The Balance Billing Protection Act requires health plans to provide an electronic mechanism for hospitals and health care providers to determine whether a patient's health insurance plan is subject to the requirements of the act. ... Read More >>
For Medicaid enrollees, integrated managed care (IMC) coordinates physical health, mental health, and substance use disorder treatment services to help provide whole-person care under one Medicaid managed care plan. ... Read More >>
The Health Care Authority released a stakeholder draft and WAC crosswalk of proposed changes to enrollment and payment language for rural health clinics (RHCs). ... Read More >>
September 27, WSHA submitted its comments to the Centers for Medicare and Medicaid Services (CMS) Outpatient Prospective Payment System (OPPS) proposed rule. ... Read More >>
A federal judge yesterday ruled in favor of the American Hospital Association (AHA) and hospital organizations saying that the Centers for Medicare & Medicaid Services (CMS) exceeded its statutory authority when it reduced payments for hospital outpatient clinics grandfathered under the Bipartisan Budget Act of 2015. ... Read More >>
WSHA is actively engaged in the rulemaking process for several rules affecting hospitals.... Read More >>
WSHA recently sent to CEOs, CFOs, and Government Affairs staff of member hospitals summaries of assessments and payments under the Hospital Safety Net Assessment program for state fiscal year 2019, and projections of assessments and estimated payments for state fiscal year 2020. No significant changes are expected for the SFY 2020 program.... Read More >>
On July 29, The Centers for Medicare and Medicaid Services (CMS) released its proposed 2020 Outpatient Prospective Payment System (OPPS) rule.... Read More >>
On August 2, CMS released its final Inpatient Prospective Payment System rule for 2020. ... Read More >>
On August 2, The Office of the Insurance Commissioner (OIC) released stakeholder draft rules for HB 1065, the Balance Billing Protection Act, which recently passed during the 2019 legislative session. ... Read More >>
