Statutes and rules governing BBPA arbitrations, OIC administrative hearings & Small Pharmaceutical Reimbursement Appeals

For arbitrations under the Balance Billing Protection Act ("BBPA arbitrations"):

• Dispute Resolution Process, RCW 48.49.040
• Arbitration Initiation and Selection of an Arbitrator WAC 284-43B-035 & Arbitration proceedings, WAC 284-43B-037
• Balance Billing Protection Act, Chapter 48.49 RCW and Chapter 284-43B WAC

For OIC administrative adjudicative hearings ("Administrative Hearings"):

• OIC Hearings, Chapter 48.04 RCW and  WAC 284-02-070
• Administrative procedures for adjudicative proceedings and judicial review, RCW 34.05.410 through 34.05.598
• Model Rules of Procedure, Chapter 10-08 WAC

For Small Pharmacy Reimbursement Appeals ("SPRAs"):

• Tier 1 thru Tier III Appeals, Chapter 284-180 WAC, Subchapter E
• Tier II Appeals (Appeals to the Commissioner), WAC 284-180-520 and RCW 48.200.280
• Tier III Appeals (OIC Review of Initial Orders on Tier II Appeals), WAC 284-180-530
• Administrative procedure for brief adjudicative proceedings and judicial review, RCW 34.05.482 through 34.05.598