OIC Provides Webinars on E2SHB Balance Billing Reconciliation, Updates Notice of Consumer Rights

On March 31, 2022, Governor Inslee signed E2SHB 1688 (Chap. 263, Laws of 2022) which aligns portions of the state’s Balance Billing Protection Act to the federal No Surprises Act and adds new provisions.... Read More >>

CMS Issues No Surprises Act FAQs

The Centers for Medicare and Medicaid Services recently released two new sets of frequently asked questions related to the federal No Surprises Act.... Read More >>

HRSA Allowing Late PRF Reporting for Period 1 Under Extenuating Circumstances – Request Deadline April 22

The Health Resources and Services Administration (HRSA) has announced that starting the week of April 11, providers that missed Reporting Period 1 for CARES Provider Relief Fund (PRF) payments due to extenuating circumstances will be able to submit their request for a late report through April 22. ... Read More >>

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 >>

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