# WAC 284-170-220: WAC 284-170-220. Amended alternate access delivery request for services subject to the Balance Billing Protection Act

> Washington · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_284_170_220

## Section

- **Citation:** WAC 284-170-220
- **Heading:** WAC 284-170-220. Amended alternate access delivery request for services subject to the Balance Billing Protection Act
- **Jurisdiction:** Washington
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Washington Administrative Code / Title 284 / Chapter 284-170 / Section 284-170-220

## Text

An issuer that meets the criteria in RCW 48.49.135 (2)(b) may submit an amended alternate access delivery request to the commissioner for review and approval. The amended alternate access delivery request must be made using the Amended Alternate Access Delivery Request Form E, as provided in WAC 284-170-280 (3)(f).
(1) An amended alternate access delivery request may be filed no sooner than three months after the effective date of the alternate access delivery request approval by the commissioner.
(2) The amended alternate access delivery request must demonstrate substantial evidence of good faith efforts by the issuer to contract between the effective date of the alternate access delivery request and the submission date of the Amended Alternate Access Delivery Request Form E.
(3) An amended alternate access delivery request must be for a specific service that is subject to RCW 48.49.020 and for a specific geographic location. Multiple services may not be combined into a singular request, for example an amended alternate access delivery request may not be for both radiology services and laboratory services. This requirement does not restrict an issuer from filing multiple amended alternate access delivery requests by service or geographic location during a plan year due to provider contract termination dates or execution of new or renewed provider contracts.
(4) The amended alternate access delivery request terminates on December 31st of the year that the request was approved or the effective date of a contract executed by the issuer and a provider who can deliver the service in the geographic location referenced in the amended alternate access delivery request, whichever occurs earlier.
(5) An issuer may not use the amended alternate access delivery request process to update a pending or approved Alternate Access Delivery Request Form C.

## Nearby sections

- [WAC 284-170-110 WAC 284-170-110. Purpose](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_284_170_110.md)
- [WAC 284-170-120 WAC 284-170-120. Applicability and scope](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_284_170_120.md)
- [WAC 284-170-125 WAC 284-170-125. Compliance with state and federal laws](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_284_170_125.md)
- [WAC 284-170-130 WAC 284-170-130. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_284_170_130.md)
- [WAC 284-170-131 WAC 284-170-131. Definitions applicable to RCW 48.43.732 ](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_284_170_131.md)
- [WAC 284-170-200 WAC 284-170-200. Network access — General standards](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_284_170_200.md)
- [WAC 284-170-205 WAC 284-170-205. Behavioral health emergency services provider contracting](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_284_170_205.md)
- [WAC 284-170-210 WAC 284-170-210. Alternate access delivery request](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_284_170_210.md)
- [WAC 284-170-220 WAC 284-170-220. Amended alternate access delivery request for services subject to the Balance Billing Protection Act](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_284_170_220.md)
- [WAC 284-170-230 WAC 284-170-230. Maintenance of sufficient provider networks](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_284_170_230.md)
- [WAC 284-170-240 WAC 284-170-240. Use of subcontracted networks](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_284_170_240.md)
- [WAC 284-170-260 WAC 284-170-260. Provider directories](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_284_170_260.md)
- [WAC 284-170-270 WAC 284-170-270. Every category of health care providers](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_284_170_270.md)
- [WAC 284-170-280 WAC 284-170-280. Network reports — Format](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_284_170_280.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_284_170_220. Check the current official text before relying on it. Not legal advice.