HCA Updates Naloxone Billing Instructions

The Health Care Authority updated its instructions and codes for hospital emergency departments and behavioral health agencies to take-home opioid reversal medication required under Senate Bill 5195. ... Read More >>

HCA Publishes Audio-Only Telemedicine Billing Codes

The Washington Health Care Authority (HCA) recently published audio-only telemedicine codes in accordance with HB 1196, passed during the 2021 legislative session. ... Read More >>

HCA Publishes Moderna COVID-19 Booster Billing Codes, Revises Vaccine Clinical Policy and Fee Schedule

The Health Care Authority published new codes for Moderna COVID booster and administration, as well as announced updates to its clinical vaccine policy and fee schedule for COVID-19 services.... Read More >>

Urgent Reminder – March 31 is Reporting Deadline for Period 2 Provider Relief Funds

Providers that received CARES Act Provider Relief Fund (PRF) payments between July 1, 2020, and December 31, 2020 (Period 2), totaling more than $10,000 must submit a formal report on their use of those funds via the reporting portal no later than 11:59 p.m. ET, Thursday, March 31, 2022.... Read More >>

HRSA Uninsured Fund Closing Claims Submissions – Other Funding May be Available

The federal HRSA COVID-19 Uninsured Program (UIP) will stop accepting claims as the funds appropriated by Congress for the program are running out.... Read More >>

OIC Seeks Comments on Balance Billing Notice of Consumer Rights – Comments due April 6

The Washington State Office of the Insurance Commissioner (OIC) is seeking input as it updates the notice of consumer rights under the state’s Balance Billing Protection Act to conform with the federal No Surprise Act.... Read More >>

Application Deadline for ACO REACH Model April 22

The Centers for Medicare and Medicaid Services (CMS) recently announced that it is replacing the existing Global and Professional Direct Contracting (GPDC) Model with an ACO REACH model for performance year 2023. ... Read More >>

Commissioner Kreidler Extends Insurer Prohibition on Surprise Billing and Copays for COVID Testing Services through April 28

Today, Insurance Commissioner Mike Kreidler extended through April 28 two emergency orders relating to COVID-19 testing services. The emergency orders requiring health insurers to waive copays and deductibles for COVID-19 testing and protect consumers from receiving surprise bills for lab fees related to medically necessary COVID-19 testing.... Read More >>

WSHA Priorities Funded in Final Budget

On March 9, the House and Senate released their final supplemental budget for the remainder of the 2021-2023 biennium.... Read More >>

HCA Begins RFP Process for 2023 Public Option Plans – Cascade Care Select

The Washington State Health Care Authority (HCA) has announced the request for proposal process for procurement of public option – known as Cascade Care Select – plans for the 2023 plan year. The first RFP was for two years and ends December 31, 2022. This RFP is for coverage effective January 1, 2023.... Read More >>

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