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2019 Revised Code of Washington
Title 48 - Insurance
Chapter 48.43 - Insurance Reform.
48.43.176 Eosinophilic gastrointestinal associated disorder—Elemental formula.
Universal Citation: WA Rev Code § 48.43.176 (2019)
RCW 48.43.176 Eosinophilic gastrointestinal associated disorder—Elemental formula.
(1) Each health benefit plan issued or renewed after December 31, 2015, must offer benefits or coverage for medically necessary elemental formula, regardless of delivery method, when a licensed physician or other health care provider with prescriptive authority:
(a) Diagnoses a patient with an eosinophilic gastrointestinal associated disorder; and
(b) Orders and supervises the use of the elemental formula.
(2) Nothing in this section prohibits a health benefit plan from requiring prior authorization or imposing other appropriate utilization controls in approving coverage for medically necessary elemental formula.
[ 2014 c 115 § 2.]
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