# WAC 296-20-024: WAC 296-20-024. Utilization management

> Washington · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_024

## Section

- **Citation:** WAC 296-20-024
- **Heading:** WAC 296-20-024. Utilization management
- **Jurisdiction:** Washington
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Washington Administrative Code / Title 296 / Chapter 296-20 / Section 296-20-024

## Text

The department, as a trustee of the medical aid fund, has a duty to supervise the provision of proper and necessary medical care that is delivered promptly, efficiently, and economically. Toward this end, the department will institute programs of utilization management. These programs are designed to monitor and control the proper and necessary use and cost of, health care services. These programs include, but are not limited to, managed care contracting, prior authorization for services, and alternative reimbursement systems.

## Nearby sections

- [WAC 296-20-010 WAC 296-20-010. General information](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_010.md)
- [WAC 296-20-015 WAC 296-20-015. Who may treat](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_015.md)
- [WAC 296-20-020 WAC 296-20-020. Acceptance of rules and fees](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_020.md)
- [WAC 296-20-022 WAC 296-20-022. Payment of out-of-state providers](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_022.md)
- [WAC 296-20-023 WAC 296-20-023. Third-party settlement—Excess recoveries](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_023.md)
- [WAC 296-20-024 WAC 296-20-024. Utilization management](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_024.md)
- [WAC 296-20-025 WAC 296-20-025. Initiating treatment and submitting a claim for benefits](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_025.md)
- [WAC 296-20-030 WAC 296-20-030. Treatment not requiring authorization for accepted conditions](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_030.md)
- [WAC 296-20-035 WAC 296-20-035. Treatment in cases that remain open beyond 60 days](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_035.md)
- [WAC 296-20-045 WAC 296-20-045. Consultation requirements](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_045.md)
- [WAC 296-20-051 WAC 296-20-051. Consultations](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_051.md)
- [WAC 296-20-055 WAC 296-20-055. Limitation of treatment and temporary treatment of unrelated conditions when retarding recovery](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_055.md)
- [WAC 296-20-065 WAC 296-20-065. Transfer of providers](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_065.md)
- [WAC 296-20-071 WAC 296-20-071. Concurrent treatment](https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_071.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_WA_ADC_296_20_024. Check the current official text before relying on it. Not legal advice.