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This finalized rule updates prior authorization time frames for health care services and prescription drugs and clarifies health plan applicability standards.

In 2023, the Legislature modernized prior authorization processes to prevent delays in care and improve health outcomes. To implement those objectives, the Office of the Insurance Commissioner (OIC) proposed amendments to several Washington Administrative Code (WAC) provisions within Chapter 284-43 Subchapter D.

Amended laws & rules:
Amended WAC 284-43-2020 - Drug utilization review
Amended WAC 284-43-2050 - Prior authorization processes

Rulemaking process

CR-103P (PDF 301.48 KB)

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The public hearing was held on December 11 at 10:00 a.m. on zoom.

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