Every Category of Provider in Washington State
A Washington law, the Every Category of Health Care Providers Law, or WAC 284-43-205 states that "health carriers (health insurance plans/payers) shall not exclude any category of providers licensed by the state of Washington who provide health care services or care within the scope of their practice...". We believe this law includes pharmacists so health insurance companies must not categorically exclude pharmacists as eligible service providers. This page should help providers better understand the Every Category of Provider Law, and work with the Insurance Commissioner to force recognition of pharamcists as providers.
WAC 284-43-205 The Every Category of Provider Law
Letter Writing Campaign
WSPA needs your help to write letters to educate state and local policy makers, insurance companies and state officials about pharmacist provided patient care and the need for compensation to support this care. Please read the call to action and send letters addressed to "To Whom it May Concern" to Jenny Arnold email@example.com, or send them to the WSPA office. Now is the time to act together for change in our profession!
Don Downing sought clarification from the Insurance Commissioner about the inclusion of the pharmacist into the Every Category of Provider Law. Below is the formal complaint that Don filed, and the subsequent response from the Insurance Commissioners Lawyers.
Insurance Commissioner Legal Analysis
Informative Letters to the IC
The letters below are infomative letters submitted to the Insurance Commissioner.
Formal Complaints to IC
Complaints to the Insurance Commissioner must be formally acted upon. Individuals who wish to have a response from the Insurance Commissioner must file a complaint with the insurance comissioner. For more information on filing a complaint with the insurance comissioner visit the IC complaint site