PA Reform EnactedTransparency Requirements
Washington Prior Authorization Requirements
A guide to prior authorization rules, turnaround times, and laws for medical practices operating in Washington (WA).
PA Turnaround Times
Standard Requests
14 calendar days
Urgent / Expedited
72 hours
PA Reform Legislation
Washington has enacted step therapy and PA reform legislation limiting unnecessary PA requirements.
Key Regulations
- Standard PA turnaround of 14 calendar days
- Urgent requests within 72 hours
- Step therapy protections
- PA criteria disclosure requirements
Washington Medicaid PA
Washington Apple Health (Medicaid) uses managed care. PA administered by MCOs.
Recent Changes (2025-2026)
- PA reform legislation implementation
Top Payers in Washington
Premera Blue CrossRegence BlueShieldKaiser PermanenteMolina HealthcareUnitedHealthcare
State Regulatory Body: Washington Office of the Insurance Commissioner
File PA complaints or appeals through your state insurance department.
Automate PA in Washington
Greenlight knows every payer's PA requirements in Washington and checks them automatically before every appointment -- so your staff does not have to.
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