Prenatal Tests – Congenital and Heritable Disorders

The State Board of Health (Board) adopted a proposed rule on June 9, 2021 to amend chapter 246-680 WAC, Prenatal Tests – Congenital and Heritable Disorders. The amended rule makes updates to the standards of medical necessity when authorizing requests for claims for certain prenatal tests, makes administrative changes, and clarifies language to improve the usability of the rule.

The Board has the authority under RCW 48.21.24448.44.344, and 48.46.375 to set forth screening and diagnostic tests as standards of medical necessity for use certain insurers, health care service contractors, and health maintenance organizations when authorizing requests for claims, without the requirement for a case by case determination.

CR-101 filed on November 27, 2018 as WSR 18-24-016
CR-102 filed on December 2, 2020 as WSR 20-24-119
Supplemental CR-102 filed on May 3, 2021 as WSR 21-10-077
CR-103 filed on July 30, 2021 as WSR 21-16-076 

Statutory Authority: RCW 70.83.030, RCW 70.83.050
State Board of Health Contact: Kaitlyn Donahoe, (360) 584-6737

Related Links: Meeting Materials​