Washington State Local Health Insurance Prior Authorization

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Prior Authorization - Washington State Local Health Insurance

(7 days ago) Services for a specific program may not be a covered benefit. Please verify online through HealthMAPS, contact Customer Service, or consult the Managed Care and Behavioral Health Services OnlyMember Benefit Grids. See more

https://www.chpw.org/provider-center/prior-authorization/

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Prior Authorization - Washington State Local Health …

(2 days ago) WebCommunity Health Plan of Washington Utilization Management (UM) staff are available to discuss this process or any UM issues at 1-800-440-1561 (TTY: Dial 711 ). If requested, language …

https://www.chpw.org/member-center/prior-authorization-and-um/

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Step-by-step guide for prior authorization Washington State …

(4 days ago) WebStep-by-step guide for prior authorization Washington State Health Care Authority. Step 1: Check client eligibility Log into ProviderOne to determine if your client is eligible for the …

https://www.hca.wa.gov/billers-providers-partners/prior-authorization-claims-and-billing/step-step-guide-prior-authorization

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Revising the prior authorization process (R 2023-02) Washington …

(5 days ago) WebE2SHB 1357 (Chap. 382, Laws of 2023) alters prior authorization requirements for commercial health plans under RCW 48.43.The new guidelines change …

https://www.insurance.wa.gov/revising-prior-authorization-process-r-2023-02

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Health plan prior authorization data - Washington state Office …

(7 days ago) WebINSURANCE COMMISSIONER WASHINGTON STATE Health plan prior authorization data . 2023 annual report to the Legislature Jan. 1, 2024 . Mike Kreidler, Insurance …

https://www.insurance.wa.gov/sites/default/files/documents/2023-health-plan-prior-auth-report.pdf

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Prior Authorization - WSMA

(6 days ago) WebPrior Authorization. Reducing the negative impact of insurance carrier prior authorization processes on Washington’s physicians, physician assistants, and …

https://wsma.org/WSMA/Resources/Administrative_Simplification/Prior_Authorization/Prior_Authorization.aspx

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Requesting preauthorization for coverage - Kaiser Permanente

(8 days ago) WebStaff in Kaiser Permanente’s Review Services department are available to accept your requests for authorization at 1-800-289-1363. We are available Monday through Friday …

https://wa-provider.kaiserpermanente.org/provider-manual/clinical-review/request-pre-auth-coverage

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2022 Health plan prior authorization report - Washington …

(Just Now) WebMIKE KREIDLER STATE OF WASHINGTON STATE INSURANCE COMMISSIONER OFFICE OF INSURANCE COMMISSIONER Phone: 360-725-7000 …

https://www.insurance.wa.gov/media/11309

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WSMA – Prior Authorization Navigator

(7 days ago) WebAbout the WSMA Prior Authorization Navigator. The WSMA originally introduced its Prior Authorization Navigator in 2018 as a mobile-friendly “one-stop shop” for guidance on …

https://priorauth.wsma.org/

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OIC Releases Carrier Reports on Prior Authorization - Washington …

(2 days ago) WebJanuary 6, 2021. The Washington State Office of the Insurance Commissioner (OIC) recently posted a copy of its report to the legislature and data appendix of prior …

https://www.wsha.org/articles/oic-releases-carrier-reports-on-prior-authorization/

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State laws take aim at the health insurance tactic called 'prior

(7 days ago) WebWhen a law passed this January takes effect next year, health insurance companies will have three days — or sometimes 24 hours — to decide on prior …

https://www.npr.org/sections/health-shots/2024/03/15/1238753784/health-insurance-prior-authorization-state-law-nj-dc-washington

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Prior Authorization Requirements and Guidelines Kaiser …

(2 days ago) WebPrior authorization requirements and management guidelines. Prior authorization requirements vary by health plan. Kaiser Permanente must authorize all inpatient …

https://wa-provider.kaiserpermanente.org/provider-manual/clinical-review/priorauth

