OIC Asks for Feedback on Balance Billing Law & Federal Court Puts Hold on No Surprises Act Arbitration

WSHA recently responded to a request for information regarding whether the state Office of the Insurance Commissioner should extend the state’s own dispute resolution process under the state’s Balance Billing... Read More >>

CMS Finalizes FY 2024 Medicare Inpatient Hospital Payment Rule

On August 1, the Centers for Medicare and Medicare Services (CMS) published its final inpatient prospective payment system hospital rule for federal fiscal year 2024. The provisions of the rule... Read More >>

HCA Releases Details on Legislatively Funded Medicaid Provider Rate Increases.

The Washington State Health Care Authority (HCA) recently released an overview, table, and FAQs regarding legislatively mandated Medicaid provider rate increases authorized in the 2023-25 state operating budget effective January... Read More >>

CMS Releases Medicare 2024 Outpatient PPS Proposed Rule, Includes Impacts to Payment and Transparency

The Centers for Medicare and Medicaid Services (CMS) released July 13 its Outpatient Prospective Payment System (OPPS) proposed rule for 2024, which governs Medicare outpatient payment rates for hospitals paid under OPPS... Read More >>

CMS Releases Medicare 2024 Professional Fee Schedule Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) July 13 released its calendar year 2024 proposed rule for the Medicare physician fee schedule. The proposed rule would reduce the conversion factor by... Read More >>

CMS Releases Proposed Remedy to Repay Unlawful 340B Cuts to Hospitals

On July 7, The Centers for Medicare and Medicaid Services (CMS) released its proposed rule to repay hospitals that participate under the 340B program and are paid under the Medicare... Read More >>

WSHA Comments on Medicare IPPS Proposed Rule, Preparing Comments on Proposed Directed Payment Rule

On June 9, WSHA submitted comments on the Centers for Medicare and Medicaid Services’ (CMS) proposed inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS proposed rule for... Read More >>

Distressed Hospital Grant Applications Due July 15

The Health Care Authority (HCA) has opened the application period for distressed hospital grants authorized by the legislature in the 2023-2025 budget. WSHA advocated during the legislative session for the... Read More >>

HCA Provides Notice of State Plan Amendment for Administrative Day Services

The Health Care Authority posted notice of a State Plan Amendment (SPA) to provide payment for specific hospital services provided while a Medicaid patient under administrative day payment awaits discharge... Read More >>

WSHA Provides Resources Related to Medicaid Redeterminations

The Washington State Health Care Authority (HCA) has begun the Medicaid eligibility verification process – known as Medicaid redetermination with the expiration of the COVID-19 public health emergency. HCA estimated this would impact... Read More >>

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