Clinical Review Criteria in Washington State

URAC is the nations leading independent accreditator and our accreditation process creates a framework for continuous improvement. 

URAC's Health Utilization Management accreditation completes determination of medical necessity for medical and/or behavioral health clients, peer clinical review, and appeals as applicable.

URAC’s ParityManager software solution and Mental Health Parity Accreditation serve as a roadmap for improved compliance with federal and state parity regulations.

Parity/Clinical Review Criteria for UM in Washington State

Washington HB 1432 (2025) – Legislation enacted by the Washington State Legislature to update the state’s mental health parity requirements and include standards for utilization and clinical review criteria.
Mental Health Parity Reporting Guidance – Information from the Washington State Office of the Insurance Commissioner on mental health parity reporting requirements for health insurers.
Washington State Parity Analysis – The most recent Washington State Health Care Authority report on mental health parity financial requirements and reporting.