary status—Denial of future enrollment.
51.18.060 - Retrospective rating groups—Department approval.
51.18.065 - Direct primary care services—Payment by employer—Rules.