Rule Updates

Rules Under Development

Workers' compensation self-insurance rules and regulations

Chapter 296-15, WAC

All updates for this rule:

Workers’ Compensation Self-Insurance Rules and Regulations (Chapter 296-15 WAC)

The purpose of this rulemaking is to update Chapter 296-15 WAC, Workers’ Compensation Self-Insurance Rules and Regulations. These changes will promote better communication to injured workers, create greater certainty in rule for employers and to reduce dependency on department adjudication, and improve alignment with existing statutes. The changes were adopted 12/18/2018 and will be effective on 7/1/2019.826.

7/1/2019

Rule Changes Effective

12/18/2018

PDF: Adoption (Rule-Making Order CR-103)

PDF: Adopted Rule Language

11/1/2018

Comments Due

10/31/2018

Public Hearing

10/30/2018

Public Hearing

10/29/2018

Public Hearing

9/4/2018

PDF: Proposed Rulemaking (CR 102)

PDF: Proposed Rule Language

4/17/2018

PDF: Preproposal (CR-101)

Self-Insurance Medical Bill Electronic Data Interchange (EDI) (Chapter 296-15 WAC)

The purpose of this proposal is to create standardized medical bill reporting expectations for self-insured employers, to support the collection of quality data, and to create a reporting exemption for qualifying employers. Standardized reporting will build data integrity, improve industry benchmarking, and inform and support policy conversations and decisions. The key proposals are: Self-insured employers are required to report medical bills through the medical bill electronic data interchange (EDI); Self-insured employers are required to report bills accurately and timely; and Under limited circumstances, self-insured employers can be provided an exception, which means that they are exempt from reporting. In 2016, the department and the self-insured employer community partnered to develop the Self-Insurance Risk Analysis System (SIRAS). Part of SIRAS includes the development of an electronic data interchange (EDI) to collect workers’ compensation claims’ medical bill data. Funding for the development of EDI came from the self-insured community, and their expectation has always been that participation would be required once the system was fully implemented. The Washington Self-Insurers Association (WSIA) has been consistently consulted in EDI’s implementation, and they have reviewed and contributed to the EDI rule. To date, approximately 98% of the self-insured employer community has already registered to report medical bill data, and approximately 84% of them have already reported medical bill data. This rulemaking will document standards and requirements for the reporting that is already largely taking place.755.

7/17/2019

Comments Due

7/15/2019

Public Hearing

6/4/2019

PDF: Proposed Rulemaking (CR 102)

PDF: Proposed Rule Language

PDF: Preliminary Cost Benefit Analysis

4/19/2016

PDF: Preproposal (CR-101)

Self-Insurance Option 2 Benefits (Chapter 296-15 WAC, Workers’ Compensation Self-Insurance Rules and Regulations)

The purpose of this rulemaking is to modify WAC 296-15-4316, What must the self-insurer do when the worker declines further vocational rehabilitation services and elects option 2 benefits? The existing language is being amended to conform to the provisions of RCW 51.32.096, a new statute enacted through Chapter 137, Laws of 2015 (Substitute House Bill 1496). The current language in WAC 296-15-4316 states that workers who are eligible for vocational retraining have fifteen calendar days from the date the rehabilitation plan is approved, to decline further services and elect Option 2 benefits instead. The changes were adopted 10/18/2016 and became effective on 11/18/2016.739.

11/18/2016

Rule Changes Effective

10/18/2016

PDF: Adoption (Rule-Making Order CR-103)

PDF: Adopted Rule Language

9/19/2016

Public Hearing

9/19/2016

Comments Due

8/2/2016

PDF: Proposed Rulemaking (CR 102)

PDF: Proposed Rule Language

10/6/2015

PDF: Preproposal (CR-101)

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