RCW 70.14.030
Health care utilization review procedures.
Plans for establishing or improving utilization review procedures for purchased health care services shall be developed by each agency listed in *RCW 70.14.010. The plans shall specifically address such utilization review procedures as prior authorization of services, hospital inpatient length of stay review, requirements for use of outpatient surgeries and the obtaining of second opinions for surgeries, review of invoices or claims submitted by service providers, and performance audit of providers.
[ 1986 c 303 § 8.]
NOTES:
*Reviser's note: RCW 70.14.010 was repealed by 1988 c 107 § 35, effective October 1, 1988.
Structure Revised Code of Washington
Title 70 - Public Health and Safety
Chapter 70.14 - Health Care Services Purchased by State Agencies.
70.14.020 - State agencies to identify alternative health care providers.
70.14.030 - Health care utilization review procedures.
70.14.040 - Review of prospective rate setting methods.
70.14.050 - Drug purchasing cost controls—Establishment of evidence-based prescription drug program.
70.14.060 - Prescription drug purchasing consortium—Participation—Exceptions—Rules.
70.14.065 - Generic prescription drug partnership agreements.
70.14.070 - Prescription drug consortium account.
70.14.090 - Health technology clinical committee.
70.14.100 - Health technology selection and assessment.
70.14.110 - Health technology clinical committee determinations.
70.14.130 - Health technology clinical committee—Public notice.
70.14.140 - Applicability to health care services purchased from health carriers.
70.14.150 - Data-sharing agreements—Report.
70.14.155 - Streamlined health care administration—Agency participation.
70.14.160 - Total cost of insulin work group—Appointment—Duties—Reporting.
70.14.165 - Total cost of insulin work group—Authority implementation.