Wash. Admin. Code § 182-70-705 - When an audit may be commenced
(1) The
authority may initiate a random audit to ensure compliance with data release
requirements. A data requestor may not be subject to a random audit more
frequently than once every three years.
(2) The authority may initiate an audit of a
data supplier or data requestor upon notice that one of the following events
has occurred:
(a) Reports from the data
vendor that there is a material change, without justification or a reasonable
basis for the change provided by the data supplier, in the number of claims
submitted from a data supplier. Before submitting a report under this
subsection, the data vendor should have worked with the data supplier to cure
any inadvertent data submission issues.
(b) Reports from the data vendor that certain
types of claims are missing for a data supplier.
(c) Notice that the data requestor or data
user is publishing data in reports that are not compliant with data use
agreements. Violations of the data use agreements are subject to penalties in
accordance with the process set forth in this chapter .
(d) Notice that the data requestor or data
user is publishing PFI or PHI not in compliance with state or federal
requirements.
(e) Other occurrence
that could indicate that the data supplier or data requestor is not in
compliance with the requirements in law or rule regarding the
WA-APCD.
Notes
Statutory Authority: RCW 43.371.070. WSR 18-22-095, § 82-75-705, filed 11/5/18, effective 12/6/18.
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