Aligns Washington's prior authorization implementation with federal guidelines.

Washington HB1706 mandates that health plans and managed care organizations implement application programming interfaces for prior authorization, aligning with federal guidelines. These interfaces must support electronic exchanges of prior authorization requests and determinations, use health level 7 fast health care interoperability resources, and automate the process to determine prior authorization requirements. The clinical review criteria must be evidence-based and accommodate new information related to diverse populations.

Aligns Washington's prior authorization implementation with federal guidelines.

Washington HB1706 mandates that health plans and managed care organizations implement application programming interfaces for prior authorization, aligning with federal guidelines. These interfaces must support electronic exchanges of prior authorization requests and determinations, use health level 7 fast health care interoperability resources, and automate the process to determine prior authorization requirements. The clinical review criteria must be evidence-based and accommodate new information related to diverse populations.