Washington - Legislatively Mandated Effort

Title or Name of APCD System: 
Washington State All-Payer Claims Database (WA-APCD)
Category: 
Existing
Who Maintains the System: 
Washington State Health Care Authority (HCA)
Website: 
https://www.hca.wa.gov/about-hca/washington-state-all-payer-claims-database-wa-a…

Legal Authority

Investment: 
CMS Cycle III and Cycle IV grants to implement WA-APCD, develop a public website and produce products
Statute: 
http://app.leg.wa.gov/rcw/default.aspx
Submission Rules: 
http://apps.leg.wa.gov/wac/default.aspx
Release Policy: 
http://apps.leg.wa.gov/wac/default.aspx
First Year APCD Collected Data: 
2017
Related APCD Activity: 

The WA-APCD was established in 2014 when the Washington State Legislature passed legislation directing the Office of Financial Management (OFM) to establish and create the database. In 2019, management of those efforts moved from OFM to the  Washington State Health Care Authority (HCA), Washington's Medicaid program.

The Center for Health Systems Effectiveness (CHSE) at Oregon Health & Science University (OHSU) was the WA-APCD Lead Organization responsible for the implementation and operation of the WA-APCD from 2014 until 2019 when the Washington Health Alliance won a bid to become the next Lead Organization. The Washington Health Alliance has also run a voluntary APCD effort in Washington since the early 2000s.

Onpoint Health Data is the contracted data vendor for the WA-APCD as of 2020.

Sources and Status of APCD Data Collection

Payers Currently Collected Planned Collection
Commercial PayersYes--
Third Party Administrators/Self-Funded--Yes
MedicaidYes--
Other
Types of Data Collected Currently Collected Planned Collection
Medical ClaimsYes--
EligibilityYes--
DentalYes--
PharmacyYes--
OtherThe State of Washington is required through mandate to collect medical, pharmacy, dental, member eligibility and enrollment data with necessary identifiers.
Consumer Website: 
https://www.wahealthcarecompare.com/
Contact Information: 

apcd@hca.wa.gov