WAC 296-20-03023: When may the department or self-insurer deny payment of opioid medications used to treat chronic, noncancer pain?

Inside the Legislature

	Find Your Legislator
	Visiting the Legislature
	Agendas, Schedules and Calendars
	Bill Information
	Laws and Agency Rules
	Legislative Committees
	Legislative Agencies
	Legislative Information Center
	E-mail Notifications (Listserv)
	Students' Page
	History of the State Legislature

Outside the Legislature

	Congress - the Other Washington
	TVW
	Washington Courts
	OFM Fiscal Note Website

WACs > Title 296 > Chapter 296-20 > Section 296-20-03023

Print Version | [In English]

296-20-03022 << 296-20-03023 >> 296-20-03024

WAC 296-20-03023	No agency filings affecting this section since 2003
When may the department or self-insurer deny payment of opioid medications used to treat chronic, noncancer pain?

  Payment for opioid medications may be denied in any of the following circumstances:

     • Absent or inadequate documentation;

     • Noncompliance with the treatment plan;

     • Pain and functional status have not substantially improved after three months of opioid treatment; or

     • Evidence of misuse or abuse of the opioid medication or other drugs, or noncompliance with the attending physician's request for a drug screen.

[Statutory Authority: RCW 51.04.020 and 51.04.030. 00-01-040, § 296-20-03023, filed 12/7/99, effective 1/20/00.]