48.43.525 - Prohibition against retrospective denial of health plan coverage -- Rules. - Washington Statutes

Prohibition against retrospective denial of health plan coverage — Rules.

(1) A health carrier that offers a health plan shall not retrospectively deny coverage for emergency and nonemergency care that had prior authorization under the plan's written policies at the time the care was rendered.

     (2) The commissioner shall adopt, in rule, standards for this section after considering relevant standards adopted by national managed care accreditation organizations and state agencies that purchase managed health care services.

[2000 c 5 § 9.]

Notes: Application -- Short title -- Captions not law -- Construction -- Severability -- Application to contracts -- Effective dates -- 2000 c 5: See notes following RCW 48.43.500.