WSHA Supports Legislation to Review and Standardize Prior Authorization

WSHA and the Washington State Medical Association are working with legislators on a bill to address the expansion of and variation in health plan prior authorization criteria. When prior authorization... Read More >>

WSHA Provides Updated Balance Billing Protection Act Bulletin and Resource Links

On January 1, 2020, the state’s Balance Billing Protection Act (BBPA) became effective. Yesterday, WSHA released an updated bulletin that summarizes key provisions of the act and includes links to... Read More >>

Join us for our Legislative Session Kickoff webinar Jan. 15 at noon

Please join us at noon Wednesday, Jan. 15 for our annual Legislative Session Kickoff webinar for members. The webinar will cover what to expect during the 2020 legislative session and... Read More >>

CMS Extends Deadline for Comments on Medicaid Financial Accountability Proposed Rule until February 1

Last week, the Centers for Medicare and Medicaid Services (CMS) announced it was extending the time period for comments on its proposed Medicaid Financial Accountability Proposed Rule until February 1.... Read More >>

HCA Seeks Public Comments on Cascade Care (Public Option) Procurement Standards – Due January 17.

The Health Care Authority (HCA) is accepting public comments on the procurement standards they will use in selecting Cascade Care health plans. This includes a draft methodology on how the... Read More >>

HCA announces ProviderOne Submission Changes for Inpatient Psychiatric Services

The Health Care Authority announced changes to billing of inpatient psychiatric services effective January 1, 2020 as a result of the transition to integrated managed care. These changes affect acute... Read More >>

WSHA Provides Analysis of Governor’s 2020 Supplemental Budget

Governor Jay Inslee released his proposed 2020 supplemental budget yesterday. Highlights of the budget include addressing the homelessness crisis, expanding early learning and combatting climate change. The governor’s proposal would... Read More >>

CMS Ordered to Reprocess 2019 Hospital Clinic Claims, But 2020 Cuts Loom

The Centers for Medicare and Medicaid Services (CMS) announced it would reprocess calendar year 2019 payments for exempted hospital clinics that a U.S. district court ruled were improperly reduced. Noridian,... Read More >>

New Overtime Pay Rules Effective January 1, 2020. WSHA Provides Bulletin

Beginning Jan. 1, 2020, Executive, Administrative and Professional (EAP) workers will need to make at least $35,568 to be eligible for “exempt status” from overtime pay and other benefits. That... Read More >>

OIC Finalizes Surprise Billing Rules, Provides Webinar Links and other Resources

The Office of the Insurance Commissioner’s (OIC) released the final rule and concise explanatory statement (CES) implementing House Bill 1065, the Balance Billing Protection Act (BBPA). WSHA is preparing an updated version of its... Read More >>

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