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Molina® Healthcare Medicaid Prior Authorization/Pre-Service …

(7 days ago) WebPhone: (855) 714-2415. Fax: (877) 813-1206. 24 Hour Nurse Advice Line (7 days/week) Phone: (888) 275-8750/TTY: 711 Members who speak Spanish can press 1 at the IVR …

https://www.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/wa/Medicaid/forms/PA-Pre-Service-Guide-Medicaid.pdf

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9 states pass bills to fix prior authorization

(8 days ago) Web2023 state wins. New Jersey, Washington, D.C., and Tennessee are among the states that recently enacted comprehensive prior authorization reform laws. In …

https://www.ama-assn.org/practice-management/prior-authorization/9-states-pass-bills-fix-prior-authorization

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Health Plan Prior Authorization Data - Catalog

(9 days ago) WebIn 2020, the Washington State Legislature enacted Engrossed Substitute Senate Bill (ESSB) 6404 (Chapter 316, Laws of 2020, codified at RCW 48.43.0161), …

https://catalog.data.gov/dataset/health-plan-prior-authorization-data

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Health Plan Prior-Authorization Data 2021 Report

(1 days ago) Webwww.insurance.wa.gov . Health Plan Prior-Authorization Data: 2021 Report Jan. 1, 2022 In 2020, the Washington state Legislature enacted Engrossed Substitute …

https://www.insurance.wa.gov/sites/default/files/documents/health-plan-prior-authorization-data-2021-report.pdf

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Prenatal Genetic Screening Resources for Providers Washington …

(6 days ago) WebWashington State Law (RCW 70.54.220) says that doctors, nurses, and midwives should provide information about prenatal screening to all pregnant persons. A health care …

https://doh.wa.gov/public-health-provider-resources/healthcare-professions-and-facilities/patient-care-resources/genetic-services/prenatal-genetic-screening-resources-providers

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Her insurer stopped approving her medicine that worked. Will a …

(2 days ago) WebInsurance companies say the point is to make sure doctors prescribe the most cost effective treatments. States are responding to complaints from physicians and …

https://www.whro.org/2024-03-15/her-insurer-stopped-approving-her-medicine-that-worked-will-a-new-state-law-help

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Scott signs bill limiting prior authorization, other health insurer

(6 days ago) WebGov. Phil Scott on Monday evening signed H.766, a bill that takes aim at health insurance company practices such as “prior authorization” and seeks to free health …

https://www.vnews.com/Gov-Phil-Scott-signs-bill-limiting-prior-authorization-other-health-insurer-practices-55234981

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Health Plan Prior-Authorization Data 2020 Report

(9 days ago) WebFor 2020 Data Submission (based on PY 2019 data) Responses should be submitted to OIC at: [email protected]. June 18, 2020. Sec. 1(1) of ESSB …

https://www.insurance.wa.gov/media/9861

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New Washington State Law Relating to Provider Certification of a

(9 days ago) WebHealth care facilities and providers are prohibited from charging a fee for executing the certification. Applicability/Scope SHB 2102, which will be codified in …

https://www.wsha.org/articles/new-washington-state-law-relating-to-provider-certification-of-a-serious-health-condition-for-paid-family-medical-leave-benefits/

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State Advocacy in Action: an Interview with Yolanda L.

(9 days ago) WebYolanda L. Troublefield, MD, JD Becoming a trusted voice that legislators listen to and seek out takes time, persistence, and consistency. We must be willing to …

https://bulletin.entnet.org/health-policy-advocacy/article/22909906/state-advocacy-in-action-an-interview-with-yolanda-l-troublefield-md-jd

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Prior authorization modernization and substance use disorder …

(9 days ago) WebIn 2023, the Legislature modernized prior authorization processes to prevent delays in care and improve health outcomes. To implement those objectives, the Office …

https://www.insurance.wa.gov/prior-authorization-modernization-and-substance-use-disorder-treatment-r-2024-03

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