Wash. Admin. Code § 284-20C-080

Current through Register Vol. 24-23, December 1, 2024
Section 284-20C-080 - Reference copies of amendatory forms

If a provider will use a previously approved Washington amendatory form with a new contract, the filer must:

(1) Provide a copy of the amendatory form as supporting documentation; or
(2) Provide the company tracking number from the contract filing under which the endorsement was filed and approved; and
(3) Explain how the provider will use the amendatory form with the new contract.

Wash. Admin. Code § 284-20C-080

Statutory Authority: RCW 48.02.060, 48.110.150. 08-21-091 (Matter No. 2007-11), § 284-20C-080, filed 10/15/08, effective 2/1/09.