For Consumers

Prior authorization modernization and substance use disorder treatment (R 2024-03)

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) will resume its proposed rulemaking on prior authorization revisions RCW 48.43.830, including 2SSB 6228 (Chapter 366, Laws of 2024) and E2SHB 1357 from 2023. This will include the corresponding mental health-related utilization management requirements.

Multiple Washington Administrative Code provisions within Chapter 284-43 need amendments to be consistent with the enacted legislation. This rulemaking package will recommence at the CR-101 phase.

Notice to start rulemaking filed May 21, 2024

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