Medicaid News

2011 Emergency Room Benefit Limit Web Page

• Hospital-specific impacts of proposed state Critical Access cuts  For questions or more information about these calculations, please contact Andrew Busz, WSHA Director of Financial Policy at (206) 216-2533.

Consolidation and Management of Safety Net Populations

• Comment letter on the state's efforts to manage and consolidate purchasing for behavioral health, long term care, and developmental disabilities clients. For questions or more information, please contact Chelene Whiteaker, Director, Advocacy and Policy at (206) 216-2545.

2011-2013 State Budget and Hospital Payment Issues

Impact of 2011-2013 Legislative Session on Hospitals

• Sample Hospital Report (PDF)

Medicaid RFP Information

• Comments on Proposal for State-Purchased Health Care Programs  - May 31, 2011 (PDF)

ProviderOne Materials

• ProviderOne Six Month Report (PDF)
• Go Live Resource Sheet (PDF)
• Medicare Cross-Over Memo (PDF)
• ProviderOne Bi-Weekly Progress Brief - April 14, 2010 (PDF)
• DSHS ProviderOne Update Presentation to AAHAM - April 9, 2010 (PDF)
• DSHS Response to WSHA ProviderOne Concerns Letter - April 1, 2010 (PDF)
• WSHA Task Force ProviderOne Concerns Letter - March 26, 2010 (PDF)
• ProviderOne Registration Status - April 1, 2010 (Excel)
• View Q & A from the ProviderOne Web Cast
• February 11 "Preparing for ProviderOne" webcast
• November 19 HFMA Presentation (PDF)
• Graphical View of WSHA Progress (Excel)
• October 2 DSHS ProviderOne Status Presentation (PDF)
• ProviderOne website
• Critical Provider Readiness Activities (PDF)
• DSHS Letter to Hospitals (PDF)
• DSHS Letter to Key Associations (PDF)

Medicaid EHR Incentives

• EHR Incentive Program Registration

Imaging Guidelines

• Final Work Group Recommendations
• Summary of June 22 Meeting
• State Staff Recommendations on Imaging Guidelines

2009-2011 State Budget and Hospital Payment Issues

• HRSA Description of Changes to Hospital Payment Policies (PDF)
  HRSA Response to WSHA WAC Comments (PDF)
• WSHA Comments to HRSA on Draft Rule Changes:
  WSHA Response Cover Letter (PDF)
  WSHA Comments by WAC (PDF)
• Proposed Budget Cuts:
  Top-Level Analysis of the Proposed Budget Cuts (PDF)
  Hospital-Specific Breakdown of Proposed Budget Cuts (Excel)
  
  • Methodology Behind These Analyses (PDF)
• Summary of Health Provisions in American Recovery and Reinvestment Act (PDF)

Medicaid Integrity Program (MIP) Audits

• Medicaid Integrity Program Overview (PDF)
• Medicaid Integrity Program FAQs (PDF)
• CMS Open Door Forum Transcription (PDF)
• Web Cast - August 21, 2008
  The Ins and Outs of Dealing with Medicaid Audits

CPE Program

Covered and Non-Covered Medicaid Services for CPE

Medicaid Inpatient Payments

Proposed New Medicaid Weights and Rates (October 2007)
Link to DRG Weights, Payment Type, and LOS (Excel)
Link to DRG Conversion Factors and Per Diems (Excel)

WSHA and AWPHD Ask for Revisions in Proposed Medicaid Rule on Payments to Public Hospitals
March 14, 2007 Comment Letter (PDF)
Fiscal Watch article (3/15/07)

Medicaid CEO Task Force Meeting 11/7/06
11/13/06 follow up letter to Susan Lucas (PDF)

Medicaid CEO Task Force Meeting 11/29/05
11/29/05 followup letter to Susan Lucas (PDF)