For Consumers

Prior authorization modernization (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 propose amendments to several Washington Administrative Code (WAC) provisions within Chapter 284-43 Subchapter D. This proposed rule updates prior authorization time frames for health care services and prescription drugs and clarifies health plan applicability standards.

Public hearing is scheduled on Dec. 11, 2024

Proposed rulemaking filed Nov. 5, 2024

Comments on prepublication draft 

Prepublication draft released Sept. 16, 2024.  

Notice to start rulemaking filed May 21, 2024

Comments