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MedicaidPrior AuthMedium impact

Expedited Authorization List, effective June 1, 2022

Washington Apple Health·WA·Prior Authorization
Effective date
Jun 1, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Washington State Medicaid (Apple Health) has updated their pharmacy Expedited Authorization (EA) List effective June 1, 2022. This affects which medications require prior authorization for Medicaid patients in Washington state.

Action Required

Action needed
By June 1, 2022: Billing and pharmacy staff must access the updated Expedited Authorization List from Washington State Health Care Authority's Provider billing guides and fee schedules page under Prescription Drug Program Billing Guides. Review the updated list to identify which medications now require or no longer require prior authorization for Apple Health (Medicaid) patients. Update pharmacy systems and prior authorization workflows accordingly to avoid claim denials.