The purpose of this bulletin is to: 1) Inform hospitals that the Washington State Supreme Court’s decision, In re the Detention of DW; 2) Inform hospitals about the Washington State Department of Social and Health Services’ (DSHS) new emergency rule for Single Bed Certification; 3) Provide information to help hospitals manage in circumstances where a designated mental health professional finds a patient meets detention criteria under the Involuntary Treatment Act, but declines to detain a patient due to no available appropriate inpatient psychiatric bed. ... Read More >>

This bulletin provides important information on problems hospitals are experiencing with the Health Care Authority’s (HCA) programming of payments using Enhanced Ambulatory Payment Groups (EAPGs).The issues, stemming from pricing in HCA’s ProviderOne system, are causing significant numbers of outpatient hospital Medicaid claims to be underpaid or not paid at all. ... Read More >>

The purpose of this bulletin is to notify you that the Washington State Health Care Authority (HCA) is now implementing “Hospital Presumptive Eligibility” (HPE) for Apple Health Enrollment. The HCA will offer trainings in January 2015 for any hospital that registers for the training by December 19, 2014. HPE allows a hospital to enroll someone in Medicaid for up to 60 days with minimal information from the client. For example, if a client does not know their tax filing status, hospitals can enroll via HPE. Or if there is a glitch preventing enrollment using the Washington Healthplanfinder website, a hospital can enroll someone immediately via Hospital Presumptive Eligibility. ... Read More >>

The Washington State Health Care Authority (HCA) is moving forward with its plans to transform the health care system. The agency recently issued a grant opportunity to establish ten communities of health in the state. Now is the time for hospital leaders to make sure they are appropriately represented in the governance structures of these newly created organizations. ... Read More >>

The purpose of this bulletin is to inform you about a potential opportunity for hospitals, working with foundations, to help low-income patients pay the premiums for their Exchange-purchased health plan. It is also intended to give you guidance from the American Hospital Association regarding the legality of sponsoring premiums. ... Read More >>

The purpose of this bulletin is to notify you that the Washington Health Benefit Exchange (Exchange) will be offering training for Certified Application Counselors (CACs) from October 1, 2014 through November 30, 2014. The Exchange is hosting a webinar on October 1, 2014 to review the CAC training curriculum and answer any questions you may have regarding the training and certification requirements for the 2014-2015 open enrollment period.... Read More >>

The purpose of this bulletin is to prepare you for the launch of the Washington State Hospital Association’s quality transparency website on October 15. As a strategic initiative supported by the board, WSHA is breathing new life into the wahospitalquality.org website with a major redesign.... Read More >>

The purpose of this bulletin is to: Inform hospitals about the Department of Social and Health Services’ (DSHS) new emergency rule and form for Single Bed Certifications. These were issued in response to the recent Washington State Supreme Court decision regarding psychiatric boarding.... Read More >>

The purpose of this bulletin is to provide information about the Washington Health Alliance’s report on the Choosing Wisely initiative in Washington State. The report uses county-level claims data to show variation in the use of diagnostic testing and treatment across the state, but does not include the clinical information a physician might consider to make a about patient care. Variation between counties is considerable.... Read More >>

The purpose of this bulletin is to provide an overview of proposed 2015 Medicare outpatient final rule, which will affect Medicare outpatient payments to Washington State hospitals. This bulletin is also intended to alert members to their opportunity to obtain the detailed hospital-specific analysis done by the Washington State Hospital Association (WSHA) that is available through the secure file transfer mechanism, and to alert members to their opportunity to comment on the proposed rule.... Read More >>