Washington State Health Care Authority policy updates

Track new and updated Washington State Health Care Authority policies impacting reimbursement and clinical operations.

Policy	Payer	Type	Specialty	Change	Effective
Certifying eligibility for a dependent child with a disability who is age 26 or older	Washington State Health Care Authority	Administrative	—	Modified	Jan 1, 2027
Verifying dependent eligibility before enrollment	Washington State Health Care Authority	Administrative	—	Modified	Jan 1, 2027
Verifying permanent residence address	Washington State Health Care Authority	Administrative	—	Modified	Jan 1, 2027
Reinstatement for subscribers when a state of emergency is declared by the governor or a state of emergency is declared by the federal government	Washington State Health Care Authority	Administrative	—	Modified	Jan 1, 2027
Certifying eligibility for a dependent child with a disability who is age 26 or older	Washington State Health Care Authority	Administrative	—	Modified	Jan 1, 2027
Election period tolling for applicants because of an emergency declared by the state or federal government	Washington State Health Care Authority	Administrative	—	Modified	Jan 1, 2027
Use of the PEBB Spousal Plan Calculator	Washington State Health Care Authority	Administrative	—	Modified	Jan 1, 2027
Election period tolling for applicants with mental or physical impairment or incapacitation	Washington State Health Care Authority	Administrative	—	Modified	Jan 1, 2027
Election period tolling for applicants because of an emergency declared by the state or federal government	Washington State Health Care Authority	Administrative	—	Modified	Jan 1, 2027
Reinstatement for Subscribers with Mental or Physical Impairment or Incapacitation	Washington State Health Care Authority	Administrative	—	Modified	Jan 1, 2027

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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.