Washington Office of the Insurance Commissioner policy updates
Track new and updated Washington Office of the Insurance Commissioner policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Emergency Order No. 26-02: One-time prescription refills, 60-day premium grace period, and cancellation prohibition | Washington Office Of The Insurance Commissioner | Administrative | — | Modified | Aug 7, 2026 |
| Emergency Order No. 26-01 — Temporary insurance relief for Washington wildfire-affected consumers | Washington Office Of The Insurance Commissioner | Administrative | — | Modified | Aug 3, 2026 |
| CMS approval of Washington State EHB‑benchmark plan change | Washington Office Of The Insurance Commissioner | Clinical | Preventive Services & Screening | Modified | Jan 1, 2026 |
| OIC's Interpretation of Chapter 48.200 RCW - Health care benefit managers | Washington Office Of The Insurance Commissioner | Administrative | — | Modified | Sep 15, 2025 |
| Implementation of Chapter 389, Laws of 2025 (SSB 5579) — Restrictions on Public Statements | Washington Office Of The Insurance Commissioner | Administrative | — | Modified | Jul 27, 2025 |
| Mental health and substance use disorder coverage and utilization review requirements | Washington Office Of The Insurance Commissioner | Clinical | Psychiatry/Behavioral Health | Modified | Jul 27, 2025 |
| Prior Authorization Modernization - Implementation of E2SHB 1357 (2023) | Washington Office Of The Insurance Commissioner | Administrative | — | Modified | Jan 27, 2025 |
| Protections Against Balance (Surprise) Billing | Washington Office Of The Insurance Commissioner | Administrative | — | Modified | Jan 1, 2025 |
| Balance billing and surprise billing protections | Washington Office Of The Insurance Commissioner | Administrative | — | Modified | Jan 1, 2025 |
| Washington surprise billing and balance billing protections | Washington Office Of The Insurance Commissioner | Administrative | — | Modified | Jan 1, 2025 |
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.