Senate and House Release Proposed 2024 Supplemental Budgets

The Senate released its proposed 2024 budget Sunday evening, Feb. 18, and the House released its proposed 2024 budget Monday, Feb. 19 at noon. Over the next couple of weeks,... Read More >>

HCA Opens CY 2024 Distressed Hospital Grant Applications

The Health Care Authority (HCA) is currently accepting applications for $10 million in distressed hospital grant (DHG) funds as outlined in RCW 74.60.100 for calendar year 2024. Completed applications must... Read More >>

HCA Provides Billing Instructions for Ancillary Services Provided During Administrative Days

The Washington State Health Care Authority’s February update to the Medicaid Inpatient Hospital Billing Guide includes instructions for billing covered ancillary services that are paid separately and in addition to... Read More >>

OIC Provides Prior Authorization Law Implementation Update and Requests Comments

In 2023, the Legislature enacted E2SHB 1357 to modernize prior authorization processes. The law shortens prior authorization determination timelines, adds standards for clinical review criteria, and requires carriers to use... Read More >>

New Reporting Process for Inpatient WVA-supplied Vaccines

The Washington Vaccine Association (WVA) has developed and announced a notification process for hospitals to report WVA supplied vaccines provided during an inpatient stay. The new process was developed by... Read More >>

CMS Approves State Plan Amendment Expanding Payment for Patients Awaiting Discharge

WSHA was notified by Health Care Authority (HCA) staff that the Centers for Medicare and Medicaid Services (CMS) approved a State Plan Amendment (SPA) for changes to Medicaid payment under... Read More >>

Changes to Federal Transparency Posting Requirements Begin January 1, 2024

The recently finalized Medicare Outpatient Prospective Payment System (OPPS) and ambulatory surgical center rule includes significant changes to how hospitals must make available machine-readable files of negotiated payments with carriers... Read More >>

OIC Finalizes Rulemaking Changes to Health Care Benefit Manager Registration and Reporting

The Washington Office of the Insurance Commissioner (OIC) recently finalized new rules and concise explanatory statement regarding registration and reporting by Health Care Benefit Managers (HCBMs), effective December 21, 2023.... Read More >>

Prescription Drug Affordability Board Begins Work

The Washington State Health Cary Authority has made available its report to the legislature regarding the state Prescription Drug Affordability Board (PDAB) and is finalizing related rules. Legislation establishing the... Read More >>

HCA Provides Program Integrity Training Materials

The Washington Health Care Authority (HCA) released a Medicaid program integrity training document as annually required under RCW 74.09.195. The focus of the training is to promote and ensure Medicaid... Read More >>

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