HCA begins rulemaking for rural health clinic managed care encounter payment

Section 213 of the operating budget bill recently passed by the state legislature includes a proviso requiring Medicaid managed care plans pay rural health clinics, upon request, their full encounter rate at the time of service... Read More >>

OIC begins rulemaking regarding alternative prior authorization mechanisms

The Office of the Insurance Commissioner OIC) has begun a rulemaking process regarding alternative prior authorization processes, sometimes known as “goldcarding”.... Read More >>

Medicaid Quality Incentive Requires Financial Reporting Compliance

Changes to the hospital safety net assessment program law include new provisions for the quality incentive program. ... Read More >>

Legislators Pass Operating Budget Good for Healthcare, But Session Continues

On June 30, legislators passed, and the governor signed a $34 billion operating budget hours before the new biennium was to begin, avoiding a partial shutdown of state services.... Read More >>

Health Reform Debate: Waiting on the Senate’s Next Move

The Senate Republican leadership announced on Tuesday that they will release a new draft of the Better Care Reconciliation Act.... Read More >>

One county lacks individual health care insurance options, rate increases proposed, OIC working on market stabilization

Last week the Office of the Insurance Commissioner (OIC) gave notice that Grays Harbor and Klickitat counties would have no individual health care insurance options in 2018.... Read More >>

Individual health insurance market stabilization – many options, careful thought needed

In the wake of the recent insurance carrier filings with the Office of the Insurance Commissioner, there is substantial discussion about how to stabilize the individual health insurance market in Washington State.... Read More >>

HCA provides guidance for health care providers in case of state budget shutdown

The Health Care Authority recently sent guidance regarding the potential effect of a partial state government shutdown if a 2017-19 state budget is not enacted by July 1, 2017, particularly its effect on the Washington Apple Health (Medicaid) program and the Public Employees Benefits Board (PEBB) Program.... Read More >>

WSHA provides webinar on new Medicaid quality incentive measures

The Washington hospital safety net assessment program includes a Medicaid quality incentive.  Under the incentive provision, prospective payment hospitals that meet certain quality measures receive a one percent increase to their Medicaid inpatient payment rate.... Read More >>

Important to submit CHARS data by July 15th; delay could mean reduction in Medicaid payment

With recent changes in the law, the hospital safety net assessment program has new provisions for the quality incentive program.  Under these provisions, hospitals must be in compliance with existing Department of Health financial reporting requirements to qualify for the quality incentive payment.... Read More >>

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