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

Adopted rule filed Dec. 27, 2024

• CR 103 to R 2024-03 (PDF, 335.18 KB)
• Concise explanatory statement for prior authorization modernization (R 2024-03) (PDF, 322.01 KB)

Public hearing on Dec. 11, 2024

• The public hearing for CR-102 was held virtually on Dec. 11, 2024 at 10:00 a.m. Pacific Time Zone. 

Proposed rulemaking filed Nov. 5, 2024

• CR-102 to R 2024-03 (PDF, 353.38 KB)
• The comment period for the CR-102 ended at 12:00 p.m. on December 12, 2024.
• View previously submitted comments. 

Comments on prepublication draft 

• The comment period for this prepublication draft ended Sept. 30, 2024.   

• View previously submitted comments.  

Prepublication draft released Sept. 16, 2024.  

• Prepublication draft for R 2024-03 (PDF, 235.55 KB)

Notice to start rulemaking filed May 21, 2024

• CR-101 for R 2024-03 (PDF, 94.09 KB)

Comments 

• Comments for the CR-101 closed June 21, 2024.
• View previously submitted comments.